Clinic
Specialty Physicians of Central Texas
Specialty Physicians of Central Texas was paid $253K by Medicaid between Jan 2018 and Oct 2021, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoSPECIALTY PHYSICIANS OF CENTRAL TEXAS
SAN MARCOS, TX 78666
SAN MARCOS, TX 78666
33aNPI1104024280assigned 07/10/2007
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$253K
24GClaims19,197
24DCodes billed50
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Texas
Rank by total paid#38 of 86
Median peer was paid$191K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2018 | 52 | $2K | |
| 2019 | 100 | $810.26 | |
| 2020 | 2,985 | $34K | |
| 2021 | 16,060 | $217K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 2,476 | 2,176 | $70K |
| 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 | 20% | 1,309 | 1,167 | $50K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 398 | 382 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.2% | 320 | 316 | $23K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 8.0% | 35 | 34 | $20K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.2% | 2,226 | 795 | $16K |
| 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 | 2.2% | 76 | 74 | $6K |
| 90461 | 1.8% | 627 | 539 | $5K | |
| 0001A | 1.6% | 113 | 111 | $4K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.5% | 55 | 52 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 498 | 483 | $3K |
| 0002A | 1.1% | 81 | 81 | $3K |
38 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.0% | 370 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 79 | $2K |
| 59430 | <1% | 28 | $2K | |
| 81002 | <1% | 682 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 33 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 146 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 33 | $2K |
| 81003 | <1% | 885 | $1K | |
| 95117 | <1% | 279 | $1K | |
| 58300 | <1% | 13 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 24 | $935.08 |
| 90715 | <1% | 102 | $756.00 | |
| 90658 | <1% | 88 | $402.00 | |
| 0011A | <1% | 14 | $280.00 | |
| 0012A | <1% | 12 | $240.00 | |
| 90686 | <1% | 52 | $221.41 | |
| 81025 | <1% | 26 | $187.98 | |
| 0031A | <1% | 23 | $141.95 | |
| 90688 | <1% | 41 | $18.06 | |
| 3078F | 0% | 2,991 | $0.00 | |
| 90670 | 0% | 368 | $0.00 | |
| 90633 | 0% | 87 | $0.00 | |
| 90655 | 0% | 14 | $0.00 | |
| 90700 | 0% | 35 | $0.00 | |
| 90648 | 0% | 69 | $0.00 | |
| 90710 | 0% | 64 | $0.00 | |
| 90734 | 0% | 57 | $0.00 | |
| 90707 | 0% | 30 | $0.00 | |
| 90680 | 0% | 111 | $0.00 | |
| 90698 | 0% | 123 | $0.00 | |
| 3074F | 0% | 3,477 | $0.00 | |
| 90696 | 0% | 23 | $0.00 | |
| 90651 | 0% | 34 | $0.00 | |
| 3079F | 0% | 480 | $0.00 | |
| 90723 | 0% | 12 | $0.00 | |
| 3075F | 0% | 36 | $0.00 | |
| 90716 | 0% | 29 | $0.00 | |
| 90743 | 0% | 13 | $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 officialHASTINGS, BRENT (ADMINISTRATOR)