Physician
Upper Valley Pediatrics, PLLC
Upper Valley Pediatrics, PLLC was paid $2.37M by Medicaid between Apr 2018 and Dec 2024, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoUPPER VALLEY PEDIATRICS, PLLC
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1982884284assigned 11/05/2007
33bProvider typePediatrics Physician
28Total paid$2.37M
24GClaims96,671
24DCodes billed49
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#202 of 1,136
Median peer was paid$329K
This provider vs. median7.2×
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 | 32 | $1K | |
| 2019 | 49 | $2K | |
| 2020 | 3,082 | $62K | |
| 2021 | 24,182 | $553K | |
| 2022 | 27,563 | $656K | |
| 2023 | 23,655 | $598K | |
| 2024incomplete | 18,108 | $496K |
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 | 45% | 28,991 | 21,904 | $1.08M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.2% | 2,460 | 2,434 | $195K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.1% | 2,380 | 2,362 | $192K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.2% | 2,259 | 2,239 | $170K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.5% | 9,903 | 4,496 | $108K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.5% | 2,499 | 2,465 | $106K |
| 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 | 4.5% | 2,029 | 1,973 | $106K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.1% | 1,306 | 1,296 | $96K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.3% | 4,025 | 3,932 | $55K |
| 99000 | 2.3% | 5,218 | 4,949 | $54K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.2% | 3,859 | 1,908 | $53K |
| 99429 | 2.0% | 1,399 | 1,394 | $48K |
37 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.1% | 4,068 | $26K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,206 | $18K |
| 92567 | <1% | 1,311 | $17K | |
| 90461 | <1% | 1,412 | $11K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 177 | $10K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 599 | $7K |
| 96160 | <1% | 2,228 | $5K | |
| 83655 | <1% | 372 | $4K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 37 | $3K |
| 97169 | <1% | 46 | $2K | |
| 81003 | <1% | 1,017 | $2K | |
| 90480 | <1% | 30 | $870.00 | |
| 99051 | <1% | 56 | $567.72 | |
| 87807 | <1% | 35 | $385.00 | |
| 85027 | <1% | 13 | $65.16 | |
| 96161 | <1% | 28 | $63.25 | |
| 97802 | <1% | 4,693 | $11.52 | |
| 90686 | <1% | 1,147 | $0.50 | |
| 90671 | <1% | 402 | $0.20 | |
| 90620 | <1% | 394 | $0.10 | |
| 90651 | <1% | 323 | $0.06 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 5,566 | $0.00 |
| 90697 | 0% | 257 | $0.00 | |
| 90656 | 0% | 152 | $0.00 | |
| 90680 | 0% | 798 | $0.00 | |
| 90696 | 0% | 69 | $0.00 | |
| 90723 | 0% | 100 | $0.00 | |
| 90698 | 0% | 39 | $0.00 | |
| 90716 | 0% | 37 | $0.00 | |
| 90734 | 0% | 667 | $0.00 | |
| 90633 | 0% | 580 | $0.00 | |
| 90710 | 0% | 97 | $0.00 | |
| 90648 | 0% | 323 | $0.00 | |
| 90715 | 0% | 122 | $0.00 | |
| 90707 | 0% | 37 | $0.00 | |
| 90670 | 0% | 862 | $0.00 | |
| 90700 | 0% | 43 | $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 officialPRECIADO, SERGIO (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Sergio G. Preciado, M.D., P.A. | Pharr, TX | $2.51M |
| Sergio G. Preciado, M.D., P.A. | Mission, TX | $1.61M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.