Pedcare, PA — Billing Profile & Reimbursement Data
NPI 1417177841 · Mesquite, TX · Pediatrics Physician
Customize your policy alerts
Sign up for Pedcare, PA — Billing Profile & Reimbursement Data policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Pedcare, PA is a pediatrics physician provider located in Mesquite, Texas. This profile covers 0 Medicare and 94 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Pedcare, PA |
| Address | 3230 Interstate 30 |
| City | Mesquite |
| State | TX |
| ZIP | 75150 |
| Taxonomy | Pediatrics Physician |
| NPI Enumerated | April 26, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $16.4M |
| Medicare | $0 |
Medicaid: Total Revenue Breakdown by CPT/HCPCS Code
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Medicaid: Complete Services Breakdown
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
94 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 165,300 | $20 | $3.5M |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 47,810 | $50 | $2.4M |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 50,630 | $40 | $2.1M |
| 99394 | The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17. | 34,050 | $60 | $1.9M |
| 99391 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 37,740 | $40 | $1.6M |
| 90460 | In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age. | 209,070 | $10 | $1.3M |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 37,700 | $30 | $942.5K |
| 87880 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab. | 51,550 | $10 | $412.4K |
| 87426 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,… | 10,280 | $40 | $390.6K |
| 99381 | The provider performs a well–baby visit for a child under the age of one. | 7,640 | $50 | $389.6K |
Showing 1–10 of 94
Medicaid: Competitive Analysis & Benchmarks
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
94 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| S3620 | Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis;… | 11 | 110 | 90 | $270 | $3.5M |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 23 | 6,040 | 710 | $40 | $232.8K |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 7 | 1,500 | 880 | $80 | $185.8K |
| 99391 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 10 | 1,360 | 800 | $80 | $185.6K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 60 | 5,810 | 540 | $50 | $155.5K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 5 | 1,540 | 650 | $80 | $150.4K |
| 99394 | The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17. | 5 | 1,540 | 360 | $80 | $110.6K |
| 87426 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,… | 61 | 1,350 | 320 | $30 | $101.2K |
| 90460 | In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age. | 5 | 1,650 | 2,350 | $10 | $88.7K |
| 17110 | The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or… | 42 | 70 | 80 | $80 | $84.7K |
Showing 1–10 of 94
Nearby Providers
Other providers in the same ZIP code as Pedcare, PA, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Agape Group, Inc. | TX | Home Health Agency | $0 | $112.1M |
| Chemana Childrens Health Care Services Inc. | TX | Home Health Agency | $0 | $28.5M |
| Pediatric Home Healthcare, LLC | TX | Home Health Agency | $0 | $25.6M |
| J & M Communications Inc | TX | Home Health Agency | $0 | $19.7M |
| Vital Point Corporation | TX | Home Health Agency | $0 | $14.4M |
| Helping Hands Homecare, Ltd | TX | Home Health Agency | $0 | $13.8M |
| Pediatric Home Healthcare, LLC | TX | Home Health Agency | $0 | $11.7M |
| Mecare Home Health, Inc. | TX | Home Health Agency | $0 | $11.6M |
| Stat X-ray Of Texas Inc | TX | Radiologic Technologist | $840.8K | $674.1K |
| Anita Tharian | TX | Medical Oncology Physician | $938.6K | $0 |
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.