Clinic
Frio Hospital Association
Frio Hospital Association was paid $5K by Medicaid between Oct 2020 and Dec 2024, across 12 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 92% of everything it billed.
33Billing provider infoFRIO HOSPITAL ASSOCIATION
DILLY, TX 78017
DILLY, TX 78017
33aNPI1215574959assigned 12/02/2019
33bProvider typeClinic/Center
28Total paid$5K
24GClaims2,717
24DCodes billed12
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Texas
Rank by total paid#117 of 176
Median peer was paid$26K
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 | |
|---|---|---|---|
| 2020 | 757 | $257.54 | |
| 2021 | 1,411 | $4K | |
| 2022 | 75 | $262.34 | |
| 2023 | 68 | $0.00 | |
| 2024incomplete | 406 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 92% | 1,081 | 963 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 228 | 203 | $156.19 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.1% | 104 | 45 | $96.61 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.7% | 170 | 164 | $78.04 |
| 87807 | <1% | 23 | 17 | $21.45 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 52 | 46 | $13.89 |
| 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% | 88 | 84 | $6.19 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 19 | 18 | $2.35 |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 0% | 488 | 413 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 43 | 42 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 403 | 344 | $0.00 |
| 97169 | 0% | 18 | 18 | $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 officialMARTINEZ, MONICA (RURAL HEALTH CLINIC DIRECTOR)
Parent organizationFRIO HOSPITAL ASSOCIATION
| Provider | Location | Paid |
|---|---|---|
| Frio Hospital Association | Dilley, TX | $828K |
| Frio Hospital Association | Pearsall, TX | $135K |
| Encompass Community Services | Santa Cruz, CA | $108K |
| MM Medical Solutions LLC | Las Vegas, NV | $77K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.