Children's Physician Services of South Texas

Children's Physician Services of South Texas was paid $50.95M by Medicaid between Sep 2018 and Dec 2024, across 233 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 15% of everything it billed.

33Billing provider infoCHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS
CORPUS CHRISTI, TX 78411

33aNPI1801856786assigned 03/24/2006

33bProvider typeMulti-Specialty Clinic/Center

28Total paid$50.95M

24GClaims973,974

24DCodes billed233

24AFirst – last monthSep 2018 – Dec 2024

Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Texas

Rank by total paid#2 of 86

Median peer was paid$191K

This provider vs. median267×

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	73	$3K
2019	114	$3K
2020	19,780	$1.06M
2021	198,756	$9.53M
2022	249,332	$13.42M
2023	260,908	$14.65M
2024incomplete	245,011	$12.30M

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	15%	118,002	110,092	$7.76M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	146,267	139,769	$7.21M
99244	Office or other outpatient consultation, moderate to high complexity	7.9%	30,968	30,271	$4.02M
76819	Fetal biophysical profile; without non-stress testing	6.1%	49,899	38,329	$3.12M
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	5.3%	33,063	30,146	$2.72M
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	4.5%	22,026	20,502	$2.29M
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	3.8%	16,972	16,412	$1.96M
99243		3.7%	20,844	20,370	$1.88M
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	3.0%	12,646	12,286	$1.54M
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	2.8%	25,270	20,862	$1.45M
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.7%	10,840	10,656	$881K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.5%	11,310	4,986	$780K

221 more codes

93303	Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study	1.4%	7,446	$693K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	1.2%	9,398	$635K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	1.2%	8,069	$596K
00170	Anesthesia for intraoral procedures, including biopsy	1.1%	2,715	$562K
99239	Hospital discharge day management, more than 30 minutes	1.0%	6,015	$524K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	<1%	5,317	$466K
93304		<1%	7,831	$463K
99245		<1%	2,212	$385K
99232	Hospital visit by a doctor, follow-up day	<1%	7,660	$382K
42820	Tonsillectomy and adenoidectomy; younger than age 12	<1%	1,522	$367K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	11,394	$333K
99472	Subsequent inpatient pediatric critical care, per day, 2-5 years	<1%	944	$327K
99242		<1%	4,522	$320K
99223	Prolong inpt eval add15 m	<1%	2,186	$316K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	6,267	$309K
99238	Hospital discharge day management, 30 minutes or less	<1%	4,998	$299K
99222	Initial hospital care, per day, moderate complexity	<1%	2,633	$298K
99204	Doctor's office visit, new patient (more involved)	<1%	2,593	$293K
71045	Radiologic examination, chest; single view	<1%	37,239	$266K
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	7,559	$259K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	8,472	$259K
76770		<1%	7,462	$255K
99463		<1%	2,056	$230K
99460		<1%	2,978	$230K
93325		<1%	27,769	$219K
93000		<1%	17,396	$213K
74018		<1%	26,190	$212K
70551	Magnetic resonance imaging, brain; without contrast material	<1%	2,407	$197K
71046	Radiologic examination, chest; 2 views	<1%	17,003	$190K
76825		<1%	1,781	$185K
70553	Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences	<1%	1,762	$185K
93320		<1%	8,060	$184K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	6,240	$167K
99479	Subsequent intensive care, per day, very low birth weight infant	<1%	1,303	$165K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	2,355	$146K
93321		<1%	12,603	$143K
99469	Subsequent inpatient neonatal critical care, per day, 28 days or younger	<1%	351	$138K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	18,955	$127K
92567		<1%	8,887	$124K
95819		<1%	2,348	$124K
76820		<1%	3,729	$120K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	592	$120K
93308		<1%	1,904	$104K
70450	Computed tomography, head or brain; without contrast material	<1%	2,245	$100K
92579		<1%	2,355	$98K
92582		<1%	1,391	$94K
95810	Polysomnography; sleep staging with 4 or more additional parameters	<1%	895	$93K
42830		<1%	578	$92K
99254		<1%	679	$91K
54161		<1%	487	$84K
74177	Computed tomography, abdomen and pelvis; with contrast material	<1%	722	$75K
99464		<1%	924	$75K
87634		<1%	1,616	$73K
93975		<1%	1,321	$73K
73610		<1%	4,219	$71K
76506		<1%	3,890	$70K
72082		<1%	4,754	$69K
90792	Psychiatric diagnostic evaluation with medical services	<1%	449	$61K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	1,707	$60K
76827		<1%	1,779	$56K
90837	Psychotherapy session, about an hour	<1%	576	$52K
76700	Ultrasound, abdominal, real time with image documentation; complete	<1%	1,268	$50K
73630		<1%	2,892	$46K
01922		<1%	141	$46K
69210		<1%	1,549	$41K
73560		<1%	4,179	$41K
76536		<1%	1,179	$39K
99205	Prolong outpt/office vis	<1%	193	$38K
17106		<1%	224	$37K
92587		<1%	1,903	$36K
96112		<1%	322	$35K
92555		<1%	1,658	$35K
44970		<1%	70	$34K
73090		<1%	3,485	$33K
76801		<1%	479	$31K
94375		<1%	2,220	$29K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	1,996	$29K
71275	Computed tomographic angiography, chest, with contrast material	<1%	380	$28K
88304		<1%	2,692	$27K
73070		<1%	3,075	$27K
72148	Magnetic resonance imaging, lumbar spine; without contrast material	<1%	297	$26K
99221		<1%	382	$26K
73130		<1%	1,931	$26K
73620		<1%	1,817	$26K
73140		<1%	2,680	$26K
92552		<1%	1,001	$25K
99253		<1%	298	$25K
99241		<1%	518	$25K
76870		<1%	725	$24K
76821		<1%	377	$24K
88106		<1%	839	$23K
73521		<1%	2,005	$23K
90791	Psychiatric diagnostic evaluation	<1%	195	$22K
73110		<1%	1,490	$22K
99255		<1%	127	$22K
73590		<1%	2,258	$22K
95782		<1%	199	$21K
74240		<1%	618	$21K
96130		<1%	270	$21K
54150		<1%	198	$21K
99462		<1%	630	$21K
73100		<1%	2,438	$20K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	208	$19K
51798		<1%	3,156	$18K
72141		<1%	222	$18K
92583		<1%	384	$18K
99480	Subsequent intensive care, per day, low birth weight infant	<1%	146	$17K
99217		<1%	309	$17K
99418	Prolong nursin fac eval 15m	<1%	553	$17K
99220		<1%	127	$15K
77072		<1%	1,748	$15K
93224		<1%	212	$15K
77073		<1%	1,093	$14K
99219		<1%	165	$14K
94621		<1%	117	$14K
88300		<1%	3,345	$14K
72146		<1%	165	$13K
74230		<1%	556	$13K
70250		<1%	999	$12K
51784		<1%	523	$12K
92553		<1%	378	$12K
99471		<1%	17	$12K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	127	$11K
90834	Psychotherapy session, about 45 minutes	<1%	171	$11K
29065		<1%	137	$10K
93294		<1%	421	$10K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	319	$10K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	1,981	$10K
72100		<1%	709	$10K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	215	$10K
73552		<1%	838	$9K
99468		<1%	12	$9K
73030		<1%	744	$9K
88342		<1%	313	$9K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	529	$8K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	447	$8K
73120		<1%	969	$8K
17110		<1%	84	$7K
73721	Magnetic resonance imaging, any joint of lower extremity; without contrast material	<1%	55	$7K
31575		<1%	92	$7K
96137		<1%	211	$7K
96131		<1%	40	$7K
99441		<1%	310	$7K
74019		<1%	637	$7K
94726		<1%	159	$7K
72170		<1%	681	$6K
99477		<1%	13	$6K
93227		<1%	375	$5K
76813		<1%	88	$5K
94060		<1%	528	$5K
92556		<1%	125	$5K
94729		<1%	104	$5K
92504		<1%	355	$4K
99235		<1%	27	$4K
81003		<1%	2,458	$4K
71260	Computed tomography, thorax, diagnostic; with contrast material	<1%	67	$4K
93296		<1%	233	$4K
93244		<1%	188	$4K
99218		<1%	69	$4K
73060		<1%	353	$4K
73000		<1%	284	$4K
93597		<1%	13	$3K
73080		<1%	133	$3K
93976		<1%	51	$3K
99417	Prolong home eval add 15m	<1%	132	$3K
99051		<1%	26,850	$3K
S8301	Infection control supplies, not otherwise specified	<1%	2,234	$3K
70486		<1%	76	$3K
75561		<1%	27	$3K
93225		<1%	227	$3K
73600		<1%	159	$2K
96450		<1%	35	$2K
85060		<1%	137	$2K
00126		<1%	13	$2K
70360		<1%	230	$2K
99358	Prolong nursin fac eval 15m	<1%	40	$2K
99252		<1%	25	$2K
73660		<1%	155	$2K
76376		<1%	193	$2K
95811		<1%	14	$2K
74021		<1%	81	$1K
96136		<1%	64	$1K
96040		<1%	52	$1K
41115		<1%	14	$1K
93242		<1%	97	$1K
76010		<1%	99	$1K
73562		<1%	42	$1K
76882		<1%	49	$1K
74455		<1%	78	$1K
72156		<1%	12	$1K
93568		<1%	24	$905.57
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	130	$904.94
87807		<1%	68	$828.30
29075		<1%	17	$761.10
72050		<1%	57	$755.90
93042		<1%	372	$715.02
70160		<1%	37	$649.77
93248		<1%	24	$584.98
97803		<1%	418	$536.60
73564		<1%	39	$535.68
76826		<1%	18	$518.01
93018		<1%	41	$505.27
77077		<1%	31	$499.00
51741		<1%	62	$497.21
99442		<1%	12	$479.56
95251		<1%	49	$466.63
72040		<1%	40	$437.84
94618		<1%	18	$433.71
93040		<1%	81	$356.16
76828		<1%	18	$349.52
76604		<1%	14	$331.60
75565		<1%	28	$293.94
73502		<1%	26	$236.71
93016		<1%	12	$228.96
11900		<1%	13	$227.86
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	34	$208.06
99152		<1%	13	$149.38
93246		<1%	12	$147.00
93228		<1%	51	$20.00
99024		0%	6,403	$0.00
96127		0%	3,574	$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 officialGARZA, SARAH (VP)