Waco Primary Care, P.A.

Waco Primary Care, P.A. was paid $28K by Medicaid between May 2019 and May 2023, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoWACO PRIMARY CARE, P.A.
WACO, TX 76712

33aNPI1245528249assigned 07/12/2011

33bProvider typeFamily Medicine Physician

28Total paid$28K

24GClaims766

24DCodes billed2

24AFirst – last monthMay 2019 – May 2023

Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#613 of 1,204

Median peer was paid$31K

This provider vs. median0.9×

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
2019	13	$461.46
2020	37	$1K
2021	311	$11K
2022	298	$12K
2023	107	$4K

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	60%	404	375	$17K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	40%	362	319	$11K

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 officialTRIPPE, KARL (PHYSICIAN/OWNER)