Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › San Antonio › NPI 1851341879
Physician

Southeast South Texas Center for Pediatric Care

Southeast South Texas Center for Pediatric Care was paid $1.27M by Medicaid between Jan 2018 and Jun 2022, across 32 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 22% of everything it billed.

33Billing provider infoSOUTHEAST SOUTH TEXAS CENTER FOR PEDIATRIC CARE
SAN ANTONIO, TX 78202
33aNPI1851341879assigned 05/11/2006
33bProvider typePediatrics Physician
28Total paid$1.27M
24GClaims82,902
24DCodes billed32
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#332 of 1,136
Median peer was paid$329K
This provider vs. median3.9×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
2018382$5K
2019564$10K
20209,888$124K
202153,656$813K
202218,412$318K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 22% 3,538 3,430 $276K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 18% 3,136 2,977 $232K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 18% 2,837 2,726 $231K
90460 Immunization administration through 18 years of age via any route, first or only component 14% 23,985 10,008 $181K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 14% 2,294 2,201 $172K
90461 4.2% 5,320 4,352 $53K
99429 4.0% 1,566 1,499 $50K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2.4% 4,142 3,055 $30K
99381 1.9% 307 299 $24K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 298 271 $7K
96160 <1% 2,619 2,471 $6K
92551 <1% 8,455 8,140 $5K
20 more codes
0071A <1% 27 $1K
0072A <1% 22 $880.00
86580 <1% 15 $90.44
99173 <1% 8,410 $57.12
90686 <1% 4,614 $54.34
90651 <1% 1,109 $0.02
90670 <1% 2,152 $0.01
90681 0% 706 $0.00
90648 0% 2,123 $0.00
90734 0% 679 $0.00
90633 0% 769 $0.00
90707 0% 694 $0.00
90672 0% 82 $0.00
90715 0% 143 $0.00
90700 0% 103 $0.00
90723 0% 1,551 $0.00
90696 0% 144 $0.00
90620 0% 260 $0.00
90716 0% 722 $0.00
91307 0% 80 $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 officialDALUZ, LISA (CREDENTIALING MANAGER)
Same official

Other billing entities under DALUZ, LISA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.