Physician
Pediatrics of South Austin, P.A.
Pediatrics of South Austin, P.A. was paid $3.37M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoPEDIATRICS OF SOUTH AUSTIN, P.A.
AUSTIN, TX 78745
AUSTIN, TX 78745
33aNPI1811968332assigned 02/01/2006
33bProvider typePediatrics Physician
28Total paid$3.37M
24GClaims187,542
24DCodes billed56
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#139 of 1,136
Median peer was paid$329K
This provider vs. median10×
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 | 2,478 | $53K | |
| 2019 | 9,034 | $189K | |
| 2020 | 11,680 | $245K | |
| 2021 | 44,301 | $712K | |
| 2022 | 43,252 | $823K | |
| 2023 | 43,694 | $776K | |
| 2024incomplete | 33,103 | $573K |
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 | 27% | 27,552 | 23,341 | $918K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 7,080 | 6,478 | $502K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 6,034 | 5,567 | $422K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 5,125 | 4,572 | $371K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.4% | 30,209 | 11,615 | $282K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.4% | 3,196 | 2,847 | $250K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.5% | 5,975 | 4,980 | $117K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.9% | 13,298 | 10,985 | $97K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.3% | 6,520 | 5,811 | $78K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.0% | 5,444 | 2,441 | $66K |
| 99381 | 1.6% | 687 | 680 | $53K | |
| 99000 | 1.5% | 6,819 | 5,943 | $52K |
44 more codes
| 90461 | 1.4% | 9,419 | $46K | |
| 90619 | 1.1% | 599 | $36K | |
| 92552 | <1% | 4,913 | $31K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 375 | $18K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 124 | $7K |
| 87807 | <1% | 645 | $6K | |
| 96160 | <1% | 2,014 | $4K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 330 | $4K |
| 97803 | <1% | 9,675 | $3K | |
| 84030 | <1% | 638 | $2K | |
| 92587 | <1% | 410 | $2K | |
| 90671 | <1% | 1,536 | $916.16 | |
| 81002 | <1% | 194 | $506.20 | |
| 92567 | <1% | 27 | $287.75 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 311 | $269.85 |
| 85018 | <1% | 100 | $52.08 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 278 | $11.60 |
| 97802 | <1% | 397 | $1.00 | |
| 90686 | <1% | 2,413 | $0.35 | |
| 90716 | 0% | 760 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 1,415 | $0.00 |
| 90696 | 0% | 521 | $0.00 | |
| 36416 | 0% | 1,382 | $0.00 | |
| 90680 | 0% | 3,108 | $0.00 | |
| 90723 | 0% | 47 | $0.00 | |
| 90698 | 0% | 1,002 | $0.00 | |
| 90697 | 0% | 2,251 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 5,315 | $0.00 |
| 90656 | 0% | 252 | $0.00 | |
| 90651 | 0% | 748 | $0.00 | |
| 90744 | 0% | 595 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 132 | $0.00 |
| 90670 | 0% | 3,263 | $0.00 | |
| 90710 | 0% | 493 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 4,060 | $0.00 |
| 90633 | 0% | 2,139 | $0.00 | |
| 90707 | 0% | 784 | $0.00 | |
| 99173 | 0% | 4,973 | $0.00 | |
| 90715 | 0% | 217 | $0.00 | |
| 90648 | 0% | 831 | $0.00 | |
| 90700 | 0% | 675 | $0.00 | |
| 90734 | 0% | 143 | $0.00 | |
| 90685 | 0% | 16 | $0.00 | |
| 90621 | 0% | 83 | $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 officialHINE, PETER (PARTNER)