Medicaid Provider Spending

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

CLEAR LAKE PRIMARY CARE PLLC

NPI: 1861743247 · WEBSTER, TX 77598 · Pediatrics Physician · NPI assigned 09/26/2012

$311K
Total Medicaid Paid
29,161
Total Claims
22,406
Beneficiaries
47
Codes Billed
2020-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBABA, MOHAMMAD (PRESIDENT)
NPI Enumeration Date09/26/2012

Related Entities

Other providers sharing the same authorized official: BABA, MOHAMMAD

ProviderCityStateTotal Paid
CLS HEALTH PLLC WEBSTER TX $1.87M
INFECTIOUS DISEASES CLINIC AT CLEAR LAKE SPECIALTIES PLLC WEBSTER TX $377K
ENDOCRINOLOGY CLINIC AT CLEAR LAKE SPECIALTIES PLLC WEBSTER TX $131K
CLEAR LAKE PODIATRY PLLC WEBSTER TX $129K
CLEAR LAKE CARDIOLOGY PLLC WEBSTER TX $90K
NEUROLOGY CLINIC AT CLEAR LAKE SPECIALTIES PLLC WEBSTER TX $31K
CLEAR LAKE WOUND CARE PLLC WEBSTER TX $24K
SOUTH TEXAS FOOT SPECIALIST, PA FRIENDSWOOD TX $3K
CLEAR LAKE HOSPITALISTS PA WEBSTER TX $672.87

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 979 $13K
2021 4,904 $67K
2022 8,137 $85K
2023 8,474 $95K
2024 6,667 $50K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,989 4,898 $238K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,229 1,101 $37K
99215 Prolong outpt/office vis 174 146 $12K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 89 84 $6K
99309 Subsequent nursing facility care, per day, low to moderate complexity 585 215 $6K
90674 207 190 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 232 209 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 29 27 $2K
99385 16 16 $1K
90756 57 50 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $832.72
90661 12 12 $293.63
94760 173 136 $39.52
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 18 12 $29.92
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,814 1,313 $1.37
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 136 109 $0.07
G8482 Influenza immunization administered or previously received 1,181 866 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,722 2,648 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 893 723 $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) 200 150 $0.00
G0444 Annual depression screening, 5 to 15 minutes 47 43 $0.00
3078F 430 333 $0.00
1159F 1,069 851 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 522 389 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 271 204 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 1,071 869 $0.00
1160F 214 174 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 521 386 $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 19 12 $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) 40 34 $0.00
G8484 Influenza immunization was not administered, reason not given 16 13 $0.00
3017F 665 467 $0.00
1125F 464 364 $0.00
1036F 2,599 1,882 $0.00
3008F 812 661 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 448 366 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 573 422 $0.00
1126F 402 317 $0.00
3074F 526 415 $0.00
1220F 262 199 $0.00
1111F 374 285 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 662 515 $0.00
3075F 124 91 $0.00
2010F 42 31 $0.00
2001F 42 32 $0.00
3079F 138 105 $0.00
2000F 40 29 $0.00