Medicaid Provider Spending

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

EASTSIDE CHILDREN'S CLINIC, PLLC

NPI: 1881162287 · ALLEN, TX 75013 · Pediatrics Physician · NPI assigned 11/05/2018

$563K
Total Medicaid Paid
39,059
Total Claims
32,508
Beneficiaries
36
Codes Billed
2020-07
First Month
2024-07
Last Month

Provider Details

Authorized OfficialJAIN, SONAL (PHYSICIAN)
NPI Enumeration Date11/05/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 3,569 $48K
2021 17,403 $233K
2022 7,127 $104K
2023 7,642 $125K
2024 3,318 $52K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,219 3,764 $190K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,439 3,864 $141K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 690 613 $42K
S8301 Infection control supplies, not otherwise specified 8,540 7,393 $37K
90460 Immunization administration through 18 years of age via any route, first or only component 4,074 1,944 $33K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 443 393 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 961 857 $20K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,475 2,204 $16K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 207 198 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 562 528 $7K
92551 870 802 $6K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 47 47 $5K
99000 1,295 1,052 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 80 72 $5K
90461 944 788 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 348 163 $4K
99215 Prolong outpt/office vis 55 49 $4K
99177 878 812 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 21 19 $1K
94760 3,257 2,873 $856.80
99429 43 34 $535.68
96160 2,386 2,199 $529.07
87807 44 41 $439.86
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 26 25 $337.48
36415 Collection of venous blood by venipuncture 779 502 $99.75
96127 129 118 $94.50
85018 54 53 $72.41
90686 330 314 $36.89
90688 115 114 $1.03
90670 329 304 $0.09
90680 58 53 $0.04
90648 12 12 $0.01
99173 12 12 $0.00
90672 37 37 $0.00
90698 88 82 $0.00
36416 212 173 $0.00