Physician
M & M Pediatrics, PLLC
M & M Pediatrics, PLLC was paid $75K by Medicaid between Jan 2018 and Oct 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.
33Billing provider infoM & M PEDIATRICS, PLLC
BROWNSVILLE, TX 78521
BROWNSVILLE, TX 78521
33aNPI1821251638assigned 07/02/2008
33bProvider typePediatrics Physician
28Total paid$75K
24GClaims2,967
24DCodes billed15
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#761 of 1,136
Median peer was paid$329K
This provider vs. median0.2×
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 | 786 | $20K | |
| 2019 | 797 | $23K | |
| 2020 | 266 | $9K | |
| 2021 | 519 | $7K | |
| 2022 | 97 | $3K | |
| 2023 | 72 | $2K | |
| 2024incomplete | 430 | $10K |
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 | 91% | 2,155 | 1,637 | $69K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.9% | 175 | 172 | $1K |
| 99000 | 1.5% | 143 | 139 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 13 | 13 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.4% | 27 | 27 | $1K |
| 99051 | <1% | 65 | 49 | $591.63 | |
| S8301 | Infection control supplies, not otherwise specified | <1% | 19 | 19 | $584.68 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 67 | 27 | $525.28 |
| 90461 | <1% | 15 | 13 | $112.02 | |
| 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 | <1% | 16 | 16 | $99.46 |
| 36415 | Collection of venous blood by venipuncture | 0% | 175 | 171 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 28 | 28 | $0.00 |
3 more codes
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 officialALI, MIR (MD/PARTNER)
| Provider | Location | Paid |
|---|---|---|
| M & M Pediatrics, PLLC | Brownsville, TX | $6.49M |
| Gene Street, LLC. | Houston, TX | $1.99M |
| Ali Lung Clinic PC | Smithfield, NC | $375K |
| Infectious Diseases & Epidemiology PC | Hopewell, VA | $237K |
| Pulmonology & Bronchology | Clayton, NC | $169K |
| M & M North, LLP | Brownsville, TX | $114K |
| Medina Primary Care PLLC | Plano, TX | $104K |
| Diagnostic Heart Center, INC | Arcadia, CA | $39K |
| Smithfield Pulmonology | Smithfield, NC | $30K |
| Mir M Ali M D a Professional Corporation | Anaheim, CA | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.