Clinic
Discovery Medical Network Matagorda, LLC
Discovery Medical Network Matagorda, LLC was paid $1.58M by Medicaid between Oct 2020 and Dec 2024, across 7 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoDISCOVERY MEDICAL NETWORK MATAGORDA, LLC
BAY CITY, TX 77414
BAY CITY, TX 77414
33aNPI1225676604assigned 12/16/2019
33bProvider typeRural Health Clinic/Center
28Total paid$1.58M
24GClaims9,122
24DCodes billed7
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Texas
Rank by total paid#46 of 225
Median peer was paid$428K
This provider vs. median3.7×
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 | 65 | $698.72 | |
| 2021 | 208 | $5K | |
| 2022 | 587 | $118K | |
| 2023 | 2,768 | $299K | |
| 2024incomplete | 5,494 | $1.16M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 97% | 6,884 | 5,537 | $1.54M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 1,058 | 930 | $26K |
| 87428 | <1% | 222 | 210 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 413 | 384 | $5K |
| 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 | <1% | 102 | 98 | $3K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 41 | 37 | $3K |
| 81003 | <1% | 402 | 311 | $567.00 |
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 officialYOST, MICHAEL (VICE PRESIDENT)