Physician
Kocurek and James Clinic, PLLC
Kocurek and James Clinic, PLLC was paid $178K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoKOCUREK AND JAMES CLINIC, PLLC
SCHULENBURG, TX 78956
SCHULENBURG, TX 78956
33aNPI1194053363assigned 11/30/2009
33bProvider typeFamily Medicine Physician
28Total paid$178K
24GClaims8,481
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#317 of 1,204
Median peer was paid$31K
This provider vs. median5.8×
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 | 984 | $8K | |
| 2019 | 809 | $7K | |
| 2020 | 717 | $10K | |
| 2021 | 1,753 | $42K | |
| 2022 | 1,841 | $43K | |
| 2023 | 1,484 | $40K | |
| 2024incomplete | 893 | $27K |
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 | 57% | 3,717 | 3,184 | $101K |
| 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 | 19% | 808 | 716 | $34K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 7.0% | 1,227 | 1,032 | $12K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.9% | 705 | 630 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.3% | 332 | 301 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.1% | 447 | 203 | $4K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.9% | 262 | 195 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.7% | 38 | 38 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 259 | 234 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 24 | 24 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 43 | 37 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | 14 | $1K |
12 more codes
| 99334 | <1% | 158 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 14 | $659.36 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 26 | $501.62 |
| 90461 | <1% | 52 | $423.38 | |
| 87807 | <1% | 27 | $279.67 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 125 | $71.03 |
| 90686 | <1% | 25 | $17.93 | |
| 86580 | <1% | 29 | $13.32 | |
| 90662 | 0% | 40 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 29 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 14 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 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 officialKOCUREK, DONALD (MEDICAL DIRECTOR)