Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SAN BENITO MEDICAL ASSOCIATES, PLLC

NPI: 1093792624 · SAN BENITO, TX 78586 · Family Medicine Physician · NPI assigned 12/23/2005

$1.77M
Total Medicaid Paid
84,612
Total Claims
73,676
Beneficiaries
73
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialSCHACHERL, NORMA (PRESIDENT)
NPI Enumeration Date12/23/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25,784 23,086 $679K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,258 11,231 $354K
99091 2,724 2,629 $215K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,967 2,835 $133K
99423 2,078 801 $119K
99444 1,835 436 $104K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,910 1,406 $36K
99422 1,268 667 $28K
99000 2,058 1,979 $21K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 190 178 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,735 1,562 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 917 884 $11K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,834 4,703 $10K
99308 Subsequent nursing facility care, per day, straightforward 1,734 412 $9K
80053 Comprehensive metabolic panel 3,388 3,320 $3K
81001 2,407 2,313 $3K
90686 334 330 $3K
83036 Hemoglobin; glycosylated (A1C) 877 857 $2K
99490 Ccm add 20min 1,111 1,106 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 78 68 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 123 73 $970.13
99421 46 30 $822.48
84443 Thyroid stimulating hormone (TSH) 986 973 $706.31
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 58 57 $672.78
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 13 $580.45
93923 33 29 $458.22
99441 65 55 $351.68
80061 Lipid panel 702 686 $339.99
J1040 Injection, methylprednisolone acetate, 80 mg 68 64 $292.74
96161 119 117 $258.44
99439 459 458 $239.27
J1885 Injection, ketorolac tromethamine, per 15 mg 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 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 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 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 75 75 $23.30
91301 164 163 $0.04
G8510 Screening for depression is documented as negative, a follow-up plan is not required 49 48 $0.03
G0442 Annual alcohol misuse screening, 5 to 15 minutes 605 603 $0.00
G0008 Administration of influenza virus vaccine 596 594 $0.00
1170F 659 657 $0.00
1036F 403 402 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 565 563 $0.00
1126F 148 148 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent 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 Collection of venous blood by venipuncture 42 41 $0.00
1111F 67 65 $0.00
G0444 Annual depression screening, 5 to 15 minutes 634 632 $0.00
90662 306 305 $0.00
3725F 478 477 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 224 219 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 456 456 $0.00
1159F 361 344 $0.00
1100F 62 62 $0.00
1160F 270 261 $0.00
3078F 15 15 $0.00