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.

Neonatology Consultants Of Corpus Christi (NPI 1811946742)

Field	Value
Entity Type	Organization
Organization	Neonatology Consultants Of Corpus Christi
Address	5913 Patton St
City	Corpus Christi
State	TX
ZIP	78414
Taxonomy	Neonatal-Perinatal Medicine Physician
NPI Enumerated	May 8, 2006

Payer Source	Total Paid
Medicaid	$14.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	12,600	$360	$4.5M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	10,600	$340	$3.6M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	22,160	$120	$2.6M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	13,990	$120	$1.7M
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	12,640	$60	$732.9K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	6,130	$80	$472.3K
99468	The provider evaluates and manages the initial care of a newborn or infant less than 28 days of age in a neonatal critical care setting.	470	$800	$376.3K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	2,800	$100	$279.5K
99464	The provider is present during the delivery, at the request of the delivering provider, and during the basic stabilization of the newborn immediately after birth, typically when fetal distress or…	3,070	$90	$263.7K
99462	The provider performs the evaluation and management of a normal newborn on a day subsequent to the initial hospital evaluation.	5,470	$40	$202.2K

Showing 1–10 of 12

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

Neonatology Consultants Of Corpus Christi — 2 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	6	30	1,410	$340	$2.5M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	8	30	3,360	$120	$1.2M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	4	30	1,140	$370	$1.2M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	5	40	1,860	$110	$997.5K
99468	The provider evaluates and manages the initial care of a newborn or infant less than 28 days of age in a neonatal critical care setting.	6	30	100	$780	$242.1K
99464	The provider is present during the delivery, at the request of the delivering provider, and during the basic stabilization of the newborn immediately after birth, typically when fetal distress or…	8	30	910	$80	$190K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	16	220	130	$80	$180.8K
99477	The provider performs the initial day of inpatient hospital evaluation and management for a neonate, age 28 days or younger, who requires intensive care and observation as well as frequent…	13	20	80	$340	$89.1K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	11	530	120	$60	$86.8K
99462	The provider performs the evaluation and management of a normal newborn on a day subsequent to the initial hospital evaluation.	9	110	230	$40	$84.8K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Neonatology Consultants Of Corpus Christi, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saratoga Surgical Center, LLC	TX	Ambulatory Surgical Clinic/Center	$1M	$1.8M
Sanjay Agarwal	TX	Retina Specialist (Ophthalmology) Physician	$1.4M	$0
Abeer Kaldas	TX	Nephrology Physician	$735.6K	$0
Texas Precision Surgery Center	TX	Ambulatory Surgical Clinic/Center	$549.7K	$0
Ravinderan Krishnan	TX	Ophthalmology Physician	$496.7K	$0
Ramakrishna Chakilam	TX	Pulmonary Disease Physician	$453.5K	$0
Michael Michell	TX	Diagnostic Radiology Physician	$390.4K	$0
Andres Nisimblat	TX	Family Medicine Physician	$354.2K	$0
Dialysis Access Center Corpus Christi Asc LLC	TX	Ambulatory Surgical Clinic/Center	$287.9K	$14.1K
Justin Klimisch	TX	Orthopaedic Surgery Physician	$289.7K	$0

Neonatology Consultants Of Corpus Christi — Billing Profile & Reimbursement Data

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Neonatology Consultants Of Corpus Christi — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References