NP / PA
Monte Cristo Family Clinic INC
Monte Cristo Family Clinic INC was paid $205K by Medicaid between Jan 2018 and Oct 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoMONTE CRISTO FAMILY CLINIC INC
EDINBURG, TX 78541
EDINBURG, TX 78541
33aNPI1174702872assigned 10/30/2007
33bProvider typeFamily Nurse Practitioner
28Total paid$205K
24GClaims16,854
24DCodes billed30
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Texas
Rank by total paid#54 of 344
Median peer was paid$14K
This provider vs. median15×
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 | 3,862 | $9K | |
| 2019 | 3,839 | $28K | |
| 2020 | 1,376 | $12K | |
| 2021 | 2,552 | $44K | |
| 2022 | 2,716 | $58K | |
| 2023 | 1,778 | $36K | |
| 2024incomplete | 731 | $18K |
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 | 59% | 6,210 | 4,773 | $121K |
| 86328 | 14% | 480 | 467 | $28K | |
| 99444 | 9.1% | 353 | 89 | $19K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.5% | 760 | 479 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.4% | 981 | 961 | $9K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.6% | 242 | 238 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 72 | 72 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.1% | 589 | 550 | $2K |
| 92552 | 1.1% | 219 | 216 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 132 | 127 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 53 | 51 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 59 | 29 | $304.07 |
18 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $268.14 |
| 80061 | Lipid panel | <1% | 318 | $122.68 |
| 90658 | <1% | 13 | $100.83 | |
| 90688 | <1% | 19 | $72.24 | |
| 99050 | <1% | 13 | $27.48 | |
| 81003 | <1% | 28 | $22.08 | |
| 82947 | <1% | 27 | $14.45 | |
| 99000 | <1% | 480 | $7.62 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,027 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 582 | $0.00 |
| 0521F | 0% | 82 | $0.00 | |
| 1036F | 0% | 1,185 | $0.00 | |
| 1126F | 0% | 1,076 | $0.00 | |
| 2000F | 0% | 1,256 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 20 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 451 | $0.00 |
| 1125F | 0% | 100 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 15 | $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 officialABOUJAMOUS, RIAD (OWNER)