Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › HOUSTON › TEXAS CHILDREN'S PHYSICIAN GROUP

TEXAS CHILDREN'S PHYSICIAN GROUP

NPI: 1861675506 · HOUSTON, TX 77030 · Pediatrics Physician · NPI assigned 12/17/2007

$160.81M
Total Medicaid Paid
2,513,595
Total Claims
2,222,598
Beneficiaries
343
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGAGE, WELDON (EXECUTIVE VICE PRESIDENT/CFO)
NPI Enumeration Date12/17/2007

Related Entities

Other providers sharing the same authorized official: GAGE, WELDON

ProviderCityStateTotal Paid
TEXAS CHILDREN'S HOSPITAL HOUSTON TX $277.28M
CHILDREN'S HEALTH SYSTEM MILWAUKEE WI $553K
CHILDREN'S HOSPITAL OF WISCONSIN KENOSHA WI $50K
CHILDREN'S HOSPITAL OF WISCONSIN GREEN BAY WI $24K
CHILDREN'S HOSPITAL OF WISCONSIN RACINE WI $10K
CHILDREN'S HOSPITAL OF WISCONSIN APPLETON WI $9K
CHILDREN'S HOSPITAL OF WISCONSIN WAUKESHA WI $2K
TEXAS CHILDREN'S HOSPITAL AUSTIN TX $141.20

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,147 $59K
2019 6,874 $164K
2020 121,336 $7.23M
2021 576,774 $37.01M
2022 625,852 $41.25M
2023 628,506 $39.46M
2024 549,106 $35.64M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 181,840 178,720 $19.88M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 261,866 254,592 $15.69M
99244 Office or other outpatient consultation, moderate to high complexity 62,608 61,449 $10.08M
99215 Prolong outpt/office vis 106,066 98,352 $9.49M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 207,364 189,118 $8.68M
99243 52,431 51,677 $6.03M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 14,136 3,891 $5.96M
99233 Prolong inpt eval add15 m 71,683 32,256 $5.76M
00170 Anesthesia for intraoral procedures, including biopsy 20,002 19,653 $5.27M
99283 Emergency department visit for the evaluation and management, moderate severity 68,458 67,700 $4.26M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 17,980 7,445 $4.15M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 28,239 27,801 $3.85M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 52,738 51,670 $3.45M
99232 Subsequent hospital care, per day, moderate complexity 44,806 24,241 $2.65M
99238 Hospital discharge day management, 30 minutes or less 34,305 33,828 $2.51M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 5,346 1,524 $2.40M
99480 Subsequent intensive care, per day, low birth weight infant 15,038 3,832 $2.20M
99460 22,206 22,019 $2.20M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 16,460 8,120 $2.08M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 20,575 20,076 $1.96M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 21,340 20,487 $1.76M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 16,475 16,019 $1.75M
95720 8,569 4,113 $1.59M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 18,616 17,813 $1.59M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 30,708 27,583 $1.46M
76705 Ultrasound, abdominal, real time with image documentation; limited 44,419 42,170 $1.31M
42820 Tonsillectomy and adenoidectomy; younger than age 12 4,175 4,100 $1.26M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 11,103 10,842 $1.21M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 101,625 88,466 $1.17M
71045 Radiologic examination, chest; single view 141,265 90,651 $1.10M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 12,162 11,623 $1.03M
76770 24,894 24,501 $975K
95810 Polysomnography; sleep staging with 4 or more additional parameters 8,534 8,205 $944K
01922 2,240 2,195 $883K
70450 Computed tomography, head or brain; without contrast material 20,832 19,983 $833K
70551 Magnetic resonance imaging, brain; without contrast material 11,142 10,975 $794K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 13,376 12,776 $786K
59025 Fetal non-stress test 28,899 19,896 $766K
99205 Prolong outpt/office vis 5,808 5,645 $761K
71046 Radiologic examination, chest; 2 views 63,690 62,935 $706K
92060 10,588 10,076 $642K
99245 2,728 2,655 $629K
90791 Psychiatric diagnostic evaluation 4,042 3,932 $605K
93320 22,820 21,500 $543K
99479 Subsequent intensive care, per day, very low birth weight infant 3,361 952 $522K
99239 Hospital discharge day management, more than 30 minutes 5,461 5,317 $521K
99223 Prolong inpt eval add15 m 3,152 3,029 $512K
99254 3,057 2,934 $483K
96112 3,908 3,811 $481K
99462 9,982 8,944 $468K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 4,556 4,377 $452K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15,789 14,480 $435K
74018 48,199 42,958 $431K
95812 6,580 6,419 $430K
99253 4,027 3,810 $401K
74177 Computed tomography, abdomen and pelvis; with contrast material 4,475 4,346 $383K
93975 6,714 6,564 $383K
90847 Family psychotherapy with the patient present, 50 minutes 3,545 2,644 $363K
99222 Initial hospital care, per day, moderate complexity 2,764 2,657 $343K
93227 10,481 10,152 $333K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 4,626 4,228 $318K
95782 2,645 2,598 $306K
90837 Psychotherapy, 53 minutes with patient 2,588 1,666 $294K
99255 1,465 1,386 $286K
44970 527 500 $278K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 8,968 7,210 $264K
99417 Prolong home eval add 15m 7,826 6,414 $241K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 5,979 5,908 $232K
95718 1,934 1,512 $227K
93325 51,280 47,886 $217K
54150 2,271 2,229 $217K
72082 12,394 12,278 $212K
76506 7,044 5,989 $180K
99231 Subsequent hospital care, per day, straightforward or low complexity 4,806 3,002 $180K
49452 1,298 1,249 $174K
90834 Psychotherapy, 45 minutes with patient 2,006 1,603 $170K
00126 956 944 $160K
92015 Determination of refractive state 32,016 31,271 $144K
90792 Psychiatric diagnostic evaluation with medical services 867 833 $141K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,605 2,510 $134K
72170 12,923 12,761 $133K
93321 14,050 13,186 $131K
99242 1,450 1,435 $130K
74019 11,541 11,128 $129K
76801 1,459 1,403 $128K
D0120 Periodic oral evaluation - established patient 6,824 6,387 $128K
76536 4,146 4,065 $126K
69210 4,101 2,894 $125K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,717 2,681 $121K
93308 3,626 3,385 $118K
D1120 Prophylaxis - child 5,647 5,134 $115K
95251 4,589 4,496 $109K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,397 1,282 $108K
76820 4,686 2,803 $103K
93304 2,243 2,128 $98K
42830 459 447 $93K
D8670 Periodic orthodontic treatment visit 2,633 2,404 $87K
92201 4,559 2,454 $87K
54161 364 354 $86K
74230 3,263 3,194 $85K
73090 9,655 9,014 $81K
96409 889 482 $79K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,669 1,640 $76K
73630 8,117 7,121 $74K
75573 619 599 $70K
D1206 Topical application of fluoride varnish 7,600 6,988 $69K
94010 7,914 7,690 $68K
73610 6,889 6,609 $68K
95783 547 543 $67K
99157 281 261 $66K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,771 8,252 $64K
90832 Psychotherapy, 30 minutes with patient 858 737 $64K
77072 6,119 6,085 $62K
D1110 Prophylaxis - adult 1,727 1,614 $62K
96450 791 696 $60K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,911 5,715 $58K
92133 1,774 1,691 $58K
76819 Fetal biophysical profile; without non-stress testing 1,495 1,050 $56K
99464 456 452 $52K
77073 3,285 3,247 $49K
73100 4,967 4,729 $48K
76882 1,919 1,765 $46K
73080 5,053 4,900 $46K
73590 5,116 4,680 $45K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 52 50 $41K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,096 1,090 $40K
92227 3,168 3,072 $40K
17110 501 488 $40K
99217 561 546 $38K
76818 443 310 $38K
99241 733 721 $38K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 308 307 $38K
94060 3,372 3,340 $38K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 334 331 $36K
85045 10,928 8,843 $36K
76830 Ultrasound, transvaginal 828 814 $34K
62370 674 653 $34K
99471 37 37 $34K
76885 807 798 $33K
77075 1,145 1,117 $31K
54640 49 42 $31K
59430 245 240 $30K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 218 211 $28K
97597 802 683 $28K
71260 Computed tomography, thorax, diagnostic; with contrast material 383 375 $28K
64642 268 260 $27K
64643 287 280 $27K
73140 3,610 3,496 $27K
73130 2,836 2,669 $27K
70543 243 238 $26K
99220 166 158 $25K
11772 44 41 $25K
D0210 Intraoral - complete series of radiographic images 616 529 $24K
99476 77 25 $24K
43762 300 289 $24K
92250 826 792 $23K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 343 337 $23K
D0150 Comprehensive oral evaluation - new or established patient 1,204 1,052 $23K
D1351 Sealant - per tooth 1,409 337 $22K
D7140 Extraction, erupted tooth or exposed root 901 240 $22K
92083 656 627 $22K
99155 272 259 $21K
73562 1,815 1,648 $19K
95819 302 291 $19K
73110 1,942 1,853 $19K
51600 386 372 $19K
70360 1,965 1,948 $18K
D9420 1,211 1,058 $18K
93272 438 430 $17K
D2930 Prefabricated stainless steel crown - primary tooth 276 53 $17K
74240 429 422 $17K
92002 265 260 $17K
73560 1,856 1,548 $16K
90846 Family psychotherapy without the patient present, 50 minutes 194 164 $16K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 161 152 $16K
90472 Immunization administration, each additional vaccine (list separately) 1,992 1,008 $15K
92504 1,763 1,676 $15K
73552 1,515 1,375 $15K
81003 5,776 3,868 $15K
95811 124 118 $15K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 135 123 $14K
29888 12 12 $14K
51728 91 89 $14K
01920 40 38 $13K
96132 130 120 $13K
99292 114 40 $13K
99252 172 164 $13K
00920 62 62 $13K
96113 146 135 $12K
71250 210 204 $12K
96156 155 151 $12K
99418 Prolong nursin fac eval 15m 233 130 $12K
76870 312 310 $11K
78264 290 286 $11K
90715 277 270 $11K
D0272 Bitewings - two radiographic images 1,161 1,010 $11K
81025 1,372 1,318 $11K
78816 93 90 $10K
72081 751 739 $10K
93790 582 582 $10K
31615 96 92 $10K
54360 12 12 $10K
72100 785 772 $10K
73070 1,048 1,012 $9K
74455 582 571 $9K
99219 95 92 $9K
94621 108 108 $8K
99140 100 94 $8K
90853 Group psychotherapy (other than of a multiple-family group) 293 127 $8K
95873 396 387 $8K
76821 277 147 $7K
29450 98 28 $7K
D0140 Limited oral evaluation - problem focused 709 688 $7K
36557 26 25 $7K
96131 57 44 $7K
31526 79 62 $7K
51798 763 717 $7K
00300 26 25 $7K
31622 84 70 $7K
72040 559 548 $7K
72141 87 84 $7K
D0330 Panoramic radiographic image 332 302 $6K
96130 57 55 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 65 65 $6K
96133 29 26 $6K
73723 58 41 $6K
73221 84 76 $6K
76942 181 178 $6K
73000 573 567 $5K
99358 Prolong nursin fac eval 15m 52 52 $5K
77002 193 174 $5K
51741 576 536 $5K
76825 58 52 $5K
76937 383 353 $5K
93976 132 120 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 318 197 $5K
D7240 Removal of impacted tooth - completely bony 76 24 $5K
93294 176 168 $5K
93042 508 480 $5K
99221 66 55 $5K
85027 809 616 $5K
77001 268 248 $5K
99236 Prolong inpt eval add15 m 35 26 $5K
90686 1,681 1,650 $5K
75574 39 39 $5K
72158 38 37 $5K
93971 265 234 $4K
73030 434 406 $4K
96137 109 65 $4K
73060 431 397 $4K
70250 390 375 $4K
D0367 124 89 $4K
92228 322 320 $4K
51797 79 77 $4K
00731 12 12 $4K
99100 38 38 $4K
29065 39 36 $3K
70486 80 80 $3K
73564 284 266 $3K
90480 104 103 $3K
70491 41 41 $3K
76981 92 90 $3K
85007 809 616 $3K
73660 325 314 $3K
95816 40 39 $3K
74183 25 25 $2K
73620 310 211 $2K
93000 204 201 $2K
96158 56 55 $2K
31575 43 38 $2K
99201 57 57 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 223 172 $2K
76827 83 64 $2K
91122 28 24 $2K
J9370 Vincristine sulfate, 1 mg 261 197 $2K
93886 46 42 $2K
77080 214 214 $2K
76642 55 52 $2K
73718 31 25 $2K
51784 58 51 $2K
74181 26 25 $2K
72070 156 152 $2K
96136 69 66 $2K
99235 14 12 $2K
72157 12 12 $2K
72156 13 13 $2K
99354 26 25 $2K
73720 17 13 $2K
94016 59 57 $2K
75565 127 119 $2K
31579 12 12 $1K
92226 110 36 $1K
92285 150 137 $1K
99356 21 13 $1K
96411 21 13 $1K
38222 13 12 $1K
91120 12 12 $1K
78803 14 14 $844.35
76813 13 13 $830.45
71555 12 12 $821.45
D1208 Topical application of fluoride, excluding varnish 173 166 $820.26
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 13 12 $795.93
99375 14 12 $731.60
92134 26 24 $709.38
72125 Computed tomography, cervical spine; without contrast material 13 12 $692.11
93018 28 27 $677.33
93356 1,866 1,768 $674.92
S0620 Routine ophthalmological examination including refraction; new patient 298 291 $633.31
92025 40 39 $597.25
69200 12 12 $530.30
74270 13 12 $505.17
83036 Hemoglobin; glycosylated (A1C) 102 74 $498.30
D0220 Intraoral - periapical first radiographic image 257 179 $464.72
90656 275 271 $377.16
94729 40 40 $361.56
93295 12 12 $350.57
74340 12 12 $317.68
D0145 Oral evaluation for a patient under three years of age 149 139 $312.00
97602 182 160 $280.00
D0230 Intraoral - periapical each additional radiographic image 211 141 $230.20
62368 12 12 $229.99
44500 12 12 $221.49
95885 13 12 $191.02
D0470 13 12 $176.40
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 66 53 $162.66
73600 16 12 $118.93
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 18 18 $116.63
94150 14 14 $8.44
90785 344 188 $2.34
90688 106 105 $0.76
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 887 858 $0.10
90651 80 80 $0.03
90670 13 12 $0.00
90633 13 13 $0.00
S0621 Routine ophthalmological examination including refraction; established patient 89 88 $0.00
99448 78 68 $0.00
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 16 16 $0.00
D0603 7,696 7,145 $0.00
91319 14 14 $0.00
D0602 465 451 $0.00
D0601 220 216 $0.00
99459 25 24 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 35 26 $0.00