Physician
Medcare Associates, P.A.
Medcare Associates, P.A. was paid $413K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoMEDCARE ASSOCIATES, P.A.
BANDERA, TX 78003
BANDERA, TX 78003
33aNPI1215025598assigned 10/11/2006
33bProvider typeInternal Medicine Physician
28Total paid$413K
24GClaims14,136
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#77 of 1,028
Median peer was paid$10K
This provider vs. median40×
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 | 1,093 | $11K | |
| 2019 | 884 | $8K | |
| 2020 | 1,344 | $23K | |
| 2021 | 3,977 | $124K | |
| 2022 | 3,713 | $129K | |
| 2023 | 2,130 | $82K | |
| 2024incomplete | 995 | $36K |
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 | 53% | 6,862 | 6,064 | $217K |
| 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 | 38% | 3,822 | 3,477 | $156K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.5% | 176 | 172 | $15K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 832 | 374 | $7K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.1% | 1,092 | 774 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 48 | 47 | $4K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 619 | 372 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 128 | 65 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 94 | 91 | $1K |
| 0012A | <1% | 59 | 59 | $760.00 | |
| 99442 | <1% | 17 | 15 | $579.38 | |
| 90461 | <1% | 80 | 68 | $559.68 |
13 more codes
| 0011A | <1% | 58 | $512.46 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 14 | $480.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16 | $396.49 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 30 | $317.19 |
| 90756 | <1% | 12 | $130.51 | |
| 90688 | <1% | 14 | $100.80 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 30 | $73.33 |
| 3008F | 0% | 33 | $0.00 | |
| 90651 | 0% | 14 | $0.00 | |
| 90686 | 0% | 12 | $0.00 | |
| 99232 | Hospital visit by a doctor, follow-up day | 0% | 47 | $0.00 |
| 90715 | 0% | 13 | $0.00 | |
| 90734 | 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 officialFRAZIER, RUTH (EXECUTIVE ADMINISTRATOR)