Physician
Houston Pediatric Clinic
Houston Pediatric Clinic was paid $8.96M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoHOUSTON PEDIATRIC CLINIC
HOUSTON, TX 77076
HOUSTON, TX 77076
33aNPI1790078426assigned 05/27/2011
33bProvider typePediatrics Physician
28Total paid$8.96M
24GClaims345,503
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#32 of 1,136
Median peer was paid$329K
This provider vs. median27×
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 | 1,706 | $40K | |
| 2019 | 2,212 | $54K | |
| 2020 | 24,879 | $500K | |
| 2021 | 77,112 | $1.96M | |
| 2022 | 84,777 | $2.33M | |
| 2023 | 86,756 | $2.27M | |
| 2024incomplete | 68,061 | $1.80M |
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 | 28% | 63,736 | 57,931 | $2.53M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 11,695 | 11,472 | $933K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 10% | 22,599 | 21,753 | $927K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10.0% | 10,441 | 10,303 | $892K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.8% | 8,861 | 8,721 | $697K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.0% | 6,032 | 5,756 | $540K |
| 99429 | 4.2% | 11,227 | 11,046 | $380K | |
| 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 | 3.8% | 6,209 | 6,076 | $341K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.8% | 26,770 | 12,513 | $254K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.7% | 21,045 | 20,722 | $239K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.6% | 16,479 | 9,062 | $232K |
| 99381 | 1.9% | 2,045 | 2,028 | $171K |
53 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 6,270 | $168K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 17,573 | $144K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,060 | $71K |
| 99383 | <1% | 682 | $63K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 951 | $63K |
| 90474 | <1% | 4,430 | $42K | |
| 99000 | <1% | 3,812 | $38K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 5,145 | $37K |
| 99382 | <1% | 370 | $34K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 483 | $23K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,502 | $19K |
| 94010 | <1% | 736 | $18K | |
| 99384 | <1% | 180 | $18K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,237 | $16K |
| 96160 | <1% | 7,061 | $14K | |
| 0071A | <1% | 251 | $10K | |
| 0072A | <1% | 202 | $9K | |
| 97169 | <1% | 297 | $8K | |
| 90461 | <1% | 1,163 | $7K | |
| 0002A | <1% | 166 | $7K | |
| 0001A | <1% | 138 | $6K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 35 | $3K |
| 81002 | <1% | 806 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 48 | $528.26 |
| A4617 | Mouth piece | <1% | 731 | $378.15 |
| 90677 | <1% | 1,974 | $253.93 | |
| 90473 | <1% | 15 | $206.40 | |
| 96161 | <1% | 1,038 | $52.20 | |
| 90686 | <1% | 5,776 | $19.27 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 13 | $6.54 |
| 90619 | <1% | 1,048 | $0.05 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 25,371 | $0.01 |
| 90680 | 0% | 4,899 | $0.00 | |
| 36416 | 0% | 4,531 | $0.00 | |
| 90723 | 0% | 5,532 | $0.00 | |
| 90647 | 0% | 4,794 | $0.00 | |
| 90696 | 0% | 1,054 | $0.00 | |
| 90716 | 0% | 1,353 | $0.00 | |
| 90651 | 0% | 2,168 | $0.00 | |
| 90620 | 0% | 877 | $0.00 | |
| 91307 | 0% | 498 | $0.00 | |
| 90656 | 0% | 980 | $0.00 | |
| G9432 | Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented | 0% | 129 | $0.00 |
| 90710 | 0% | 1,055 | $0.00 | |
| 90670 | 0% | 5,566 | $0.00 | |
| 90734 | 0% | 927 | $0.00 | |
| 90633 | 0% | 3,867 | $0.00 | |
| 90648 | 0% | 1,939 | $0.00 | |
| 90700 | 0% | 1,223 | $0.00 | |
| 90707 | 0% | 1,316 | $0.00 | |
| 90715 | 0% | 734 | $0.00 | |
| 91300 | 0% | 344 | $0.00 | |
| 99051 | 0% | 14 | $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 officialORTEGA, CESAR (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Cesar a Ortega MD PA | Houston, TX | $6.74M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.