Clinic
Zealth Care PLLC
Zealth Care PLLC was paid $95K by Medicaid between Oct 2020 and Nov 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
33Billing provider infoZEALTH CARE PLLC
KATY, TX 77449
KATY, TX 77449
33aNPI1255767687assigned 09/17/2013
33bProvider typeHealth Service Clinic/Center
28Total paid$95K
24GClaims3,359
24DCodes billed18
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Health Service Clinic/Center providers in Texas
Rank by total paid#9 of 27
Median peer was paid$24K
This provider vs. median3.9×
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 | |
|---|---|---|---|
| 2020 | 249 | $3K | |
| 2021 | 1,019 | $27K | |
| 2022 | 1,042 | $31K | |
| 2023 | 687 | $21K | |
| 2024incomplete | 362 | $13K |
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 | 68% | 1,768 | 1,609 | $65K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.2% | 731 | 423 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.8% | 80 | 80 | $7K |
| 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 | 5.0% | 110 | 105 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 5.0% | 105 | 100 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 24 | 24 | $2K |
| 87428 | 1.3% | 16 | 16 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 34 | 34 | $946.59 |
| 0001A | <1% | 19 | 18 | $736.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | 18 | $313.15 |
| 90686 | <1% | 215 | 215 | $243.05 | |
| 96127 | 0% | 127 | 127 | $0.00 |
6 more codes
| 0011A | 0% | 18 | $0.00 | |
| 0012A | 0% | 17 | $0.00 | |
| 99401 | 0% | 31 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 12 | $0.00 |
| 90672 | 0% | 17 | $0.00 | |
| 90461 | 0% | 17 | $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 officialZAKIR, ALI (OWNER)