Physician
The Pediatric Clinic
The Pediatric Clinic was paid $294K by Medicaid between Oct 2020 and Feb 2023, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoTHE PEDIATRIC CLINIC
GREENVILLE, TX 75402
GREENVILLE, TX 75402
33aNPI1780780254assigned 09/15/2006
33bProvider typePediatrics Physician
28Total paid$294K
24GClaims12,645
24DCodes billed21
24AFirst – last monthOct 2020 – Feb 2023
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#585 of 1,136
Median peer was paid$329K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2020 | 806 | $16K | |
| 2021 | 5,454 | $125K | |
| 2022 | 5,454 | $129K | |
| 2023 | 931 | $24K |
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 | 63% | 5,190 | 4,630 | $185K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.6% | 259 | 238 | $19K |
| 99000 | 6.5% | 2,135 | 1,597 | $19K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.8% | 1,711 | 781 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.1% | 151 | 137 | $12K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.2% | 948 | 921 | $9K |
| 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 | 3.1% | 179 | 168 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.4% | 534 | 260 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 451 | 436 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 78 | 75 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 100 | 89 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 26 | 24 | $2K |
9 more codes
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 officialGILES, CONNIE (OFFICE MANAGER)