Clinic
Hopscotch Health Children's Urgent Care, PLLC
Hopscotch Health Children's Urgent Care, PLLC was paid $1.65M by Medicaid between Nov 2021 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.
33Billing provider infoHOPSCOTCH HEALTH CHILDREN'S URGENT CARE, PLLC
SAN ANTONIO, TX 78238
SAN ANTONIO, TX 78238
33aNPI1235725094assigned 12/16/2020
33bProvider typeUrgent Care Clinic/Center
28Total paid$1.65M
24GClaims39,815
24DCodes billed18
24AFirst – last monthNov 2021 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Texas
Rank by total paid#21 of 151
Median peer was paid$125K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2021 | 813 | $24K | |
| 2022 | 12,942 | $456K | |
| 2023 | 14,001 | $625K | |
| 2024incomplete | 12,059 | $539K |
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 | 66% | 17,121 | 15,747 | $1.08M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 25% | 7,136 | 6,652 | $407K |
| 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 | 3.5% | 740 | 715 | $57K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.6% | 4,425 | 3,149 | $43K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.6% | 6,648 | 6,442 | $42K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 65 | 64 | $5K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 856 | 804 | $5K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 390 | 381 | $4K |
| 99000 | <1% | 719 | 698 | $1K | |
| 94760 | <1% | 746 | 726 | $232.31 | |
| 81002 | <1% | 174 | 170 | $186.91 | |
| 69210 | <1% | 12 | 12 | $92.65 |
6 more codes
| 71046 | Radiologic examination, chest; 2 views | <1% | 33 | $58.95 |
| 81003 | <1% | 28 | $28.35 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 475 | $13.28 |
| 94761 | <1% | 128 | $5.68 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 86 | $3.99 |
| 3210F | 0% | 33 | $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 officialGARCIA, EUGENE (CREDENTIALING COORDINATOR)
| Provider | Location | Paid |
|---|---|---|
| Bexar County MHMR Board of Trustees | Converse, TX | $13.39M |
| The Center for Health Care Services | San Antonio, TX | $8.93M |
| Bexar County Board of Trustees for MHMR | San Antonio, TX | $1000K |
| The Center for Health Care Services | San Antonio, TX | $142K |
| Bexar County Board of Trustees for MHMR | Converse, TX | $13K |
| Hopscotch Health Childrens Primary Care PLLC | San Antonio, TX | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.