Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Plum Pediatrics PLLC

Plum Pediatrics PLLC was paid $687K by Medicaid between Nov 2021 and Dec 2024, across 47 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.

33Billing provider infoPLUM PEDIATRICS PLLC
SUNNYVALE, TX 75182
33aNPI1740807445assigned 06/29/2020
33bProvider typePediatrics Physician
28Total paid$687K
24GClaims29,206
24DCodes billed47
24AFirst – last monthNov 2021 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#443 of 1,136
Median peer was paid$329K
This provider vs. median2.1×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
202156$193.27
20223,926$96K
202311,664$268K
2024incomplete13,560$323K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 21% 2,994 2,708 $147K
87428 14% 2,669 2,454 $94K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12% 1,066 980 $79K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 2,299 2,014 $78K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10% 906 899 $70K
90460 Immunization administration through 18 years of age via any route, first or only component 10% 5,487 2,103 $70K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4.2% 362 355 $29K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4.2% 2,802 2,578 $29K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.1% 412 386 $22K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.9% 632 607 $13K
99383 1.6% 123 122 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.3% 99 99 $9K
35 more codes
87807 <1% 733 $6K
99381 <1% 79 $6K
99384 <1% 58 $5K
92558 <1% 1,429 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 67 $3K
99382 <1% 37 $3K
99174 <1% 940 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 216 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 75 $999.87
90461 <1% 1,580 $966.47
99000 <1% 48 $418.46
87420 <1% 36 $242.28
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 25 $209.95
96127 <1% 223 $136.85
83789 <1% 13 $121.50
85018 <1% 12 $16.39
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 75 $5.98
90648 0% 786 $0.00
99173 0% 247 $0.00
90633 0% 324 $0.00
90670 0% 288 $0.00
90734 0% 28 $0.00
90681 0% 266 $0.00
90700 0% 14 $0.00
90671 0% 56 $0.00
90707 0% 28 $0.00
90715 0% 12 $0.00
90677 0% 476 $0.00
90723 0% 629 $0.00
90686 0% 223 $0.00
90656 0% 58 $0.00
36416 0% 216 $0.00
96161 0% 16 $0.00
90716 0% 29 $0.00
90696 0% 13 $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 officialPATEL, ROSHNI (MANAGING MEMBER)
Same official

Other billing entities under PATEL, ROSHNI

Full network →
ProviderLocationPaid
Pediatric Depot PLLCTerrell, TX$2.63M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.