Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Bay City › NPI 1053672535
Clinic

Discovery Medical Network Matagorda LLC

Discovery Medical Network Matagorda LLC was paid $1.33M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.

33Billing provider infoDISCOVERY MEDICAL NETWORK MATAGORDA LLC
BAY CITY, TX 77414
33aNPI1053672535assigned 05/31/2012
28Total paid$1.33M
24GClaims108,333
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Rural Health Clinic/Center providers in Texas

Rank by total paid#53 of 225
Median peer was paid$428K
This provider vs. median3.1×

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$25K$50K$75K2018201920202021202220232024
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
2018168$2K
201989$401.91
20203,484$58K
202122,219$431K
202243,383$484K
202331,604$275K
2024incomplete7,386$82K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40% 15,883 13,622 $531K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 12% 3,272 2,987 $160K
87428 9.8% 2,243 2,098 $130K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 6.1% 166 156 $81K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5.1% 1,203 1,138 $67K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4.7% 2,681 2,182 $63K
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 4.7% 1,442 1,321 $62K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3.7% 3,920 3,649 $49K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 3.7% 451 411 $49K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1.5% 259 249 $21K
81003 1.4% 10,874 8,206 $18K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.3% 485 443 $17K
38 more codes
59430 1.3% 206 $17K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 211 $13K
81025 <1% 1,770 $12K
99460 <1% 136 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 509 $5K
99462 <1% 178 $5K
87210 <1% 819 $3K
87807 <1% 332 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 299 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 204 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 33 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 57 $2K
99072 <1% 3,517 $2K
76818 <1% 25 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 30 $1K
69210 <1% 36 $940.40
99000 <1% 86 $750.94
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 140 $700.12
82950 <1% 157 $568.83
90472 Immunization administration, each additional vaccine (list separately) <1% 97 $449.23
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 15 $204.06
96160 <1% 191 $41.99
90686 <1% 36 $0.01
3078F 0% 8,848 $0.00
G9357 Post-partum screenings, evaluations and education performed 0% 27 $0.00
3077F 0% 48 $0.00
3288F 0% 13 $0.00
0502F 0% 22 $0.00
1036F 0% 10,858 $0.00
3074F 0% 10,739 $0.00
3079F 0% 1,876 $0.00
3008F 0% 14,336 $0.00
1126F 0% 7,364 $0.00
1125F 0% 1,170 $0.00
96127 0% 327 $0.00
3075F 0% 450 $0.00
3080F 0% 49 $0.00
1034F 0% 243 $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 officialWEBB, JJ (ADMINISTRATOR)
Parent organizationDISCOVERY MEDICAL NETWORK INC.
Same official

Other billing entities under WEBB, JJ

Full network →
ProviderLocationPaid
Discovery Medical Network Sweetwater LLCSweetwater, TX$738K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.