NP / PA
Felipe M Avila MD PA
Felipe M Avila MD PA was paid $6.69M by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoFELIPE M AVILA MD PA
WESLACO, TX 78596
WESLACO, TX 78596
33aNPI1154669158assigned 01/25/2013
33bProvider typePhysician Assistant
28Total paid$6.69M
24GClaims307,609
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in Texas
Rank by total paid#8 of 161
Median peer was paid$43K
This provider vs. median155×
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 | 2,330 | $57K | |
| 2019 | 3,094 | $65K | |
| 2020 | 10,573 | $208K | |
| 2021 | 55,568 | $1.17M | |
| 2022 | 70,838 | $1.59M | |
| 2023 | 68,032 | $1.52M | |
| 2024incomplete | 97,174 | $2.07M |
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 | 33% | 62,179 | 49,293 | $2.21M |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 15% | 25,254 | 22,518 | $1.00M |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 11% | 54,693 | 24,557 | $743K |
| 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 | 7.6% | 10,108 | 9,440 | $507K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.6% | 4,763 | 4,701 | $376K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.0% | 3,890 | 3,848 | $333K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.8% | 4,340 | 4,254 | $319K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.9% | 2,647 | 2,588 | $191K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.7% | 13,344 | 12,508 | $181K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.6% | 15,744 | 7,192 | $172K |
| 94010 | 2.1% | 6,346 | 5,410 | $143K | |
| 80053 | Comprehensive metabolic panel | 1.3% | 9,761 | 9,173 | $86K |
52 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 10,322 | $66K |
| 99000 | <1% | 5,627 | $58K | |
| 87807 | <1% | 5,173 | $56K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 456 | $37K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,441 | $35K |
| 99051 | <1% | 5,910 | $23K | |
| 90461 | <1% | 2,277 | $18K | |
| 94760 | <1% | 7,904 | $16K | |
| 99381 | <1% | 189 | $15K | |
| 92587 | <1% | 801 | $14K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 864 | $12K |
| 86308 | <1% | 2,236 | $9K | |
| 90474 | <1% | 999 | $9K | |
| 81003 | <1% | 4,917 | $9K | |
| 80061 | Lipid panel | <1% | 852 | $9K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 146 | $8K |
| 96161 | <1% | 3,676 | $8K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 619 | $7K |
| 83655 | <1% | 604 | $6K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 117 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 128 | $1K |
| 97169 | <1% | 67 | $1K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 68 | $894.66 |
| 97170 | <1% | 12 | $500.00 | |
| 86580 | <1% | 63 | $450.92 | |
| 69209 | <1% | 26 | $253.16 | |
| 93000 | <1% | 14 | $168.98 | |
| 82570 | <1% | 18 | $86.94 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 37 | $75.47 |
| 83014 | <1% | 12 | $72.60 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 610 | $24.35 |
| 90686 | <1% | 1,981 | $23.28 | |
| 90651 | <1% | 262 | $0.34 | |
| 90620 | <1% | 47 | $0.24 | |
| 90671 | <1% | 69 | $0.09 | |
| 90621 | <1% | 63 | $0.07 | |
| 90680 | 0% | 1,283 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 10,318 | $0.00 |
| 90723 | 0% | 1,654 | $0.00 | |
| 90696 | 0% | 386 | $0.00 | |
| 90697 | 0% | 56 | $0.00 | |
| 90716 | 0% | 72 | $0.00 | |
| 91307 | 0% | 15 | $0.00 | |
| 90710 | 0% | 1,108 | $0.00 | |
| 90670 | 0% | 2,134 | $0.00 | |
| 90700 | 0% | 495 | $0.00 | |
| 90734 | 0% | 1,162 | $0.00 | |
| 90715 | 0% | 465 | $0.00 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 10,305 | $0.00 |
| 90648 | 0% | 2,161 | $0.00 | |
| 90633 | 0% | 1,253 | $0.00 | |
| 90707 | 0% | 66 | $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, FELIPE (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Bicentennial Kids Clinic PLLC | Mcallen, TX | $1.12M |
| Nolana Kids Clinic PLLC | Mcallen, TX | $1.00M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.