Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › SAN ANTONIO › COMMUNITY MEDICINE ASSOCIATES

COMMUNITY MEDICINE ASSOCIATES

NPI: 1245313329 · SAN ANTONIO, TX 78207 · Physician Assistant · NPI assigned 10/23/2006

$37.38M
Total Medicaid Paid
1,776,245
Total Claims
1,614,365
Beneficiaries
113
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKAPUR, MONIKA (CEO-PRESIDENT-CMA)
NPI Enumeration Date10/23/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 164,261 $6.91M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 236,240 218,267 $12.99M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 175,369 161,766 $8.06M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 43,271 41,374 $3.25M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 30,383 29,813 $2.39M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 5,612 1,711 $1.81M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 17,583 17,211 $1.44M
99480 Subsequent intensive care, per day, low birth weight infant 9,516 2,940 $997K
99050 14,148 13,825 $982K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 10,104 9,815 $844K
99479 Subsequent intensive care, per day, very low birth weight infant 6,138 2,009 $712K
99215 Prolong outpt/office vis 6,647 6,044 $632K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7,183 7,000 $477K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,004 4,862 $451K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 1,282 1,115 $257K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 613 158 $230K
96110 Developmental screening, with scoring and documentation, per standardized instrument 32,763 26,505 $226K
92579 5,640 5,502 $163K
99381 1,910 1,908 $159K
99245 949 903 $147K
92587 10,414 10,041 $142K
92567 14,395 13,939 $122K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,279 4,498 $121K
90832 Psychotherapy, 30 minutes with patient 2,762 2,100 $101K
92557 3,160 3,092 $76K
99383 754 727 $67K
90792 Psychiatric diagnostic evaluation with medical services 547 538 $66K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 671 627 $43K
76830 Ultrasound, transvaginal 1,301 1,254 $32K
96116 679 530 $32K
92652 563 512 $27K
95811 308 295 $26K
59430 301 295 $24K
95810 Polysomnography; sleep staging with 4 or more additional parameters 321 307 $24K
99384 233 233 $23K
97169 887 883 $22K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 798 508 $22K
69210 1,447 1,014 $19K
99205 Prolong outpt/office vis 160 156 $18K
92582 365 344 $12K
99382 124 122 $11K
99464 143 138 $10K
99385 142 137 $10K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 162 145 $10K
01961 45 40 $10K
99239 Hospital discharge day management, more than 30 minutes 120 110 $9K
90791 Psychiatric diagnostic evaluation 107 95 $9K
76801 241 229 $8K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 139 134 $5K
99233 Prolong inpt eval add15 m 81 27 $5K
99417 Prolong home eval add 15m 393 385 $4K
99244 Office or other outpatient consultation, moderate to high complexity 88 88 $4K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 829 806 $4K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 99 96 $4K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 100 93 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 445 204 $3K
99232 Subsequent hospital care, per day, moderate complexity 63 26 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 297 260 $3K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 75 72 $2K
42820 Tonsillectomy and adenoidectomy; younger than age 12 14 13 $2K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 40 39 $2K
90834 Psychotherapy, 45 minutes with patient 38 28 $2K
92585 111 99 $2K
11721 162 154 $2K
92583 60 59 $2K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 33 27 $2K
64483 14 12 $1K
99443 167 161 $1K
99222 Initial hospital care, per day, moderate complexity 15 13 $1K
99442 179 175 $1K
92555 89 85 $925.40
93320 65 62 $755.82
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 101 82 $648.15
95251 64 62 $596.03
17110 14 13 $426.46
58300 12 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) 787 754 $300.55
69209 27 25 $258.25
92592 14 12 $208.95
92593 12 12 $191.52
G8510 Screening for depression is documented as negative, a follow-up plan is not required 23,554 22,497 $146.85
93325 63 60 $125.97
3044F 84,339 77,098 $80.02
96160 8,513 8,202 $55.34
92588 37 37 $47.72
1036F 149,053 131,909 $13.41
3078F 160,970 148,218 $0.48
96161 718 672 $0.13
1000F 138,879 123,038 $0.02
1160F 126,775 116,340 $0.01
3008F 220,263 201,192 $0.01
3074F 156,629 143,891 $0.01
3075F 7,580 7,186 $0.01
3077F 3,421 3,284 $0.00
3046F 1,242 1,193 $0.00
1090F 98 96 $0.00
3725F 13 13 $0.00
95800 15 12 $0.00
3051F 81 79 $0.00
3351F 2,552 2,457 $0.00
96127 11,424 9,654 $0.00
1034F 4,502 4,187 $0.00
3079F 12,596 11,894 $0.00
3052F 61 54 $0.00
3080F 263 254 $0.00
36415 Collection of venous blood by venipuncture 238 213 $0.00
1126F 555 522 $0.00
90686 113 108 $0.00
1170F 44 43 $0.00
2010F 90 85 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 26 26 $0.00
99243 18 18 $0.00
1220F 68 65 $0.00
90688 41 41 $0.00