Blue Sprig Pediatrics, INC

Blue Sprig Pediatrics, INC was paid $1.45M by Medicaid between Nov 2019 and Nov 2024, across 4 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 57% of everything it billed.

33Billing provider infoBLUE SPRIG PEDIATRICS, INC
HOUSTON, TX 77063

33aNPI1881101780assigned 01/02/2018

33bProvider typeAdolescent and Children Mental Health Clinic/Center

28Total paid$1.45M

24GClaims9,749

24DCodes billed4

24AFirst – last monthNov 2019 – Nov 2024

Compared with peers

Next to other Adolescent and Children Mental Health Clinic/Center providers in Texas

Rank by total paid#2 of 10

Median peer was paid$104K

This provider vs. median14×

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
2019	227	$21K
2020	2,003	$227K
2021	1,665	$213K
2022	1,775	$251K
2023	1,663	$282K
2024incomplete	2,416	$458K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0004	Behavioral health counseling and therapy, per 15 minutes	57%	6,246	973	$835K
97153	Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes	39%	2,640	201	$569K
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	3.1%	785	149	$45K
97156		<1%	78	51	$3K

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 officialMITCHELL, MARKALISE (SENIOR CREDENTIALING SPECIALIST)