Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Clear Lake Primary Care PLLC

Clear Lake Primary Care PLLC was paid $311K by Medicaid between Jun 2020 and Nov 2024, across 47 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.

33Billing provider infoCLEAR LAKE PRIMARY CARE PLLC
WEBSTER, TX 77598
33aNPI1861743247assigned 09/26/2012
33bProvider typePediatrics Physician
28Total paid$311K
24GClaims29,161
24DCodes billed47
24AFirst – last monthJun 2020 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#577 of 1,136
Median peer was paid$329K
This provider vs. median0.9×

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$5.0K$10K$15K2018201920202021202220232024
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
2020979$13K
20214,904$67K
20228,137$85K
20238,474$95K
2024incomplete6,667$50K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 76% 5,989 4,898 $238K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 1,229 1,101 $37K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 3.9% 174 146 $12K
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 2.1% 89 84 $6K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2.0% 585 215 $6K
90674 1.3% 207 190 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 232 209 $2K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 29 27 $2K
99385 <1% 16 16 $1K
90756 <1% 57 50 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 12 12 $832.72
90661 <1% 12 12 $293.63
35 more codes
94760 <1% 173 $39.52
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 18 $29.92
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 1,814 $1.37
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 136 $0.07
G8482 Influenza immunization administered or previously received 0% 1,181 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 3,722 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 893 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 200 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 47 $0.00
3078F 0% 430 $0.00
1159F 0% 1,069 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 522 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 0% 271 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 1,071 $0.00
1160F 0% 214 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 521 $0.00
G0030 Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user 0% 19 $0.00
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) 0% 40 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 16 $0.00
3017F 0% 665 $0.00
1125F 0% 464 $0.00
1036F 0% 2,599 $0.00
3008F 0% 812 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 448 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 573 $0.00
1126F 0% 402 $0.00
3074F 0% 526 $0.00
1220F 0% 262 $0.00
1111F 0% 374 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 662 $0.00
3075F 0% 124 $0.00
2010F 0% 42 $0.00
2001F 0% 42 $0.00
3079F 0% 138 $0.00
2000F 0% 40 $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 officialBABA, MOHAMMAD (PRESIDENT)
Same official

Other billing entities under BABA, MOHAMMAD

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