TPC Family Medicine & Urgent Care

TPC Family Medicine & Urgent Care was paid $7K by Medicaid between Jan 2018 and Jan 2020, across 15 billing codes. Its largest line is 99349, — 38% of everything it billed.

33Billing provider infoTPC FAMILY MEDICINE & URGENT CARE
SAN ANTONIO, TX 78216

33aNPI1114212297assigned 06/16/2011

33bProvider typeMedical Physician Assistant

28Total paid$7K

24GClaims2,845

24DCodes billed15

24AFirst – last monthJan 2018 – Jan 2020

Compared with peers

Next to other Medical Physician Assistant providers in Texas

Rank by total paid#25 of 41

Median peer was paid$39K

This provider vs. median0.2×

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
2018	966	$743.33
2019	1,855	$5K
2020	24	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99349		38%	299	281	$3K
11755		24%	174	81	$2K
G0181	Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans	18%	987	987	$1K
99348		5.8%	111	100	$432.57
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.7%	29	29	$420.94
99350	Prolong home eval add 15m	4.0%	536	472	$299.29
99345	Prolong home eval add 15m	2.5%	59	55	$185.00
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	1.9%	367	367	$144.51
99354		<1%	70	68	$49.21
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	0%	12	12	$0.00
82962		0%	82	78	$0.00
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	45	34	$0.00

3 more codes

90674		0%	31	$0.00
G0180	Physician or allowed practitioner 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	0%	12	$0.00
G0008	Administration of influenza virus vaccine	0%	31	$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 officialMONTOYA, CHRIS (MANAGING DIRECTOR)