SAN BENITO MEDICAL ASSOCIATES, PLLC
NPI: 1093792624
· SAN BENITO, TX 78586
· 207Q00000X
$1.77M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12,091 |
$117K |
| 2019 |
9,813 |
$112K |
| 2020 |
7,589 |
$134K |
| 2021 |
20,699 |
$503K |
| 2022 |
24,527 |
$608K |
| 2023 |
9,705 |
$288K |
| 2024 |
188 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
25,784 |
23,086 |
$679K |
| 99214 |
|
12,258 |
11,231 |
$354K |
| 99091 |
|
2,724 |
2,629 |
$215K |
| 87635 |
|
2,967 |
2,835 |
$133K |
| 99423 |
|
2,078 |
801 |
$119K |
| 99444 |
|
1,835 |
436 |
$104K |
| 87804 |
|
2,910 |
1,406 |
$36K |
| 99422 |
|
1,268 |
667 |
$28K |
| 99000 |
|
2,058 |
1,979 |
$21K |
| 99394 |
|
190 |
178 |
$14K |
| 96372 |
|
1,735 |
1,562 |
$12K |
| 87880 |
|
917 |
884 |
$11K |
| 85025 |
|
4,834 |
4,703 |
$10K |
| 99308 |
|
1,734 |
412 |
$9K |
| 80053 |
|
3,388 |
3,320 |
$3K |
| 81001 |
|
2,407 |
2,313 |
$3K |
| 90686 |
|
334 |
330 |
$3K |
| 83036 |
|
877 |
857 |
$2K |
| 99490 |
Ccm add 20min |
1,111 |
1,106 |
$2K |
| 99212 |
|
78 |
68 |
$2K |
| 90460 |
|
123 |
73 |
$970.13 |
| 99421 |
|
46 |
30 |
$822.48 |
| 84443 |
|
986 |
973 |
$706.31 |
| 90471 |
|
58 |
57 |
$672.78 |
| 99202 |
|
13 |
13 |
$580.45 |
| 93923 |
|
33 |
29 |
$458.22 |
| 99441 |
|
65 |
55 |
$351.68 |
| 80061 |
|
702 |
686 |
$339.99 |
| J1040 |
Methylprednisolone 80 mg inj |
68 |
64 |
$292.74 |
| 96161 |
|
119 |
117 |
$258.44 |
| 99439 |
|
459 |
458 |
$239.27 |
| J1885 |
Ketorolac tromethamine inj |
263 |
239 |
$232.14 |
| 99307 |
|
230 |
211 |
$216.80 |
| 99457 |
|
880 |
871 |
$208.39 |
| 0012A |
|
37 |
37 |
$208.00 |
| 99454 |
|
670 |
667 |
$204.45 |
| 99051 |
|
68 |
68 |
$194.22 |
| 93922 |
|
13 |
13 |
$137.61 |
| 90461 |
|
20 |
12 |
$135.27 |
| 0011A |
|
49 |
49 |
$130.82 |
| 83721 |
|
206 |
203 |
$73.19 |
| 99458 |
|
603 |
603 |
$72.10 |
| 82044 |
|
241 |
236 |
$70.44 |
| J3301 |
Triamcinolone acet inj nos |
22 |
16 |
$45.30 |
| 99453 |
|
53 |
52 |
$37.37 |
| 82274 |
|
24 |
24 |
$36.66 |
| 82570 |
|
73 |
73 |
$36.24 |
| 90688 |
|
40 |
39 |
$33.62 |
| G0179 |
Md recertification hha pt |
75 |
75 |
$23.30 |
| 91301 |
|
164 |
163 |
$0.04 |
| G8510 |
Scr dep neg, no plan reqd |
49 |
48 |
$0.03 |
| G0442 |
Annual alcohol screen 15 min |
605 |
603 |
$0.00 |
| G0008 |
Admin influenza virus vac |
596 |
594 |
$0.00 |
| 1170F |
|
659 |
657 |
$0.00 |
| 1036F |
|
403 |
402 |
$0.00 |
| G8754 |
Dias bp less 90 |
565 |
563 |
$0.00 |
| 1126F |
|
148 |
148 |
$0.00 |
| G0439 |
Ppps, subseq visit |
544 |
544 |
$0.00 |
| 1125F |
|
66 |
60 |
$0.00 |
| 96127 |
|
23 |
22 |
$0.00 |
| 3074F |
|
16 |
16 |
$0.00 |
| 1101F |
|
133 |
133 |
$0.00 |
| 36415 |
|
42 |
41 |
$0.00 |
| 1111F |
|
67 |
65 |
$0.00 |
| G0444 |
Depression screen annual |
634 |
632 |
$0.00 |
| 90662 |
|
306 |
305 |
$0.00 |
| 3725F |
|
478 |
477 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
224 |
219 |
$0.00 |
| G8752 |
Sys bp less 140 |
456 |
456 |
$0.00 |
| 1159F |
|
361 |
344 |
$0.00 |
| 1100F |
|
62 |
62 |
$0.00 |
| 1160F |
|
270 |
261 |
$0.00 |
| 3078F |
|
15 |
15 |
$0.00 |