Clinica Del Sol PA

Clinica Del Sol PA was paid $28K by Medicaid between Jun 2021 and Dec 2023, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.

33Billing provider infoCLINICA DEL SOL PA
HOUSTON, TX 77081

33aNPI1053744482assigned 08/21/2013

33bProvider typeGeneral Practice Physician

28Total paid$28K

24GClaims575

24DCodes billed3

24AFirst – last monthJun 2021 – Dec 2023

Compared with peers

Next to other General Practice Physician providers in Texas

Rank by total paid#55 of 113

Median peer was paid$22K

This provider vs. median1.2×

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
2021	111	$5K
2022	175	$9K
2023	289	$13K

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	80%	442	404	$22K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	121	103	$4K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	3.6%	12	12	$1K

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 officialLOHNER, LUISA (MEDICAL DIRECTOR)