Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PEDIATRIC DEPOT PLLC

NPI: 1861043259 · TERRELL, TX 75160 · Pediatrics Physician · NPI assigned 09/26/2019

$2.63M
Total Medicaid Paid
109,950
Total Claims
89,964
Beneficiaries
53
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPATEL, ROSHNI (MANAGING MEMBER)
NPI Enumeration Date09/26/2019

Related Entities

Other providers sharing the same authorized official: PATEL, ROSHNI

ProviderCityStateTotal Paid
PLUM PEDIATRICS PLLC SUNNYVALE TX $687K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,665 $39K
2021 18,755 $428K
2022 30,033 $780K
2023 30,674 $718K
2024 28,823 $662K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,947 10,570 $571K
87428 9,306 8,280 $474K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,962 7,755 $302K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,090 2,902 $220K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,912 2,828 $219K
90460 Immunization administration through 18 years of age via any route, first or only component 18,314 6,939 $198K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 10,433 9,458 $137K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,534 1,495 $122K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,112 1,064 $94K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,553 1,402 $80K
99381 481 445 $36K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,482 1,399 $29K
99383 227 223 $20K
90461 5,330 4,475 $17K
99000 1,916 1,679 $16K
92558 4,606 4,451 $16K
99384 191 160 $14K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,852 897 $13K
87807 1,066 983 $12K
99174 4,383 4,285 $11K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 246 194 $10K
99382 84 78 $7K
87420 334 276 $3K
83789 229 211 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 135 121 $2K
96127 1,279 1,216 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 86 47 $851.35
85018 332 326 $659.57
81002 124 119 $344.12
94664 98 89 $315.00
94760 227 199 $12.76
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 75 70 $8.37
90700 429 423 $2.92
90716 406 404 $0.00
36416 1,503 1,318 $0.00
90686 1,126 1,073 $0.00
90651 436 403 $0.00
90723 1,958 1,906 $0.00
90696 279 270 $0.00
90677 888 882 $0.00
96161 117 105 $0.00
90656 135 135 $0.00
90620 14 14 $0.00
90710 338 331 $0.00
90707 411 408 $0.00
90671 386 384 $0.00
90633 1,363 1,328 $0.00
90734 461 439 $0.00
90648 2,585 2,505 $0.00
90715 258 240 $0.00
90670 1,419 1,347 $0.00
99173 402 346 $0.00
90681 1,090 1,067 $0.00