Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Avila Family Practice Clinic PA

Avila Family Practice Clinic PA was paid $170K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99423, — 31% of everything it billed.

33Billing provider infoAVILA FAMILY PRACTICE CLINIC PA
DONNA, TX 78537
33aNPI1124560495assigned 11/17/2016
28Total paid$170K
24GClaims6,663
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#324 of 1,204
Median peer was paid$31K
This provider vs. median5.5×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2018674$8K
20191,222$50K
20201,515$52K
20211,184$21K
20221,038$19K
2023737$14K
2024incomplete293$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99423 31% 931 236 $53K
99444 31% 916 235 $52K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 2,405 1,952 $41K
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 10% 661 628 $18K
99000 1.8% 744 709 $3K
99421 1.5% 144 41 $3K
82947 <1% 39 38 $13.20
36415 Collection of venous blood by venipuncture 0% 757 722 $0.00
90688 0% 14 14 $0.00
G0008 Administration of influenza virus vaccine 0% 14 14 $0.00
90756 0% 12 12 $0.00
81002 0% 26 12 $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 officialAVILA, JULIO (PHYSICIAN ASSISTANT)