Agency
DFW Primary Care PLLC
DFW Primary Care PLLC was paid $35K by Medicaid between Oct 2020 and Sep 2023, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.
33Billing provider infoDFW PRIMARY CARE PLLC
IRVING, TX 75038
IRVING, TX 75038
33aNPI1063835361assigned 01/23/2014
33bProvider typeIn Home Supportive Care Agency
28Total paid$35K
24GClaims1,140
24DCodes billed6
24AFirst – last monthOct 2020 – Sep 2023
Compared with peers
Next to other In Home Supportive Care Agency providers in Texas
Rank by total paid#150 of 163
Median peer was paid$2.57M
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 | |
|---|---|---|---|
| 2020 | 184 | $5K | |
| 2021 | 407 | $13K | |
| 2022 | 468 | $14K | |
| 2023 | 81 | $3K |
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 | 76% | 736 | 622 | $27K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 298 | 218 | $7K |
| 90674 | 2.4% | 45 | 41 | $849.91 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 29 | 28 | $181.06 |
| 99497 | 0% | 16 | 16 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 16 | 16 | $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 officialKETHA, SUMANA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| DFW Medical Home PLLC | Irving, TX | $1.05M |
| Sumana Ketha, MD PA | Irving, TX | $45K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.