CLINICA FAMILIAR SAN JOSE, PA
NPI: 1174604763
· MERCEDES, TX 78570
· 207Q00000X
$2.35M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
616 |
$11K |
| 2019 |
361 |
$8K |
| 2020 |
1,901 |
$37K |
| 2021 |
21,952 |
$464K |
| 2022 |
33,484 |
$747K |
| 2023 |
25,866 |
$618K |
| 2024 |
18,270 |
$468K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
29,843 |
20,799 |
$982K |
| 87811 |
|
11,759 |
9,831 |
$435K |
| 87804 |
|
16,176 |
7,047 |
$208K |
| 99394 |
|
1,539 |
1,452 |
$125K |
| 87880 |
|
9,853 |
8,565 |
$125K |
| 99393 |
|
1,502 |
1,415 |
$118K |
| 99392 |
|
1,018 |
942 |
$75K |
| S8301 |
Infect control supplies nos |
7,356 |
6,067 |
$52K |
| 90460 |
|
4,474 |
1,949 |
$45K |
| 99203 |
|
709 |
668 |
$38K |
| 87807 |
|
3,004 |
2,546 |
$30K |
| 85025 |
|
4,832 |
4,320 |
$27K |
| 99000 |
|
2,880 |
2,532 |
$24K |
| 99391 |
|
199 |
185 |
$15K |
| 99395 |
|
180 |
163 |
$12K |
| 99214 |
|
369 |
284 |
$10K |
| 99050 |
|
770 |
625 |
$7K |
| 99212 |
|
284 |
235 |
$6K |
| 96372 |
|
580 |
504 |
$5K |
| 90461 |
|
1,127 |
836 |
$5K |
| 81003 |
|
1,163 |
1,044 |
$2K |
| 99051 |
|
357 |
338 |
$2K |
| 99091 |
|
13 |
13 |
$1K |
| 87651 |
|
34 |
33 |
$982.50 |
| 96110 |
|
87 |
76 |
$553.52 |
| 96160 |
|
269 |
248 |
$443.95 |
| 99211 |
|
347 |
322 |
$389.00 |
| 83036 |
|
31 |
28 |
$122.40 |
| J1885 |
Ketorolac tromethamine inj |
18 |
16 |
$13.08 |
| 90658 |
|
408 |
389 |
$7.70 |
| J0696 |
Ceftriaxone sodium injection |
222 |
204 |
$1.92 |
| 90648 |
|
96 |
96 |
$0.00 |
| 90710 |
|
82 |
79 |
$0.00 |
| 90670 |
|
155 |
151 |
$0.00 |
| 90715 |
|
76 |
76 |
$0.00 |
| 90734 |
|
181 |
180 |
$0.00 |
| 90633 |
|
109 |
108 |
$0.00 |
| 90651 |
|
104 |
102 |
$0.00 |
| 90620 |
|
54 |
54 |
$0.00 |
| 90696 |
|
35 |
34 |
$0.00 |
| 90686 |
|
48 |
42 |
$0.00 |
| 36415 |
|
27 |
27 |
$0.00 |
| 1111F |
|
43 |
41 |
$0.00 |
| 91301 |
|
23 |
13 |
$0.00 |
| 90723 |
|
14 |
13 |
$0.00 |