Physician
Prause, Alvin
Prause, Alvin was paid $1.88M by Medicaid between Jan 2019 and Oct 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoPRAUSE, ALVIN
BEAUMONT, TX 77702
BEAUMONT, TX 77702
33aNPI1770543225assigned 03/27/2006
33bProvider typePediatrics Physician
28Total paid$1.88M
24GClaims80,159
24DCodes billed37
24AFirst – last monthJan 2019 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#256 of 1,136
Median peer was paid$329K
This provider vs. median5.7×
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 | |
|---|---|---|---|
| 2019 | 99 | $2K | |
| 2020 | 3,869 | $86K | |
| 2021 | 20,069 | $465K | |
| 2022 | 24,008 | $516K | |
| 2023 | 20,321 | $487K | |
| 2024incomplete | 11,793 | $328K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 20,587 | 18,356 | $707K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 3,365 | 3,325 | $247K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 2,955 | 2,669 | $198K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 2,360 | 2,332 | $191K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 10.0% | 2,137 | 2,116 | $188K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.0% | 18,781 | 7,292 | $170K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.9% | 4,356 | 4,235 | $56K |
| 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 | 2.0% | 752 | 742 | $37K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 2,973 | 1,458 | $37K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 2,996 | 2,959 | $23K |
| 90461 | 1.1% | 4,216 | 3,632 | $21K | |
| 99000 | <1% | 188 | 183 | $2K |
25 more codes
| 90651 | <1% | 531 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 24 | $1K |
| 99460 | <1% | 15 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 26 | $1K |
| 87807 | <1% | 104 | $1K | |
| 90734 | <1% | 456 | $656.96 | |
| 90686 | <1% | 1,136 | $449.83 | |
| 90670 | <1% | 1,895 | $250.08 | |
| 90620 | <1% | 140 | $216.19 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $71.71 |
| 81003 | <1% | 30 | $46.41 | |
| 90715 | <1% | 334 | $43.16 | |
| 90677 | <1% | 366 | $1.19 | |
| 90619 | <1% | 278 | $0.19 | |
| 90707 | <1% | 1,180 | $0.04 | |
| 90716 | <1% | 1,153 | $0.03 | |
| 90696 | <1% | 279 | $0.02 | |
| 90633 | <1% | 1,346 | $0.02 | |
| 90723 | <1% | 1,174 | $0.01 | |
| 90680 | 0% | 1,491 | $0.00 | |
| 90697 | 0% | 17 | $0.00 | |
| 90698 | 0% | 505 | $0.00 | |
| 90700 | 0% | 351 | $0.00 | |
| 90648 | 0% | 1,630 | $0.00 | |
| 90685 | 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.