Clinic
The Pediatric Clinic, P.A.
The Pediatric Clinic, P.A. was paid $10.98M by Medicaid between Jan 2018 and Dec 2024, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoTHE PEDIATRIC CLINIC, P.A.
MOUNT PLEASANT, TX 75455
MOUNT PLEASANT, TX 75455
33aNPI1821085721assigned 10/05/2005
33bProvider typeRural Health Clinic/Center
28Total paid$10.98M
24GClaims356,045
24DCodes billed62
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Texas
Rank by total paid#1 of 225
Median peer was paid$428K
This provider vs. median26×
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 | 2,231 | $62K | |
| 2019 | 2,328 | $67K | |
| 2020 | 15,081 | $375K | |
| 2021 | 91,836 | $2.74M | |
| 2022 | 89,098 | $2.90M | |
| 2023 | 84,843 | $2.59M | |
| 2024incomplete | 70,628 | $2.25M |
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 | 37% | 92,438 | 83,702 | $4.07M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 15,238 | 15,088 | $1.24M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 14,521 | 13,236 | $1.17M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 13,159 | 13,043 | $1.12M |
| 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 | 9.4% | 17,083 | 15,844 | $1.03M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.4% | 9,126 | 9,035 | $812K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.8% | 66,255 | 28,095 | $751K |
| 99460 | 1.4% | 1,805 | 1,785 | $152K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.2% | 2,112 | 2,066 | $134K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 14,927 | 10,815 | $132K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 6,591 | 6,107 | $81K |
| 90461 | <1% | 19,612 | 16,274 | $81K |
50 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,855 | $53K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 391 | $26K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 3,263 | $24K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 237 | $21K |
| 54150 | <1% | 195 | $17K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,155 | $17K |
| 96160 | <1% | 7,459 | $17K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 4,940 | $8K |
| 99383 | <1% | 89 | $8K | |
| 92587 | <1% | 1,290 | $5K | |
| 99384 | <1% | 31 | $3K | |
| 96380 | <1% | 92 | $2K | |
| 96161 | <1% | 645 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $1K |
| 99462 | <1% | 16 | $667.68 | |
| 90671 | <1% | 2,800 | $491.85 | |
| 90473 | <1% | 27 | $393.01 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 25 | $365.95 |
| 90619 | <1% | 1,829 | $345.65 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 17 | $141.78 |
| 94760 | <1% | 154 | $51.84 | |
| 97803 | <1% | 3,984 | $30.31 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 84 | $21.44 |
| 90697 | <1% | 3,530 | $8.89 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 17 | $1.67 |
| 90677 | <1% | 849 | $1.20 | |
| 90686 | <1% | 5,883 | $0.45 | |
| 90381 | <1% | 142 | $0.39 | |
| 90621 | <1% | 1,359 | $0.19 | |
| 90380 | <1% | 112 | $0.14 | |
| 90651 | <1% | 2,575 | $0.06 | |
| 90672 | <1% | 503 | $0.04 | |
| 90715 | <1% | 1,404 | $0.04 | |
| 90656 | <1% | 704 | $0.03 | |
| 90734 | <1% | 1,025 | $0.03 | |
| 90633 | <1% | 4,624 | $0.01 | |
| 90710 | <1% | 2,104 | $0.01 | |
| 90716 | 0% | 1,850 | $0.00 | |
| 90698 | 0% | 3,581 | $0.00 | |
| 90680 | 0% | 6,258 | $0.00 | |
| 90696 | 0% | 1,747 | $0.00 | |
| 90744 | 0% | 2,109 | $0.00 | |
| 90723 | 0% | 28 | $0.00 | |
| 90688 | 0% | 13 | $0.00 | |
| 90648 | 0% | 1,408 | $0.00 | |
| 90707 | 0% | 1,806 | $0.00 | |
| 99177 | 0% | 1,602 | $0.00 | |
| 90700 | 0% | 1,627 | $0.00 | |
| 90670 | 0% | 5,706 | $0.00 | |
| 99173 | 0% | 22 | $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 officialHENRY, MICHAEL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Emergency Room MD LLC | Louisville, MS | $240K |
| Rehabilitation Management Systems | Sacramento, CA | $66K |
| Humanistic Psychological Services | Vacaville, CA | $31K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.