Clinic
Frio Hospital Association
Frio Hospital Association was paid $828K by Medicaid between Mar 2021 and Nov 2024, across 9 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoFRIO HOSPITAL ASSOCIATION
DILLEY, TX 78017
DILLEY, TX 78017
33aNPI1255977211assigned 11/25/2019
33bProvider typeRural Health Clinic/Center
28Total paid$828K
24GClaims5,253
24DCodes billed9
24AFirst – last monthMar 2021 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Texas
Rank by total paid#87 of 225
Median peer was paid$428K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2021 | 107 | $927.51 | |
| 2022 | 1,862 | $62K | |
| 2023 | 2,053 | $477K | |
| 2024incomplete | 1,231 | $288K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 4,915 | 3,521 | $824K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 100 | 86 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 110 | 83 | $969.12 |
| 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 | <1% | 21 | 18 | $553.37 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 44 | 28 | $123.06 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 23 | 16 | $62.28 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 15 | 14 | $13.90 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | 12 | $13.89 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 12 | 12 | $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 officialMARTINEZ, MONICA (RURAL HEALTH CLINIC DIRECTOR)
Parent organizationFRIO HOSPITAL ASSOCIATION
| Provider | Location | Paid |
|---|---|---|
| Frio Hospital Association | Pearsall, TX | $135K |
| Encompass Community Services | Santa Cruz, CA | $108K |
| MM Medical Solutions LLC | Las Vegas, NV | $77K |
| Frio Hospital Association | Dilly, TX | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.