Physician
Clinica Familiar San Jose, PA
Clinica Familiar San Jose, PA was paid $2.35M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoCLINICA FAMILIAR SAN JOSE, PA
MERCEDES, TX 78570
MERCEDES, TX 78570
33aNPI1174604763assigned 10/18/2006
33bProvider typeFamily Medicine Physician
28Total paid$2.35M
24GClaims102,450
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#46 of 1,204
Median peer was paid$31K
This provider vs. median76×
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 | 616 | $11K | |
| 2019 | 361 | $8K | |
| 2020 | 1,901 | $37K | |
| 2021 | 21,952 | $464K | |
| 2022 | 33,484 | $747K | |
| 2023 | 25,866 | $618K | |
| 2024incomplete | 18,270 | $468K |
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 | 42% | 29,843 | 20,799 | $982K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 19% | 11,759 | 9,831 | $435K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 8.9% | 16,176 | 7,047 | $208K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.3% | 1,539 | 1,452 | $125K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.3% | 9,853 | 8,565 | $125K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.0% | 1,502 | 1,415 | $118K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.2% | 1,018 | 942 | $75K |
| S8301 | Infection control supplies, not otherwise specified | 2.2% | 7,356 | 6,067 | $52K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.9% | 4,474 | 1,949 | $45K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 709 | 668 | $38K |
| 87807 | 1.3% | 3,004 | 2,546 | $30K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.1% | 4,832 | 4,320 | $27K |
33 more codes
| 99000 | 1.0% | 2,880 | $24K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 199 | $15K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 180 | $12K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 369 | $10K |
| 99050 | <1% | 770 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 284 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 580 | $5K |
| 90461 | <1% | 1,127 | $5K | |
| 81003 | <1% | 1,163 | $2K | |
| 99051 | <1% | 357 | $2K | |
| 99091 | <1% | 13 | $1K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 34 | $982.50 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 87 | $553.52 |
| 96160 | <1% | 269 | $443.95 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 347 | $389.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 31 | $122.40 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 18 | $13.08 |
| 90658 | <1% | 408 | $7.70 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 222 | $1.92 |
| 90648 | 0% | 96 | $0.00 | |
| 90710 | 0% | 82 | $0.00 | |
| 90670 | 0% | 155 | $0.00 | |
| 90715 | 0% | 76 | $0.00 | |
| 90734 | 0% | 181 | $0.00 | |
| 90633 | 0% | 109 | $0.00 | |
| 90651 | 0% | 104 | $0.00 | |
| 90620 | 0% | 54 | $0.00 | |
| 90696 | 0% | 35 | $0.00 | |
| 90686 | 0% | 48 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 27 | $0.00 |
| 1111F | 0% | 43 | $0.00 | |
| 91301 | 0% | 23 | $0.00 | |
| 90723 | 0% | 14 | $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 officialKUTUGATA, JUDY (BUSINESS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Rainbow Pediatric Clinic | Weslaco, TX | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.