Physician
Clinica Hispana, P.A.
Clinica Hispana, P.A. was paid $1.51M by Medicaid between Jan 2018 and Dec 2024, across 80 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoCLINICA HISPANA, P.A.
HOUSTON, TX 77055
HOUSTON, TX 77055
33aNPI1053326629assigned 07/30/2006
33bProvider typePediatrics Physician
28Total paid$1.51M
24GClaims93,350
24DCodes billed80
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#297 of 1,136
Median peer was paid$329K
This provider vs. median4.6×
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 | 3,262 | $50K | |
| 2019 | 2,283 | $49K | |
| 2020 | 6,819 | $156K | |
| 2021 | 21,660 | $330K | |
| 2022 | 26,355 | $369K | |
| 2023 | 20,428 | $325K | |
| 2024incomplete | 12,543 | $232K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 18,190 | 15,648 | $652K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 12% | 1,970 | 1,912 | $185K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.6% | 1,483 | 1,443 | $129K |
| 99423 | 7.3% | 2,150 | 542 | $110K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 6.8% | 7,467 | 7,020 | $102K |
| 99444 | 5.7% | 1,539 | 402 | $86K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.0% | 622 | 600 | $46K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.6% | 657 | 639 | $39K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 3,266 | 1,744 | $27K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.6% | 2,352 | 1,812 | $25K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 1,500 | 1,398 | $20K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,380 | 2,185 | $15K |
68 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 142 | $12K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 261 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 737 | $10K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 626 | $7K |
| 99091 | <1% | 44 | $5K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 117 | $5K |
| 90461 | <1% | 460 | $3K | |
| 90686 | <1% | 1,166 | $3K | |
| 87807 | <1% | 278 | $3K | |
| 99406 | <1% | 787 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 68 | $2K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 1,080 | $2K |
| 93000 | <1% | 209 | $2K | |
| 90619 | <1% | 93 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 292 | $1K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 27 | $1K |
| 97169 | <1% | 38 | $865.80 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 92 | $823.93 |
| 90651 | <1% | 246 | $720.00 | |
| 81003 | <1% | 243 | $370.83 | |
| 82947 | <1% | 164 | $272.94 | |
| 0012A | <1% | 60 | $229.96 | |
| 90656 | <1% | 47 | $215.75 | |
| 90620 | <1% | 78 | $180.00 | |
| 82044 | <1% | 62 | $163.43 | |
| 82570 | <1% | 63 | $140.30 | |
| 0011A | <1% | 57 | $138.07 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 76 | $123.72 |
| 90734 | <1% | 109 | $90.00 | |
| 90715 | <1% | 102 | $60.00 | |
| 90688 | <1% | 14 | $15.96 | |
| 90677 | <1% | 12 | $0.04 | |
| 91301 | <1% | 119 | $0.01 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 6,832 | $0.00 |
| 3044F | 0% | 14 | $0.00 | |
| 3008F | 0% | 14,569 | $0.00 | |
| 1036F | 0% | 4,338 | $0.00 | |
| 4000F | 0% | 318 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 629 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 480 | $0.00 |
| 3079F | 0% | 69 | $0.00 | |
| 1125F | 0% | 1,032 | $0.00 | |
| 1170F | 0% | 76 | $0.00 | |
| 3074F | 0% | 46 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 14 | $0.00 |
| 99458 | 0% | 13 | $0.00 | |
| 99454 | 0% | 12 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 14 | $0.00 |
| 99457 | 0% | 12 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 27 | $0.00 |
| 1160F | 0% | 4,182 | $0.00 | |
| 0521F | 0% | 766 | $0.00 | |
| 3725F | 0% | 1,422 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 260 | $0.00 |
| 1159F | 0% | 4,186 | $0.00 | |
| 0518F | 0% | 43 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,102 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 72 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 670 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 221 | $0.00 |
| 90710 | 0% | 43 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 27 | $0.00 |
| 3288F | 0% | 78 | $0.00 | |
| 1090F | 0% | 76 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 105 | $0.00 |
| 90633 | 0% | 25 | $0.00 | |
| 3077F | 0% | 17 | $0.00 | |
| 3078F | 0% | 15 | $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 officialDE VALLE, OSCAR (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Clinica Hispana II, P.A. | Houston, TX | $183K |
| De Valle & Associates Physicians PLLC | Houston, TX | $178K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.