El Paso Specialty Physicians Group

El Paso Specialty Physicians Group was paid $1K by Medicaid between Jan 2018 and Dec 2018, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.

33Billing provider infoEL PASO SPECIALTY PHYSICIANS GROUP
EL PASO, TX 79902

33aNPI1194260646assigned 12/19/2016

33bProvider typeSurgery Physician

28Total paid$1K

24GClaims891

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2018

Compared with peers

Next to other Surgery Physician providers in Texas

Rank by total paid#70 of 98

Median peer was paid$8K

This provider vs. median0.2×

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	891	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	40%	162	137	$544.02
11721		26%	324	303	$347.33
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	17%	108	104	$232.44
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	214	170	$170.94
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	2.0%	13	12	$27.08
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.8%	43	39	$24.86
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	13	12	$0.21
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	0%	14	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 officialWILCOX, JAMES (SECRETARY)