Clinic
Clinica Hispana II, P.A.
Clinica Hispana II, P.A. was paid $183K by Medicaid between Sep 2020 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoCLINICA HISPANA II, P.A.
HOUSTON, TX 77074
HOUSTON, TX 77074
33aNPI1154336733assigned 07/30/2006
33bProvider typeClinic/Center
28Total paid$183K
24GClaims17,519
24DCodes billed34
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Texas
Rank by total paid#61 of 176
Median peer was paid$26K
This provider vs. median7.0×
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 | |
|---|---|---|---|
| 2020 | 731 | $8K | |
| 2021 | 3,344 | $35K | |
| 2022 | 5,397 | $49K | |
| 2023 | 5,101 | $45K | |
| 2024incomplete | 2,946 | $45K |
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 | 65% | 3,336 | 2,844 | $120K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 9.2% | 1,231 | 1,169 | $17K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.4% | 164 | 160 | $15K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 5.3% | 878 | 705 | $10K |
| 99091 | 4.7% | 61 | 58 | $9K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.3% | 305 | 155 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 28 | 27 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.0% | 26 | 25 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 126 | 118 | $2K |
| 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% | 27 | 25 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 60 | 58 | $853.53 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 101 | 92 | $615.50 |
22 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $558.39 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 261 | $446.96 |
| 99406 | <1% | 75 | $365.85 | |
| 90686 | <1% | 77 | $125.62 | |
| 90461 | <1% | 15 | $109.27 | |
| 90651 | <1% | 47 | $80.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 15 | $13.52 |
| 3008F | 0% | 3,478 | $0.00 | |
| 1125F | 0% | 555 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 960 | $0.00 |
| 1036F | 0% | 1,724 | $0.00 | |
| 3074F | 0% | 54 | $0.00 | |
| 90620 | 0% | 13 | $0.00 | |
| 3079F | 0% | 32 | $0.00 | |
| 91301 | 0% | 19 | $0.00 | |
| 4000F | 0% | 14 | $0.00 | |
| 0521F | 0% | 583 | $0.00 | |
| 1160F | 0% | 1,548 | $0.00 | |
| 1159F | 0% | 1,552 | $0.00 | |
| 3077F | 0% | 25 | $0.00 | |
| 3725F | 0% | 100 | $0.00 | |
| 90734 | 0% | 13 | $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 officialDE VALLE, OSCAR (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Clinica Hispana, P.A. | Houston, TX | $1.51M |
| De Valle & Associates Physicians PLLC | Houston, TX | $178K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.