Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Children's Health System Of Texas (NPI 1194743013)

Field	Value
Entity Type	Organization
Organization	Children's Health System Of Texas
Address	1935 Medical District Dr
City	Dallas
State	TX
ZIP	75235
Taxonomy	Children's Hospital
NPI Enumerated	July 18, 2006

Payer Source	Total Paid
Medicaid	$263.9M
Medicare	$0

Key Findings

CHILDREN'S HEALTH SYSTEM OF TEXAS is effectively a single-payer provider in these data: there is no Medicare billing on file and total Medicaid revenue is $263.9M. The NPI was enumerated 2006-07-18 (~20 years ago), indicating a long-tenured presence in the market and sustained Medicaid activity over time.

Revenue is highly concentrated in a few ambulatory and emergency visit codes: the precomputed top 3 Medicaid codes by revenue (99283, 99284, 99211) account for 49.7% of total Medicaid revenue. This concentration implies that nearly half of the provider’s Medicaid receipts are driven by emergency department evaluation-and-management visits and high-volume, low-intensity outpatient encounters rather than by a broad, even mix of procedure codes.

Emergency care is a dominant service line. 99283 generates $53.6M (26.1% of Medicaid revenue) and ranks #8 of 732 providers in-state (99th percentile; extreme outlier), while 99282 ranks #2 of 368 (100th percentile; extreme outlier) and 99284 produces $37.4M (18.2% of Medicaid revenue) and ranks #41 of 714 (94th percentile). Together these placements indicate an unusually large pediatric ED volume relative to peers, supporting an operational profile centered on emergency throughput and acuity-level triage.

Outpatient and primary-care–level encounters are also outsized. 99211 accounts for $11.2M (5.5% of Medicaid revenue) and ranks #1 of 959 providers in-state (100th percentile; extreme outlier), with additional outpatient codes 99212 and 99213 also in very high percentiles. These rankings point to extensive clinic-based follow-up and low-intensity visit volume, consistent with a large multisite ambulatory footprint or embedded clinic services tied to the hospital.

Specialty diagnostic programs appear substantial in pediatrics: sleep studies (95810 and 95782) together contribute $9.5M + $9.5M (each 4.6% of Medicaid revenue) and rank in the 95th–96th percentiles, while extended EEG monitoring (95812) generates $3.5M and ranks #3 of 20 (89th percentile). These figures suggest robust pediatric sleep and neurodiagnostic services that are notable relative to state peers.

Surgical procedural activity is meaningful in pediatric ENT and ophthalmology. Tonsillectomy/adenoidectomy 42820 yields $4.4M (2.1% of revenue) and ranks #5 of 107 (96th percentile), tympanostomy 69436 produces $3.4M (1.6% of revenue) at #10 of 125 (93rd percentile), and strabismus surgery 67311 brings $2.1M and ranks #2 of 22 (95th percentile). The pattern indicates significant OR and ambulatory surgical volume for common pediatric procedures.

Infusion and high-cost medication services contribute materially to revenue and suggest embedded specialty care. J1561 (immune globulin) accounts for $7.7M (3.8% of revenue) and ranks #1 of 2 providers in-state (100th percentile; typical, unremarkable volume), while biologic therapies like J1745 (infliximab) and J2357 (omalizumab) each represent multimillion-dollar lines. These entries point to active immunology/infusion capacity and management of complex chronic pediatric conditions.

Emergency transport and ancillary diagnostic volumes are elevated in multiple codes: A0433 (ALS level 2) is $3.7M and ranks #1 of 25 (100th percentile; extreme outlier), while ambulance mileage A0425 and A0427 and hearing/evaluation codes 92579 and 92567 all rank at very high percentiles. Collectively, these rankings reinforce the profile of a referral-level pediatric center with high ED arrivals, frequent ambulance transports, and extensive ancillary services supporting acute and diagnostic care.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

387 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	120,240	$450	$53.6M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	41,370	$900	$37.4M
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	193,730	$60	$11.2M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	40,920	$260	$10.6M
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	3,900	$2,450	$9.5M
95782	A patient under the age of 6 undergoes an attended sleep study with identification of sleep levels and at least four additional sleep parameters.	2,670	$3,550	$9.5M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	10,960	$790	$8.7M
J1561	Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg	2,340	$3,310	$7.7M
A0425	Ground mileage, per statute mile	8,930	$760	$6.8M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	57,350	$80	$4.5M

Showing 1–10 of 387

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

Claims Volume vs. Texas Distribution

Children's Health System Of Texas — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

387 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1561	Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg	1	10	1,180	$3,280	$3.9M
95715	The patient undergoes electroencephalography, a study of the electrical activity of the brain, lasting 12 to 26 hours with intermittent monitoring and maintenance. A video recording is made, and an…	8	10	1,260	$840	$2.9M
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	13	20	90	$2,520	$2.2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	41	710	1,790	$200	$2.1M
J2357	Injection, omalizumab, 5 mg	2	10	350	$2,320	$1.4M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	13	70	370	$760	$1M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	8	730	1,960	$100	$1M
A0436	Rotary wing air mileage, per statute mile	13	20	90	$1,160	$1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	70	590	740	$170	$969.2K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	920	1,350	1,860	$80	$872.4K

Showing 1–10 of 387

Related Providers

Other providers that share a Tax Identification Number (TIN) with Children's Health System Of Texas, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Texas Southwestern Medical Center At Dallas	TX	Pediatrics Physician	$0	$66.3M
Children's Health System Of Texas	TX	Children's Hospital	$0	$65.8M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
University Of Texas Southwestern Medical Center At Dallas	TX	Obstetrics & Gynecology Physician	$0	$31.7M
The University Of Texas Southwestern Medical Center At Dallas	TX	Clinical Medical Laboratory	$1.5M	$96.6K
Grace Raja	AR	Hematology & Oncology Physician	$1.5M	$0
Sanober Kable	TX	Pulmonary Disease Physician	$1.4M	$12.1K
Rajiv Anand	TX	Ophthalmology Physician	$1.4M	$0
Eduardo Uchiyama	FL	Retina Specialist (Ophthalmology) Physician	$1.2M	$0
Chaitanya Indukuri	TX	Ophthalmology Physician	$1.1M	$0

Nearby Providers

Other providers in the same ZIP code as Children's Health System Of Texas, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dallas County Hospital District	TX	General Acute Care Hospital	$0	$152.8M
Ability Connection Texas	TX	Case Management Agency	$0	$33.3M
Dallas Physician Medical Services For Children Inc	TX	Pediatrics Physician	$0	$20.1M
Family And Child Guidance Centers	TX	Mental Health Counselor	$0	$11.7M
Cockerell Dermatopathology PA	TX	Dermatopathology (Pathology) Physician	$3.8M	$119K
Nursedx Laboratory LLC	TX	Clinical Medical Laboratory	$1M	$8.5K
Divya Srivastava	TX	Dermatology Physician	$622.6K	$0
Severin Pouly	TX	Ophthalmology Physician	$297.9K	$0
Antonia Chen	TX	Orthopaedic Surgery Physician	$237.4K	$0
Almas Syed	TX	Diagnostic Radiology Physician	$223.4K	$0

Children's Health System Of Texas — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References