Pedi Health
Pedi Health was paid $153K by Medicaid between Oct 2020 and Nov 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoPEDI HEALTH
MCKINNEY, TX 75071
MCKINNEY, TX 75071
33aNPI1912326802assigned 04/08/2014
33bProvider typeSpecialist
28Total paid$153K
24GClaims5,822
24DCodes billed17
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Specialist providers in Texas
Rank by total paid#118 of 382
Median peer was paid$29K
This provider vs. median5.3×
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 | 423 | $6K | |
| 2021 | 1,807 | $52K | |
| 2022 | 1,775 | $46K | |
| 2023 | 904 | $26K | |
| 2024incomplete | 913 | $24K |
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 | 40% | 1,751 | 1,586 | $61K |
| 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 | 30% | 925 | 844 | $45K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 10% | 387 | 365 | $16K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.3% | 632 | 579 | $8K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.1% | 797 | 394 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.3% | 65 | 62 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 42 | 42 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.2% | 268 | 245 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 25 | 25 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 100 | 99 | $925.26 |
| 92551 | <1% | 26 | 25 | $144.22 | |
| 90686 | <1% | 300 | 298 | $28.00 |
5 more codes
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 officialELEY, CHERYL (OWNER/PHYSICIAN)