Physician
Elite Pediatrics PLLC
Elite Pediatrics PLLC was paid $548K by Medicaid between Jul 2020 and Apr 2023, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoELITE PEDIATRICS PLLC
EAGLE PASS, TX 78852
EAGLE PASS, TX 78852
33aNPI1881241727assigned 08/26/2019
33bProvider typePediatrics Physician
28Total paid$548K
24GClaims31,751
24DCodes billed37
24AFirst – last monthJul 2020 – Apr 2023
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#483 of 1,136
Median peer was paid$329K
This provider vs. median1.7×
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 | 847 | $4K | |
| 2021 | 10,821 | $140K | |
| 2022 | 15,549 | $297K | |
| 2023 | 4,534 | $108K |
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 | 39% | 7,552 | 5,077 | $216K |
| 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 | 13% | 1,652 | 1,339 | $72K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 1,532 | 1,196 | $71K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 987 | 856 | $57K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.8% | 6,075 | 2,205 | $48K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 296 | 276 | $20K |
| 90461 | 2.2% | 4,537 | 1,332 | $12K | |
| 0082A | 2.0% | 299 | 296 | $11K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 661 | 552 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 486 | 431 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 216 | 104 | $5K |
| 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% | 121 | 97 | $5K |
25 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 130 | $5K |
| 0072A | <1% | 209 | $4K | |
| 99460 | <1% | 76 | $4K | |
| 0071A | <1% | 144 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $1K |
| 0081A | <1% | 14 | $240.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 263 | $231.80 |
| 0002A | <1% | 31 | $158.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $43.98 |
| 91308 | <1% | 335 | $0.01 | |
| 90680 | 0% | 850 | $0.00 | |
| 90723 | 0% | 1,016 | $0.00 | |
| 90686 | 0% | 849 | $0.00 | |
| 90696 | 0% | 18 | $0.00 | |
| 90647 | 0% | 302 | $0.00 | |
| 91307 | 0% | 397 | $0.00 | |
| 90716 | 0% | 89 | $0.00 | |
| 90633 | 0% | 394 | $0.00 | |
| 90648 | 0% | 758 | $0.00 | |
| 90707 | 0% | 95 | $0.00 | |
| 90670 | 0% | 1,239 | $0.00 | |
| 90700 | 0% | 55 | $0.00 | |
| 90710 | 0% | 18 | $0.00 | |
| 90681 | 0% | 14 | $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 officialOLAYA, JORGE (OWNER)