Topcare Medical PA
Topcare Medical PA was paid $561.39 by Medicaid between Dec 2018 and Feb 2020, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 100% of everything it billed.
33Billing provider infoTOPCARE MEDICAL PA
IRVING, TX 75062
IRVING, TX 75062
33aNPI1043231400assigned 07/21/2006
33bProvider typeSpecialist
28Total paid$561.39
24GClaims229
24DCodes billed7
24AFirst – last monthDec 2018 – Feb 2020
Compared with peers
Next to other Specialist providers in Texas
Rank by total paid#330 of 382
Median peer was paid$29K
This provider vs. median0.0×
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 | 76 | $0.00 | |
| 2020 | 153 | $561.39 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 100% | 50 | 49 | $561.39 |
| 90461 | 0% | 13 | 12 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 34 | 17 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 14 | 14 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 75 | 30 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 31 | 31 | $0.00 |
| 99429 | 0% | 12 | 12 | $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 officialSAENZ, ALVARO (CEO)
| Provider | Location | Paid |
|---|---|---|
| Topcare Medical Group INC | Dallas, TX | $160.36M |
| Topcare Medical Group INC | Dallas, TX | $42.63M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.