Clinic
Donna Medical Clinic, PLLC
Donna Medical Clinic, PLLC was paid $1.35M by Medicaid between Jan 2018 and Dec 2024, across 98 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoDONNA MEDICAL CLINIC, PLLC
DONNA, TX 78537
DONNA, TX 78537
33aNPI1144251547assigned 07/05/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$1.35M
24GClaims263,273
24DCodes billed98
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Texas
Rank by total paid#20 of 86
Median peer was paid$191K
This provider vs. median7.1×
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 | |
|---|---|---|---|
| 2018 | 32,046 | $72K | |
| 2019 | 22,890 | $71K | |
| 2020 | 22,192 | $104K | |
| 2021 | 43,937 | $231K | |
| 2022 | 54,720 | $361K | |
| 2023 | 53,721 | $336K | |
| 2024incomplete | 33,767 | $173K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 52% | 26,333 | 23,106 | $703K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 16,372 | 14,784 | $378K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 4.7% | 2,037 | 1,922 | $63K |
| 99350 | Prolong home eval add 15m | 3.0% | 1,210 | 995 | $40K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.1% | 4,822 | 4,035 | $29K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 2,441 | 1,166 | $26K |
| 99000 | 1.4% | 2,078 | 1,948 | $20K | |
| 90674 | <1% | 2,177 | 2,103 | $13K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,102 | 1,045 | $11K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,791 | 3,584 | $10K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,887 | 1,826 | $7K |
| 82947 | <1% | 9,788 | 8,324 | $7K |
86 more codes
| 99442 | <1% | 368 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 588 | $6K |
| 90756 | <1% | 483 | $5K | |
| 99349 | <1% | 315 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 141 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 54 | $2K |
| 99091 | <1% | 148 | $2K | |
| 0011A | <1% | 168 | $2K | |
| 0012A | <1% | 162 | $2K | |
| 99490 | Ccm add 20min | <1% | 1,069 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 18 | $1K |
| 81003 | <1% | 1,721 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $817.25 |
| 99443 | <1% | 35 | $799.90 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $685.24 |
| 90661 | <1% | 34 | $678.60 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 29 | $599.33 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 1,662 | $378.29 |
| 99441 | <1% | 41 | $366.99 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 583 | $358.85 |
| 82044 | <1% | 361 | $336.69 | |
| 82570 | <1% | 328 | $301.55 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 41 | $290.08 |
| 0064A | <1% | 27 | $160.00 | |
| 93922 | <1% | 60 | $146.24 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 2,259 | $110.65 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 183 | $91.84 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 19 | $54.64 |
| G0008 | Administration of influenza virus vaccine | <1% | 1,718 | $49.15 |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,080 | $26.75 |
| 93000 | <1% | 16 | $24.46 | |
| 90686 | <1% | 16 | $20.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,481 | $11.30 |
| 81001 | <1% | 104 | $7.98 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 93 | $0.02 |
| 2000F | <1% | 43,124 | $0.01 | |
| 1125F | <1% | 13,142 | $0.01 | |
| 3079F | <1% | 5,441 | $0.01 | |
| 3075F | <1% | 4,054 | $0.01 | |
| 0521F | <1% | 8,097 | $0.01 | |
| 1160F | <1% | 18,411 | $0.01 | |
| 1159F | <1% | 18,456 | $0.01 | |
| 1126F | 0% | 10,025 | $0.00 | |
| 1036F | 0% | 5,231 | $0.00 | |
| 1101F | 0% | 1,479 | $0.00 | |
| 3074F | 0% | 13,233 | $0.00 | |
| 91301 | 0% | 396 | $0.00 | |
| 1170F | 0% | 1,269 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 241 | $0.00 |
| 3008F | 0% | 2,330 | $0.00 | |
| 1220F | 0% | 240 | $0.00 | |
| 3048F | 0% | 71 | $0.00 | |
| 1030F | 0% | 177 | $0.00 | |
| 4037F | 0% | 760 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 124 | $0.00 |
| 1111F | 0% | 303 | $0.00 | |
| 1000F | 0% | 1,301 | $0.00 | |
| 96127 | 0% | 302 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 130 | $0.00 |
| 3044F | 0% | 134 | $0.00 | |
| G8473 | Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed | 0% | 206 | $0.00 |
| G8410 | Footwear evaluation performed and documented | 0% | 17 | $0.00 |
| 0509F | 0% | 24 | $0.00 | |
| G8542 | Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required | 0% | 14 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 12 | $0.00 |
| 91306 | 0% | 25 | $0.00 | |
| 3080F | 0% | 56 | $0.00 | |
| 3060F | 0% | 12 | $0.00 | |
| 3011F | 0% | 25 | $0.00 | |
| 4010F | 0% | 13 | $0.00 | |
| 3078F | 0% | 11,959 | $0.00 | |
| 3288F | 0% | 1,835 | $0.00 | |
| G8421 | Bmi not documented and no reason is given | 0% | 684 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 6,211 | $0.00 |
| 3077F | 0% | 175 | $0.00 | |
| 1090F | 0% | 323 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 250 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 239 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 12 | $0.00 |
| 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 | 0% | 12 | $0.00 |
| 4013F | 0% | 121 | $0.00 | |
| 90662 | 0% | 54 | $0.00 | |
| 99173 | 0% | 15 | $0.00 | |
| 0013A | 0% | 13 | $0.00 | |
| 3725F | 0% | 14 | $0.00 | |
| 3045F | 0% | 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 officialPENA, JOSE (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Jose R Pena MD PC | Chula Vista, CA | $62K |
| Centro Clinico Del Yunque, CSP | Rio Grande, PR | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.