Physician
Port Lavaca Clinic Associates PA
Port Lavaca Clinic Associates PA was paid $3.36M by Medicaid between Jul 2018 and Dec 2024, across 35 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 83% of everything it billed.
33Billing provider infoPORT LAVACA CLINIC ASSOCIATES PA
PORT LAVACA, TX 77979
PORT LAVACA, TX 77979
33aNPI1144262957assigned 06/13/2006
33bProvider typeInternal Medicine Physician
28Total paid$3.36M
24GClaims48,061
24DCodes billed35
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#12 of 1,028
Median peer was paid$10K
This provider vs. median323×
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 | 15 | $0.00 | |
| 2019 | 24 | $0.00 | |
| 2020 | 1,312 | $75K | |
| 2021 | 11,998 | $832K | |
| 2022 | 13,814 | $923K | |
| 2023 | 12,156 | $898K | |
| 2024incomplete | 8,742 | $634K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 83% | 26,221 | 22,605 | $2.80M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.3% | 1,925 | 1,902 | $213K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.6% | 1,432 | 1,363 | $153K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.9% | 908 | 897 | $99K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 394 | 382 | $42K |
| 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 | 1.1% | 845 | 765 | $36K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 373 | 187 | $10K |
| 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% | 538 | 508 | $6K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 52 | 40 | $3K |
| 0001A | <1% | 35 | 33 | $1K | |
| 0071A | <1% | 24 | 24 | $798.79 | |
| 0072A | <1% | 12 | 12 | $397.56 |
23 more codes
| V2020 | Frames, purchases | <1% | 14 | $252.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 7,884 | $185.11 |
| 91307 | <1% | 70 | $155.12 | |
| 90461 | <1% | 2,768 | $58.22 | |
| 90686 | <1% | 1,050 | $0.09 | |
| 90671 | 0% | 436 | $0.00 | |
| 90648 | 0% | 306 | $0.00 | |
| 90633 | 0% | 272 | $0.00 | |
| 90710 | 0% | 132 | $0.00 | |
| 90670 | 0% | 745 | $0.00 | |
| 91300 | 0% | 88 | $0.00 | |
| 99051 | 0% | 28 | $0.00 | |
| 92552 | 0% | 25 | $0.00 | |
| 80061 | Lipid panel | 0% | 12 | $0.00 |
| 90723 | 0% | 236 | $0.00 | |
| 90680 | 0% | 651 | $0.00 | |
| 90697 | 0% | 417 | $0.00 | |
| 90656 | 0% | 78 | $0.00 | |
| 90698 | 0% | 13 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 39 | $0.00 |
| 90619 | 0% | 13 | $0.00 | |
| 90696 | 0% | 13 | $0.00 | |
| 90651 | 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 officialLOYA, HELEN (ADMINISTRATIVE ASSITANT)