Physician
Border Pediatrics, P.A.
Border Pediatrics, P.A. was paid $999K by Medicaid between Jan 2018 and Feb 2022, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoBORDER PEDIATRICS, P.A.
EL PASO, TX 79912
EL PASO, TX 79912
33aNPI1841347218assigned 01/05/2007
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$999K
24GClaims35,441
24DCodes billed42
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Texas
Rank by total paid#8 of 21
Median peer was paid$446K
This provider vs. median2.2×
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 | 1,309 | $56K | |
| 2019 | 1,513 | $62K | |
| 2020 | 3,784 | $115K | |
| 2021 | 25,006 | $667K | |
| 2022 | 3,829 | $98K |
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 | 45% | 10,720 | 9,652 | $451K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.0% | 1,039 | 1,027 | $90K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.9% | 974 | 956 | $89K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.9% | 962 | 956 | $78K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.0% | 5,869 | 2,769 | $60K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.7% | 713 | 682 | $57K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.9% | 3,578 | 3,392 | $49K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 4.4% | 1,112 | 1,001 | $44K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.3% | 912 | 876 | $23K |
| 90461 | 1.9% | 1,456 | 1,218 | $19K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 919 | 730 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 668 | 421 | $8K |
30 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 125 | $8K |
| 92552 | <1% | 882 | $3K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 56 | $3K |
| 96161 | <1% | 1,059 | $3K | |
| 99429 | <1% | 40 | $980.99 | |
| 99173 | <1% | 1,297 | $880.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $756.84 |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | <1% | 32 | $750.00 |
| 83655 | <1% | 63 | $596.98 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 15 | $580.56 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $505.10 |
| 81002 | <1% | 39 | $118.78 | |
| 90686 | <1% | 972 | $41.27 | |
| 90670 | <1% | 610 | $0.52 | |
| 90734 | <1% | 275 | $0.33 | |
| 90688 | <1% | 30 | $0.28 | |
| 90633 | <1% | 203 | $0.21 | |
| 90680 | <1% | 265 | $0.17 | |
| 90648 | <1% | 131 | $0.17 | |
| 90723 | <1% | 126 | $0.11 | |
| 90756 | <1% | 14 | $0.11 | |
| 90715 | <1% | 49 | $0.06 | |
| 90696 | <1% | 27 | $0.04 | |
| 90651 | <1% | 64 | $0.04 | |
| 90710 | <1% | 28 | $0.04 | |
| 90700 | <1% | 15 | $0.02 | |
| 90698 | <1% | 27 | $0.01 | |
| 90647 | <1% | 26 | $0.01 | |
| 90716 | <1% | 13 | $0.01 | |
| 90707 | <1% | 12 | $0.01 |
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 officialRONCALLO, RUBEN (PRESIDENT)