Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UPPER VALLEY PEDIATRICS, PLLC

NPI: 1982884284 · EDINBURG, TX 78539 · Pediatrics Physician · NPI assigned 11/05/2007

$2.37M
Total Medicaid Paid
96,671
Total Claims
80,120
Beneficiaries
49
Codes Billed
2018-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRECIADO, SERGIO (PRESIDENT)
NPI Enumeration Date11/05/2007

Related Entities

Other providers sharing the same authorized official: PRECIADO, SERGIO

ProviderCityStateTotal Paid
SERGIO G. PRECIADO, M.D., P.A. PHARR TX $2.51M
SERGIO G. PRECIADO, M.D., P.A. MISSION TX $1.61M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 32 $1K
2019 49 $2K
2020 3,082 $62K
2021 24,182 $553K
2022 27,563 $656K
2023 23,655 $598K
2024 18,108 $496K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28,991 21,904 $1.08M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,460 2,434 $195K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,380 2,362 $192K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,259 2,239 $170K
90460 Immunization administration through 18 years of age via any route, first or only component 9,903 4,496 $108K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,499 2,465 $106K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,029 1,973 $106K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,306 1,296 $96K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,025 3,932 $55K
99000 5,218 4,949 $54K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,859 1,908 $53K
99429 1,399 1,394 $48K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,068 3,764 $26K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,206 1,593 $18K
92567 1,311 1,279 $17K
90461 1,412 1,095 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 177 175 $10K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 599 589 $7K
96160 2,228 2,207 $5K
83655 372 369 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 37 37 $3K
97169 46 46 $2K
81003 1,017 914 $2K
90480 30 30 $870.00
99051 56 54 $567.72
87807 35 34 $385.00
85027 13 13 $65.16
96161 28 28 $63.25
97802 4,693 4,641 $11.52
90686 1,147 1,142 $0.50
90671 402 395 $0.20
90620 394 390 $0.10
90651 323 323 $0.06
S9451 Exercise classes, non-physician provider, per session 5,566 5,499 $0.00
90697 257 252 $0.00
90656 152 152 $0.00
90680 798 789 $0.00
90696 69 69 $0.00
90723 100 100 $0.00
90698 39 39 $0.00
90716 37 37 $0.00
90734 667 662 $0.00
90633 580 576 $0.00
90710 97 97 $0.00
90648 323 322 $0.00
90715 122 121 $0.00
90707 37 37 $0.00
90670 862 858 $0.00
90700 43 40 $0.00