Bulverde Family Medicine PA

Bulverde Family Medicine PA was paid $41K by Medicaid between Jan 2019 and Mar 2023, across 8 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 38% of everything it billed.

33Billing provider infoBULVERDE FAMILY MEDICINE PA
BULVERDE, TX 78163

33aNPI1265801492assigned 09/17/2015

33bProvider typeFamily Medicine Physician

28Total paid$41K

24GClaims6,411

24DCodes billed8

24AFirst – last monthJan 2019 – Mar 2023

Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#552 of 1,204

Median peer was paid$31K

This provider vs. median1.3×

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	1,397	$5K
2020	2,207	$8K
2021	1,333	$13K
2022	1,384	$15K
2023	90	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	38%	3,001	1,348	$16K
99310	Prolong nursin fac eval 15m	32%	2,069	986	$13K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	14%	301	70	$6K
99308	Subsequent nursing facility care, per day, straightforward	9.3%	524	307	$4K
99306	Prolong nursin fac eval 15m	3.5%	116	100	$1K
99304		1.3%	169	104	$527.40
99305		<1%	147	93	$367.99
99497		<1%	84	37	$175.11

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 officialETHRIDGE, JEFF (PHYSICIAN OWNER)