Med Pavilion PC

Med Pavilion PC was paid $15K by Medicaid between Aug 2020 and Aug 2023, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.

33Billing provider infoMED PAVILION PC
MINERAL WELLS, TX 76067

33aNPI1871643007assigned 01/11/2007

33bProvider typePediatrics Physician

28Total paid$15K

24GClaims1,097

24DCodes billed6

24AFirst – last monthAug 2020 – Aug 2023

Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#893 of 1,136

Median peer was paid$329K

This provider vs. median0.0×

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
2020	207	$3K
2021	344	$5K
2022	305	$5K
2023	241	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	41%	255	236	$6K
90460	Immunization administration through 18 years of age via any route, first or only component	35%	706	341	$5K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	23%	45	44	$3K
90461		1.9%	43	38	$280.44
90686		0%	36	35	$0.00
90685		0%	12	12	$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 officialNAVARRETE, MARISELLA (RECEPTIONIT)