NP / PA
Lone Star Children's Medical PLLC
Lone Star Children's Medical PLLC was paid $1.62M by Medicaid between Sep 2020 and Dec 2024, across 61 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoLONE STAR CHILDREN'S MEDICAL PLLC
HOUSTON, TX 77092
HOUSTON, TX 77092
33aNPI1881876795assigned 12/03/2007
33bProvider typePediatric Clinical Nurse Specialist
28Total paid$1.62M
24GClaims62,286
24DCodes billed61
24AFirst – last monthSep 2020 – Dec 2024
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 | 629 | $8K | |
| 2021 | 10,960 | $208K | |
| 2022 | 19,550 | $486K | |
| 2023 | 18,387 | $544K | |
| 2024incomplete | 12,760 | $375K |
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 | 21% | 8,989 | 7,759 | $339K |
| G0315 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) | 10.0% | 4,199 | 3,480 | $162K |
| 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 | 9.8% | 2,934 | 2,669 | $159K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.6% | 1,288 | 1,277 | $123K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 7.1% | 8,386 | 3,886 | $115K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 6.9% | 2,518 | 2,351 | $112K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.3% | 973 | 953 | $85K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.8% | 6,885 | 3,229 | $77K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 3.9% | 1,268 | 1,183 | $63K |
| 95117 | 3.8% | 6,880 | 2,650 | $62K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.7% | 4,289 | 3,773 | $59K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.1% | 615 | 600 | $50K |
49 more codes
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 2.3% | 166 | $37K |
| 95180 | 1.3% | 97 | $22K | |
| 87807 | 1.1% | 1,579 | $17K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 448 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 480 | $12K |
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | <1% | 334 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,309 | $11K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 141 | $11K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 29 | $10K |
| 95028 | <1% | 29 | $7K | |
| 90674 | <1% | 221 | $7K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 360 | $6K |
| 90461 | <1% | 739 | $5K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 408 | $4K |
| 90619 | <1% | 152 | $4K | |
| 0071A | <1% | 107 | $4K | |
| 90620 | <1% | 269 | $4K | |
| 0072A | <1% | 84 | $4K | |
| 96160 | <1% | 1,867 | $3K | |
| 0001A | <1% | 73 | $3K | |
| 0002A | <1% | 68 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 41 | $2K |
| 99383 | <1% | 27 | $2K | |
| 87430 | <1% | 246 | $2K | |
| 90480 | <1% | 78 | $2K | |
| 90651 | <1% | 481 | $1K | |
| 99050 | <1% | 83 | $1K | |
| 90677 | <1% | 61 | $871.95 | |
| 81002 | <1% | 277 | $824.75 | |
| 90671 | <1% | 38 | $661.02 | |
| 90686 | <1% | 1,399 | $621.66 | |
| 99429 | <1% | 27 | $613.75 | |
| 90734 | <1% | 120 | $474.41 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 27 | $431.17 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 154 | $2.65 |
| 91307 | <1% | 209 | $0.33 | |
| 91300 | <1% | 202 | $0.02 | |
| 90715 | 0% | 71 | $0.00 | |
| 90670 | 0% | 190 | $0.00 | |
| 90685 | 0% | 56 | $0.00 | |
| 90648 | 0% | 142 | $0.00 | |
| 90681 | 0% | 12 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 90633 | 0% | 43 | $0.00 | |
| 90672 | 0% | 33 | $0.00 | |
| 90710 | 0% | 16 | $0.00 | |
| 90698 | 0% | 15 | $0.00 | |
| 90696 | 0% | 16 | $0.00 | |
| 90723 | 0% | 26 | $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 officialLEVY, STEVEN (MEDICAL DIRECTOR/ OWNER)
| Provider | Location | Paid |
|---|---|---|
| Clinica LA Salud PLLC | Houston, TX | $5.09M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.