Community Medicine Associates

Community Medicine Associates was paid $37.38M by Medicaid between Jan 2018 and Dec 2024, across 113 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.

33Billing provider infoCOMMUNITY MEDICINE ASSOCIATES
SAN ANTONIO, TX 78207

33aNPI1245313329assigned 10/23/2006

33bProvider typePhysician Assistant

28Total paid$37.38M

24GClaims1,776,245

24DCodes billed113

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Physician Assistant providers in Texas

Rank by total paid#1 of 161

Median peer was paid$43K

This provider vs. median868×

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	9,838	$273K
2019	10,253	$254K
2020	133,051	$1.34M
2021	636,388	$7.07M
2022	616,313	$10.21M
2023	206,141	$11.32M
2024incomplete	164,261	$6.91M

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	35%	236,240	218,267	$12.99M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	22%	175,369	161,766	$8.06M
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	8.7%	43,271	41,374	$3.25M
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	6.4%	30,383	29,813	$2.39M
99469	Subsequent inpatient neonatal critical care, per day, 28 days or younger	4.9%	5,612	1,711	$1.81M
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	3.9%	17,583	17,211	$1.44M
99480	Subsequent intensive care, per day, low birth weight infant	2.7%	9,516	2,940	$997K
99050		2.6%	14,148	13,825	$982K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.3%	10,104	9,815	$844K
99479	Subsequent intensive care, per day, very low birth weight infant	1.9%	6,138	2,009	$712K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.7%	6,647	6,044	$632K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.3%	7,183	7,000	$477K

101 more codes

99204	Doctor's office visit, new patient (more involved)	1.2%	5,004	$451K
01967	Neuraxial labor analgesia/anesthesia for planned vaginal delivery	<1%	1,282	$257K
99472	Subsequent inpatient pediatric critical care, per day, 2-5 years	<1%	613	$230K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	32,763	$226K
92579		<1%	5,640	$163K
99381		<1%	1,910	$159K
99245		<1%	949	$147K
92587		<1%	10,414	$142K
92567		<1%	14,395	$122K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	5,279	$121K
90832	Psychotherapy session, about 30 minutes	<1%	2,762	$101K
92557		<1%	3,160	$76K
99383		<1%	754	$67K
90792	Psychiatric diagnostic evaluation with medical services	<1%	547	$66K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	671	$43K
76830	Ultrasound, transvaginal	<1%	1,301	$32K
96116		<1%	679	$32K
92652		<1%	563	$27K
95811		<1%	308	$26K
59430		<1%	301	$24K
95810	Polysomnography; sleep staging with 4 or more additional parameters	<1%	321	$24K
99384		<1%	233	$23K
97169		<1%	887	$22K
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	<1%	798	$22K
69210		<1%	1,447	$19K
99205	Prolong outpt/office vis	<1%	160	$18K
92582		<1%	365	$12K
99382		<1%	124	$11K
99464		<1%	143	$10K
99385		<1%	142	$10K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	162	$10K
01961		<1%	45	$10K
99239	Hospital discharge day management, more than 30 minutes	<1%	120	$9K
90791	Psychiatric diagnostic evaluation	<1%	107	$9K
76801		<1%	241	$8K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	139	$5K
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	81	$5K
99417	Prolong home eval add 15m	<1%	393	$4K
99244	Office or other outpatient consultation, moderate to high complexity	<1%	88	$4K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	829	$4K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	99	$4K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	100	$3K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	445	$3K
99232	Hospital visit by a doctor, follow-up day	<1%	63	$3K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	297	$3K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	75	$2K
42820	Tonsillectomy and adenoidectomy; younger than age 12	<1%	14	$2K
93303	Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study	<1%	40	$2K
90834	Psychotherapy session, about 45 minutes	<1%	38	$2K
92585		<1%	111	$2K
11721		<1%	162	$2K
92583		<1%	60	$2K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	<1%	33	$2K
64483		<1%	14	$1K
99443		<1%	167	$1K
99222	Initial hospital care, per day, moderate complexity	<1%	15	$1K
99442		<1%	179	$1K
92555		<1%	89	$925.40
93320		<1%	65	$755.82
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	101	$648.15
95251		<1%	64	$596.03
17110		<1%	14	$426.46
58300		<1%	12	$401.70
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	787	$300.55
69209		<1%	27	$258.25
92592		<1%	14	$208.95
92593		<1%	12	$191.52
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	23,554	$146.85
93325		<1%	63	$125.97
3044F		<1%	84,339	$80.02
96160		<1%	8,513	$55.34
92588		<1%	37	$47.72
1036F		<1%	149,053	$13.41
3078F		<1%	160,970	$0.48
96161		<1%	718	$0.13
1000F		<1%	138,879	$0.02
1160F		<1%	126,775	$0.01
3008F		<1%	220,263	$0.01
3074F		<1%	156,629	$0.01
3075F		<1%	7,580	$0.01
3077F		0%	3,421	$0.00
3046F		0%	1,242	$0.00
1090F		0%	98	$0.00
3725F		0%	13	$0.00
95800		0%	15	$0.00
3051F		0%	81	$0.00
3351F		0%	2,552	$0.00
96127		0%	11,424	$0.00
1034F		0%	4,502	$0.00
3079F		0%	12,596	$0.00
3052F		0%	61	$0.00
3080F		0%	263	$0.00
36415	Collection of venous blood by venipuncture	0%	238	$0.00
1126F		0%	555	$0.00
90686		0%	113	$0.00
1170F		0%	44	$0.00
2010F		0%	90	$0.00
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	26	$0.00
99243		0%	18	$0.00
1220F		0%	68	$0.00
90688		0%	41	$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 officialKAPUR, MONIKA (CEO-PRESIDENT-CMA)