Clinic
Guadalupe Regional Medical Group
Guadalupe Regional Medical Group was paid $8K by Medicaid between Aug 2021 and Jan 2022, across 7 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 50% of everything it billed.
33Billing provider infoGUADALUPE REGIONAL MEDICAL GROUP
NEW BRAUNFELS, TX 78130
NEW BRAUNFELS, TX 78130
33aNPI1114559432assigned 02/05/2020
33bProvider typeUrgent Care Clinic/Center
28Total paid$8K
24GClaims405
24DCodes billed7
24AFirst – last monthAug 2021 – Jan 2022
Compared with peers
Next to other Urgent Care Clinic/Center providers in Texas
Rank by total paid#121 of 151
Median peer was paid$125K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2021 | 318 | $6K | |
| 2022 | 87 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 50% | 67 | 65 | $4K |
| 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 | 40% | 69 | 67 | $3K |
| 99000 | 7.8% | 147 | 143 | $639.24 | |
| 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% | 57 | 56 | $113.78 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 37 | 35 | $69.16 |
| 99072 | 0% | 14 | 13 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 14 | 14 | $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 officialPRICHARD, SUSIE (PRACTICE MANAGER)
Parent organizationGUADALUPE REGIONAL MEDICAL GROUP
| Provider | Location | Paid |
|---|---|---|
| Guadalupe Regional Medical Group | Seguin, TX | $1.58M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.