Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › HARLINGEN › SU CLINICA FAMILIAR

SU CLINICA FAMILIAR

NPI: 1285643304 · HARLINGEN, TX 78550 · Case Management Agency · NPI assigned 08/07/2006

$37.58M
Total Medicaid Paid
786,529
Total Claims
628,007
Beneficiaries
227
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSALDIVAR, ADAM (CFO)
NPI Enumeration Date08/07/2006

Related Entities

Other providers sharing the same authorized official: SALDIVAR, ADAM

ProviderCityStateTotal Paid
SU CLINICA FAMILIAR HARLINGEN TX $3.10M
SU CLINICA FAMILIAR BROWNSVILLE TX $2.28M
SU CLINICA FAMILIAR RAYMONDVILLE TX $1.56M
SU CLINICA FAMILIAR HARLINGEN TX $435.72

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,005 $329K
2019 2,395 $334K
2020 55,656 $2.51M
2021 162,639 $8.13M
2022 212,454 $11.39M
2023 142,039 $6.26M
2024 209,341 $8.62M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 183,052 120,825 $25.62M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 71,564 57,406 $3.07M
D0999 Unspecified diagnostic procedure, by report 15,657 14,700 $2.52M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 48,436 39,940 $1.96M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 9,030 8,459 $611K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,463 7,109 $512K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,940 7,891 $449K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,657 6,204 $427K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,301 3,154 $424K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,712 4,353 $375K
90837 Psychotherapy, 53 minutes with patient 2,129 1,801 $182K
90460 Immunization administration through 18 years of age via any route, first or only component 33,953 20,619 $149K
87428 5,820 3,746 $139K
99381 1,145 1,048 $132K
90834 Psychotherapy, 45 minutes with patient 2,278 1,804 $131K
99050 11,549 10,344 $116K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 510 506 $82K
90832 Psychotherapy, 30 minutes with patient 1,203 1,089 $53K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 102 92 $40K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,155 939 $34K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 549 515 $27K
59430 597 535 $27K
59025 Fetal non-stress test 1,331 680 $24K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,396 2,275 $22K
99385 134 128 $21K
90461 12,637 7,886 $21K
0001A 1,077 827 $19K
87081 7,871 6,668 $18K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 347 333 $18K
76801 738 665 $18K
84443 Thyroid stimulating hormone (TSH) 6,697 6,362 $17K
0002A 914 675 $15K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 10,024 9,430 $14K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 6,072 5,743 $11K
90792 Psychiatric diagnostic evaluation with medical services 122 120 $11K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,275 3,069 $11K
80053 Comprehensive metabolic panel 7,600 7,254 $11K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 6,080 5,752 $11K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 5,505 5,230 $11K
99215 Prolong outpt/office vis 136 131 $10K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 200 194 $10K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,049 1,901 $9K
96160 6,061 5,596 $8K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,035 938 $8K
81002 12,960 8,943 $8K
81025 5,691 5,174 $8K
D2930 Prefabricated stainless steel crown - primary tooth 61 16 $7K
59514 23 12 $7K
71046 Radiologic examination, chest; 2 views 552 495 $6K
80061 Lipid panel 7,999 7,645 $6K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,573 1,468 $6K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,178 1,081 $6K
90791 Psychiatric diagnostic evaluation 65 64 $5K
83036 Hemoglobin; glycosylated (A1C) 9,292 8,910 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,049 1,728 $5K
0071A 251 213 $5K
0011A 653 647 $5K
81001 5,214 4,255 $5K
84203 975 950 $5K
0012A 650 643 $4K
90715 1,983 1,887 $4K
92552 5,926 5,610 $4K
87086 Culture, bacterial; quantitative colony count, urine 3,445 3,147 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 93 86 $3K
85018 5,933 5,483 $3K
86762 1,214 1,139 $3K
82105 724 684 $3K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,949 1,899 $3K
0072A 149 134 $2K
83655 511 457 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 61 58 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 994 958 $2K
97169 125 108 $2K
90620 618 555 $2K
D1351 Sealant - per tooth 2,124 570 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 130 118 $2K
86850 750 700 $2K
87340 696 652 $2K
93000 432 400 $2K
90656 1,207 1,193 $2K
D1208 Topical application of fluoride, excluding varnish 7,546 7,330 $2K
D0145 Oral evaluation for a patient under three years of age 1,897 1,852 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 26 25 $2K
D0120 Periodic oral evaluation - established patient 7,074 6,889 $1K
86592 4,421 4,221 $1K
D1110 Prophylaxis - adult 2,361 2,304 $1K
0054A 48 47 $1K
82950 1,480 1,386 $1K
90619 1,277 1,213 $1K
84479 2,056 1,952 $1K
99384 17 15 $1K
72081 91 82 $1K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 851 828 $1K
D0274 Bitewings - four radiographic images 3,375 3,288 $1K
84702 527 429 $1K
84436 1,824 1,731 $1K
87807 209 192 $1K
90686 10,813 10,181 $1K
82677 202 185 $954.60
84030 717 669 $789.49
86803 332 320 $779.35
84439 966 922 $768.94
D0220 Intraoral - periapical first radiographic image 1,875 1,795 $765.48
87210 1,146 922 $762.84
0013A 75 73 $720.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,311 2,176 $719.51
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 80 75 $712.78
86580 237 220 $705.22
D1120 Prophylaxis - child 4,024 3,920 $700.00
86336 201 185 $615.65
86900 677 631 $513.72
86901 670 627 $506.00
80050 General health panel 310 298 $476.05
D9420 16 14 $449.41
87220 782 735 $444.14
0004A 18 17 $440.00
90480 23 14 $440.00
0074A 21 19 $440.00
0064A 44 42 $440.00
74018 53 49 $394.28
87420 127 121 $370.61
82043 747 726 $365.23
D0272 Bitewings - two radiographic images 1,583 1,546 $347.16
76830 Ultrasound, transvaginal 14 14 $296.76
82948 117 111 $291.87
90651 2,024 1,927 $267.84
82570 788 763 $253.98
0134A 12 12 $240.00
D0230 Intraoral - periapical each additional radiographic image 1,253 1,009 $232.01
D0140 Limited oral evaluation - problem focused 33 30 $231.90
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,115 1,077 $229.14
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 203 166 $205.60
82607 188 181 $202.72
82951 189 182 $172.96
D0330 Panoramic radiographic image 301 292 $168.00
99000 48 47 $126.00
99441 77 74 $122.70
D9248 120 117 $121.88
69209 25 14 $116.19
D0170 324 318 $99.24
80048 Basic metabolic panel (calcium, ionized) 306 294 $87.69
82952 157 152 $49.35
D1330 4,271 4,149 $49.25
81003 411 380 $41.58
D0150 Comprehensive oral evaluation - new or established patient 49 47 $41.00
86140 40 37 $39.15
A4267 Contraceptive supply, condom, male, each 82 76 $38.34
90472 Immunization administration, each additional vaccine (list separately) 139 120 $20.27
82947 26 26 $19.80
J0696 Injection, ceftriaxone sodium, per 250 mg 91 78 $14.58
99442 27 27 $12.38
85652 30 30 $9.08
90621 1,244 1,202 $6.20
96127 1,246 857 $0.87
G8510 Screening for depression is documented as negative, a follow-up plan is not required 46 39 $0.27
90707 697 656 $0.03
3078F 13,008 9,514 $0.01
90734 1,046 991 $0.00
3725F 8,089 5,756 $0.00
1159F 1,629 1,249 $0.00
90710 996 954 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 296 243 $0.00
1160F 886 718 $0.00
99173 10,021 9,326 $0.00
0502F 4,982 2,900 $0.00
90648 1,316 1,247 $0.00
90670 2,561 2,448 $0.00
99051 3,660 3,435 $0.00
90681 67 67 $0.00
3077F 626 552 $0.00
90633 1,796 1,691 $0.00
90700 757 717 $0.00
3511F 54 54 $0.00
3046F 266 222 $0.00
91300 2,043 1,339 $0.00
3051F 148 124 $0.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 298 286 $0.00
90713 61 60 $0.00
90685 17 16 $0.00
4013F 82 76 $0.00
82274 12 12 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 45 34 $0.00
99177 21 21 $0.00
91313 12 12 $0.00
81222 12 12 $0.00
86038 12 12 $0.00
84550 12 12 $0.00
90716 758 711 $0.00
3074F 13,288 9,621 $0.00
D0603 9,613 9,307 $0.00
3044F 6,487 4,719 $0.00
90696 749 717 $0.00
1036F 10,091 6,769 $0.00
90697 1,885 1,742 $0.00
3079F 1,210 1,089 $0.00
D0601 50 50 $0.00
1126F 4,058 3,163 $0.00
4010F 571 487 $0.00
3008F 11,054 7,863 $0.00
91307 526 444 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 401 382 $0.00
91301 480 424 $0.00
1034F 167 131 $0.00
3075F 838 774 $0.00
90723 454 442 $0.00
99172 1,928 1,865 $0.00
90677 848 760 $0.00
0500F 33 28 $0.00
90680 2,066 1,931 $0.00
1000F 445 405 $0.00
1125F 574 524 $0.00
91305 131 122 $0.00
D0602 136 136 $0.00
3080F 225 205 $0.00
90698 158 158 $0.00
1111F 842 727 $0.00
S3620 Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) 130 117 $0.00
0503F 109 104 $0.00
83001 13 13 $0.00
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 17 13 $0.00
0240U 35 34 $0.00
91306 15 14 $0.00
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 50 50 $0.00
3052F 36 28 $0.00
83002 12 12 $0.00
90744 12 12 $0.00
90660 27 26 $0.00