Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Southlake › NPI 1043828544
NP / PA

Jimenez, Mona

Jimenez, Mona was paid $80K by Medicaid between Nov 2020 and Mar 2022, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 85% of everything it billed.

33Billing provider infoJIMENEZ, MONA
SOUTHLAKE, TX 76092
33aNPI1043828544assigned 07/21/2020
28Total paid$80K
24GClaims986
24DCodes billed3
24AFirst – last monthNov 2020 – Mar 2022
Compared with peers

Next to other Psychiatric/Mental Health Nurse Practitioner providers in Texas

Rank by total paid#44 of 145
Median peer was paid$27K
This provider vs. median2.9×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
202078$7K
2021686$55K
2022222$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 85% 819 740 $68K
90792 Psychiatric diagnostic evaluation with medical services 12% 72 72 $9K
99308 Subsequent nursing facility care, per day, straightforward 3.0% 95 93 $2K

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.