Physician
Careville Pediatrics, PA
Careville Pediatrics, PA was paid $3.27M by Medicaid between Jan 2018 and Dec 2024, across 71 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 12% of everything it billed.
33Billing provider infoCAREVILLE PEDIATRICS, PA
BEEVILLE, TX 78102
BEEVILLE, TX 78102
33aNPI1760879670assigned 04/17/2015
33bProvider typePediatrics Physician
28Total paid$3.27M
24GClaims236,247
24DCodes billed71
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#144 of 1,136
Median peer was paid$329K
This provider vs. median9.9×
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 | |
|---|---|---|---|
| 2018 | 28 | $359.06 | |
| 2020 | 11,561 | $133K | |
| 2021 | 59,398 | $906K | |
| 2022 | 59,356 | $953K | |
| 2023 | 59,904 | $809K | |
| 2024incomplete | 46,000 | $465K |
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 | 12% | 20,477 | 17,344 | $391K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 5,650 | 4,762 | $380K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 5,179 | 4,328 | $379K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 8.8% | 7,096 | 6,071 | $289K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.4% | 26,820 | 20,817 | $276K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.1% | 4,388 | 3,453 | $264K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.5% | 24,236 | 10,068 | $246K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.4% | 3,154 | 2,605 | $241K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 5.7% | 2,312 | 2,137 | $186K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.3% | 3,109 | 2,636 | $140K |
| 99429 | 3.7% | 5,439 | 4,688 | $122K | |
| 99381 | 1.8% | 1,137 | 787 | $60K |
59 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.7% | 9,149 | $55K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.5% | 1,686 | $49K |
| S8301 | Infection control supplies, not otherwise specified | <1% | 8,991 | $26K |
| 90461 | <1% | 6,900 | $23K | |
| 99383 | <1% | 243 | $20K | |
| 0071A | <1% | 396 | $17K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 219 | $16K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,742 | $14K |
| 99382 | <1% | 158 | $14K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 874 | $6K |
| 96160 | <1% | 28,737 | $6K | |
| 0001A | <1% | 163 | $5K | |
| 90671 | <1% | 1,621 | $5K | |
| 99384 | <1% | 43 | $5K | |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | <1% | 11,429 | $4K |
| 87807 | <1% | 302 | $3K | |
| 90619 | <1% | 588 | $3K | |
| 92551 | <1% | 10,595 | $3K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 473 | $3K |
| 0002A | <1% | 76 | $3K | |
| 90651 | <1% | 1,308 | $3K | |
| 90620 | <1% | 722 | $2K | |
| 0054A | <1% | 47 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 312 | $1K |
| 96380 | <1% | 119 | $830.77 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 129 | $629.08 |
| 90686 | <1% | 2,167 | $585.66 | |
| 81002 | <1% | 558 | $547.62 | |
| 0051A | <1% | 13 | $520.00 | |
| 0081A | <1% | 14 | $499.30 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,398 | $437.32 |
| 90688 | <1% | 2,172 | $404.96 | |
| 90734 | <1% | 556 | $328.69 | |
| 90715 | <1% | 457 | $105.15 | |
| 96161 | <1% | 676 | $37.20 | |
| 90656 | <1% | 513 | $19.74 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 285 | $1.72 |
| 96127 | 0% | 2,528 | $0.00 | |
| 90680 | 0% | 2,493 | $0.00 | |
| 90697 | 0% | 1,781 | $0.00 | |
| 91307 | 0% | 420 | $0.00 | |
| 90696 | 0% | 631 | $0.00 | |
| 90723 | 0% | 649 | $0.00 | |
| 90716 | 0% | 232 | $0.00 | |
| 90698 | 0% | 210 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 363 | $0.00 |
| 91305 | 0% | 78 | $0.00 | |
| 90381 | 0% | 33 | $0.00 | |
| 90670 | 0% | 1,903 | $0.00 | |
| 90710 | 0% | 1,154 | $0.00 | |
| 99173 | 0% | 12,472 | $0.00 | |
| 90700 | 0% | 725 | $0.00 | |
| 90707 | 0% | 212 | $0.00 | |
| 90648 | 0% | 1,382 | $0.00 | |
| 90633 | 0% | 1,828 | $0.00 | |
| 94664 | 0% | 890 | $0.00 | |
| 91300 | 0% | 317 | $0.00 | |
| 91308 | 0% | 63 | $0.00 | |
| 99188 | 0% | 55 | $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 officialMBADUGHA, IFEANYI (MEDICAL DIRECTOR)