Physician
Noah's Ark Pediatric Clinic, PLLC
Noah's Ark Pediatric Clinic, PLLC was paid $81K by Medicaid between May 2024 and Dec 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoNOAH'S ARK PEDIATRIC CLINIC, PLLC
SHERMAN, TX 75092
SHERMAN, TX 75092
33aNPI1730955055assigned 11/28/2023
33bProvider typePediatrics Physician
28Total paid$81K
24GClaims3,014
24DCodes billed26
24AFirst – last monthMay 2024 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#751 of 1,136
Median peer was paid$329K
This provider vs. median0.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 3,014 | $81K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 24% | 355 | 329 | $19K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 351 | 327 | $13K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 865 | 365 | $12K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 137 | 137 | $12K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 102 | 99 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.4% | 80 | 78 | $7K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.2% | 77 | 77 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.2% | 134 | 127 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.0% | 190 | 133 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 15 | 15 | $1K |
| 99383 | 1.4% | 12 | 12 | $1K | |
| 96380 | 1.1% | 49 | 48 | $915.37 |
14 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 64 | $778.40 |
| 83655 | <1% | 41 | $396.63 | |
| 90380 | <1% | 15 | $0.01 | |
| 90648 | 0% | 13 | $0.00 | |
| 90710 | 0% | 27 | $0.00 | |
| 90681 | 0% | 20 | $0.00 | |
| 90633 | 0% | 38 | $0.00 | |
| 90677 | 0% | 118 | $0.00 | |
| 90656 | 0% | 79 | $0.00 | |
| 90647 | 0% | 46 | $0.00 | |
| 3008F | 0% | 12 | $0.00 | |
| 90723 | 0% | 77 | $0.00 | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 0% | 79 | $0.00 |
| 90381 | 0% | 18 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLOPEZ, ROSALIND (OWNER/PROVIDER)