Physician
Advanced Family Care PLLC
Advanced Family Care PLLC was paid $24K by Medicaid between Dec 2023 and Dec 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.
33Billing provider infoADVANCED FAMILY CARE PLLC
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1144921891assigned 03/10/2023
33bProvider typeFamily Medicine Physician
28Total paid$24K
24GClaims1,144
24DCodes billed11
24AFirst – last monthDec 2023 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#648 of 1,204
Median peer was paid$31K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2023 | 38 | $1K | |
| 2024incomplete | 1,106 | $23K |
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 | 72% | 592 | 474 | $17K |
| 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 | 13% | 89 | 79 | $3K |
| 99000 | 3.8% | 168 | 143 | $905.94 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.8% | 15 | 15 | $666.66 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.7% | 17 | 14 | $647.19 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.3% | 14 | 14 | $544.45 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.8% | 32 | 32 | $430.59 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.5% | 68 | 68 | $360.24 |
| 81001 | <1% | 15 | 12 | $15.96 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 68 | 61 | $13.61 |
| 36415 | Collection of venous blood by venipuncture | 0% | 66 | 57 | $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 officialDOUGLAS, ARGELIA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Advanced Kids Care, P.A. | Edinburg, TX | $4.25M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.