Physician
Spence, Allan
Spence, Allan was paid $11K by Medicaid between Jan 2018 and Sep 2019, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.
33Billing provider infoSPENCE, ALLAN
RAYMONDVILLE, TX 78580
RAYMONDVILLE, TX 78580
33aNPI1174580930assigned 04/27/2006
33bProvider typeGeneral Practice Physician
28Total paid$11K
24GClaims1,627
24DCodes billed13
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other General Practice Physician providers in Texas
Rank by total paid#70 of 113
Median peer was paid$22K
This provider vs. median0.5×
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 | 976 | $6K | |
| 2019 | 651 | $5K |
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 | 87% | 647 | 523 | $10K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 10% | 186 | 132 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.7% | 382 | 316 | $181.12 |
| 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% | 19 | 16 | $59.93 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 16 | 14 | $18.12 |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 0% | 19 | 19 | $0.00 |
| 3288F | 0% | 21 | 16 | $0.00 | |
| 1170F | 0% | 21 | 16 | $0.00 | |
| 99000 | 0% | 16 | 14 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 16 | 14 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 236 | 198 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 17 | 14 | $0.00 |
1 more codes
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 31 | $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.