Physician
Donna Children's Care Clinic PLLC
Donna Children's Care Clinic PLLC was paid $363K by Medicaid between Mar 2023 and Dec 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoDONNA CHILDREN'S CARE CLINIC PLLC
DONNA, TX 78537
DONNA, TX 78537
33aNPI1831823756assigned 07/15/2022
33bProvider typePediatrics Physician
28Total paid$363K
24GClaims14,854
24DCodes billed27
24AFirst – last monthMar 2023 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#549 of 1,136
Median peer was paid$329K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2023 | 6,481 | $157K | |
| 2024incomplete | 8,373 | $206K |
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 | 49% | 4,921 | 3,469 | $176K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.0% | 1,052 | 875 | $25K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 6.1% | 1,724 | 1,585 | $22K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.7% | 263 | 256 | $21K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.3% | 395 | 375 | $16K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.1% | 1,158 | 555 | $15K |
| 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 | 4.1% | 298 | 280 | $15K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.9% | 1,098 | 820 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 170 | 170 | $14K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.2% | 1,298 | 1,188 | $8K |
| 92567 | 2.1% | 833 | 781 | $8K | |
| 87428 | 2.1% | 161 | 143 | $8K |
15 more codes
| 94014 | 1.6% | 136 | $6K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 56 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 44 | $3K |
| 87807 | <1% | 227 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 212 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 47 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $831.95 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 211 | $338.18 |
| 81003 | <1% | 70 | $127.08 | |
| 86308 | <1% | 29 | $124.39 | |
| 90461 | <1% | 303 | $6.71 | |
| 90656 | <1% | 52 | $0.01 | |
| 90651 | 0% | 13 | $0.00 | |
| 90686 | 0% | 13 | $0.00 | |
| 90671 | 0% | 57 | $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 officialMERCADO, ALLAN (M.D)
| Provider | Location | Paid |
|---|---|---|
| Children Care Clinic LP | Edinburg, TX | $7.28M |
| Alton Childrens Care Clinic, P.A. | Alton, TX | $1.80M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.