Physician
El Paso Pediatric Assoc. P.A.
El Paso Pediatric Assoc. P.A. was paid $3.61M by Medicaid between Jul 2018 and Feb 2024, across 73 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoEL PASO PEDIATRIC ASSOC. P.A.
EL PASO, TX 79925
EL PASO, TX 79925
33aNPI1821076233assigned 01/05/2006
33bProvider typePediatrics Physician
28Total paid$3.61M
24GClaims162,527
24DCodes billed73
24AFirst – last monthJul 2018 – Feb 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#126 of 1,136
Median peer was paid$329K
This provider vs. median11×
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 | 181 | $1K | |
| 2019 | 123 | $1K | |
| 2020 | 7,251 | $134K | |
| 2021 | 51,317 | $1.04M | |
| 2022 | 55,471 | $1.26M | |
| 2023 | 42,184 | $1.02M | |
| 2024incomplete | 6,000 | $156K |
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 | 24% | 22,531 | 20,992 | $884K |
| 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 | 14% | 9,363 | 8,747 | $518K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.8% | 3,627 | 3,520 | $318K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 8.3% | 6,646 | 6,304 | $301K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.3% | 3,191 | 3,109 | $298K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.2% | 27,317 | 12,057 | $295K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.3% | 2,736 | 2,520 | $226K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.0% | 2,179 | 2,123 | $217K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.9% | 6,530 | 4,702 | $141K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 3,047 | 2,877 | $77K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.0% | 8,684 | 6,916 | $71K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 686 | 556 | $52K |
61 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 3,409 | $50K |
| 90461 | <1% | 5,787 | $27K | |
| 0071A | <1% | 451 | $20K | |
| 87081 | <1% | 2,852 | $17K | |
| 0072A | <1% | 347 | $15K | |
| 94010 | <1% | 539 | $14K | |
| 0001A | <1% | 194 | $8K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 665 | $8K |
| 96160 | <1% | 5,030 | $7K | |
| 0002A | <1% | 143 | $6K | |
| 87430 | <1% | 411 | $6K | |
| 90480 | <1% | 155 | $5K | |
| 87807 | <1% | 451 | $5K | |
| 99417 | Prolong home eval add 15m | <1% | 182 | $5K |
| 0081A | <1% | 110 | $5K | |
| 0124A | <1% | 97 | $4K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 407 | $3K |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | <1% | 80 | $2K |
| 0074A | <1% | 35 | $1K | |
| 0154A | <1% | 28 | $1K | |
| 0054A | <1% | 25 | $1K | |
| 90686 | <1% | 6,597 | $1K | |
| 0082A | <1% | 20 | $894.40 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 13 | $713.33 |
| 0121A | <1% | 16 | $667.20 | |
| 69210 | <1% | 12 | $631.80 | |
| 99429 | <1% | 18 | $525.00 | |
| 0151A | <1% | 12 | $488.00 | |
| 90670 | <1% | 1,929 | $437.26 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 19 | $289.70 |
| 92551 | <1% | 8,798 | $245.18 | |
| 90620 | <1% | 87 | $237.66 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 18 | $180.46 |
| 99173 | <1% | 8,788 | $106.76 | |
| 90680 | <1% | 658 | $79.18 | |
| 90648 | <1% | 1,866 | $44.34 | |
| 99051 | <1% | 4,054 | $30.60 | |
| 90723 | <1% | 906 | $14.25 | |
| 85007 | <1% | 386 | $6.38 | |
| 36416 | <1% | 898 | $2.25 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 17 | $1.97 |
| 91307 | <1% | 1,147 | $0.31 | |
| 91308 | <1% | 302 | $0.10 | |
| 91320 | <1% | 13 | $0.09 | |
| 90651 | <1% | 237 | $0.06 | |
| 91305 | <1% | 248 | $0.06 | |
| 91312 | <1% | 113 | $0.02 | |
| 91315 | <1% | 40 | $0.01 | |
| 90677 | <1% | 61 | $0.01 | |
| 99174 | 0% | 355 | $0.00 | |
| 94760 | 0% | 20 | $0.00 | |
| 90697 | 0% | 12 | $0.00 | |
| 90716 | 0% | 15 | $0.00 | |
| 90633 | 0% | 310 | $0.00 | |
| 91300 | 0% | 512 | $0.00 | |
| 99072 | 0% | 5,872 | $0.00 | |
| 90681 | 0% | 24 | $0.00 | |
| 90707 | 0% | 15 | $0.00 | |
| 90734 | 0% | 102 | $0.00 | |
| 90700 | 0% | 30 | $0.00 | |
| 94664 | 0% | 52 | $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 officialHOVIS, ROGER (OPERATIONS MANAGER)