Physician
Sun City Sports Medicine and Family Clinic, PA
Sun City Sports Medicine and Family Clinic, PA was paid $92K by Medicaid between Mar 2019 and Dec 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoSUN CITY SPORTS MEDICINE AND FAMILY CLINIC, PA
EL PASO, TX 79938
EL PASO, TX 79938
33aNPI1114289956assigned 06/07/2012
33bProvider typeSports Medicine (Family Medicine) Physician
28Total paid$92K
24GClaims40,464
24DCodes billed31
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other Sports Medicine (Family Medicine) Physician providers in Texas
Rank by total paid#3 of 8
Median peer was paid$19K
This provider vs. median4.8×
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 | |
|---|---|---|---|
| 2019 | 91 | $0.02 | |
| 2020 | 2,256 | $3K | |
| 2021 | 9,327 | $21K | |
| 2022 | 10,538 | $27K | |
| 2023 | 11,807 | $28K | |
| 2024incomplete | 6,445 | $13K |
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 | 60% | 1,848 | 1,529 | $55K |
| 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 | 37% | 947 | 861 | $34K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 26 | 24 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 15 | 15 | $901.46 |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | <1% | 14 | 14 | $325.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 20 | 20 | $272.96 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 3,450 | 2,780 | $0.05 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 3,049 | 2,541 | $0.03 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 3,069 | 2,554 | $0.03 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 28 | 27 | $0.02 |
| 1159F | 0% | 3,164 | 2,550 | $0.00 | |
| 4019F | 0% | 2,734 | 2,291 | $0.00 |
19 more codes
| 3078F | 0% | 2,606 | $0.00 | |
| 99072 | 0% | 241 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 361 | $0.00 |
| 1160F | 0% | 3,163 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 27 | $0.00 |
| 2001F | 0% | 2,400 | $0.00 | |
| 3008F | 0% | 2,726 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 2,123 | $0.00 |
| 3074F | 0% | 2,657 | $0.00 | |
| 2010F | 0% | 2,350 | $0.00 | |
| 99070 | 0% | 56 | $0.00 | |
| 1036F | 0% | 77 | $0.00 | |
| 2000F | 0% | 2,623 | $0.00 | |
| 1170F | 0% | 236 | $0.00 | |
| 1126F | 0% | 191 | $0.00 | |
| 1125F | 0% | 166 | $0.00 | |
| 3079F | 0% | 26 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 26 | $0.00 |
| 96127 | 0% | 45 | $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 officialPROVENCIO, MAURO (MD/OWNER)