Physician
Frontera Pediatrics PA
Frontera Pediatrics PA was paid $2.00M by Medicaid between Oct 2018 and Dec 2024, across 51 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoFRONTERA PEDIATRICS PA
DEL RIO, TX 78840
DEL RIO, TX 78840
33aNPI1912046509assigned 02/06/2007
33bProvider typePediatrics Physician
28Total paid$2.00M
24GClaims87,798
24DCodes billed51
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#246 of 1,136
Median peer was paid$329K
This provider vs. median6.1×
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 | |
|---|---|---|---|
| 2018 | 33 | $258.72 | |
| 2020 | 4,635 | $89K | |
| 2021 | 21,922 | $471K | |
| 2022 | 21,297 | $463K | |
| 2023 | 25,241 | $537K | |
| 2024incomplete | 14,670 | $437K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 32% | 14,533 | 13,016 | $638K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 10,164 | 9,250 | $324K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 12% | 3,047 | 2,895 | $243K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 3,146 | 3,043 | $227K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.2% | 2,639 | 2,409 | $165K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.4% | 1,269 | 1,180 | $87K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.2% | 9,089 | 4,200 | $83K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 3,155 | 1,537 | $38K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.8% | 3,138 | 2,990 | $36K |
| 99429 | 1.5% | 1,048 | 975 | $30K | |
| 87428 | 1.1% | 648 | 627 | $21K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,787 | 1,899 | $19K |
39 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 241 | $18K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,174 | $15K |
| 90461 | <1% | 2,783 | $15K | |
| 92551 | <1% | 6,533 | $12K | |
| 83655 | <1% | 798 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 82 | $6K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 504 | $4K |
| 96160 | <1% | 2,120 | $4K | |
| 99383 | <1% | 12 | $985.51 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 860 | $664.33 |
| 85018 | <1% | 1,166 | $631.77 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $592.32 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $358.80 |
| 86308 | <1% | 34 | $117.45 | |
| 90619 | <1% | 574 | $49.95 | |
| 90674 | <1% | 26 | $26.56 | |
| 90756 | <1% | 602 | $4.11 | |
| 90697 | <1% | 260 | $0.52 | |
| 90671 | <1% | 378 | $0.46 | |
| 90677 | <1% | 121 | $0.29 | |
| 90688 | <1% | 1,196 | $0.22 | |
| 90620 | <1% | 602 | $0.01 | |
| 90680 | 0% | 670 | $0.00 | |
| 90716 | 0% | 32 | $0.00 | |
| 90696 | 0% | 227 | $0.00 | |
| 90651 | 0% | 741 | $0.00 | |
| 90723 | 0% | 171 | $0.00 | |
| 90698 | 0% | 65 | $0.00 | |
| 90686 | 0% | 30 | $0.00 | |
| 99173 | 0% | 7,395 | $0.00 | |
| 90633 | 0% | 802 | $0.00 | |
| 90670 | 0% | 828 | $0.00 | |
| 90648 | 0% | 394 | $0.00 | |
| 90710 | 0% | 713 | $0.00 | |
| 90715 | 0% | 447 | $0.00 | |
| 90700 | 0% | 127 | $0.00 | |
| 90734 | 0% | 337 | $0.00 | |
| 90687 | 0% | 32 | $0.00 | |
| 90707 | 0% | 31 | $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 officialFAZ, CESAR (PRESIDENT)