Physician
Pediatric Urgent Care Center of Fort Worth, P.A..
Pediatric Urgent Care Center of Fort Worth, P.A.. was paid $1.52M by Medicaid between Sep 2019 and Apr 2023, across 23 billing codes. Its largest line is 87633, Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets — 35% of everything it billed.
33Billing provider infoPEDIATRIC URGENT CARE CENTER OF FORT WORTH, P.A..
FORT WORTH, TX 76109
FORT WORTH, TX 76109
33aNPI1851668149assigned 11/30/2011
33bProvider typePediatric Emergency Medicine (Emergency Medicine) Physician
28Total paid$1.52M
24GClaims26,844
24DCodes billed23
24AFirst – last monthSep 2019 – Apr 2023
Compared with peers
Next to other Pediatric Emergency Medicine (Emergency Medicine) Physician providers in Texas
Rank by total paid#4 of 10
Median peer was paid$328K
This provider vs. median4.6×
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 | |
|---|---|---|---|
| 2019 | 13 | $1K | |
| 2020 | 1,865 | $89K | |
| 2021 | 8,170 | $417K | |
| 2022 | 12,801 | $782K | |
| 2023 | 3,995 | $232K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 35% | 1,577 | 1,523 | $529K |
| 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 | 20% | 3,811 | 3,556 | $303K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 3,074 | 2,852 | $226K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 2,291 | 2,248 | $192K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 5.4% | 4,237 | 3,821 | $82K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.4% | 713 | 705 | $66K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.6% | 823 | 798 | $55K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 553 | 482 | $31K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 3,896 | 2,316 | $18K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,481 | 2,408 | $13K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 130 | 129 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 21 | 21 | $1K |
11 more codes
| 0071A | <1% | 16 | $640.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 207 | $440.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 106 | $150.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 42 | $11.52 |
| 99051 | <1% | 2,645 | $7.00 | |
| 81002 | 0% | 12 | $0.00 | |
| 87634 | 0% | 24 | $0.00 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 23 | $0.00 |
| 90686 | 0% | 31 | $0.00 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 76 | $0.00 |
| 87807 | 0% | 55 | $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 officialCOWAN, MICHAEL (OWNER)