Clinic
Villarreal Medical Center, PA
Villarreal Medical Center, PA was paid $112K by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.
33Billing provider infoVILLARREAL MEDICAL CENTER, PA
SAN JUAN, TX 78589
SAN JUAN, TX 78589
33aNPI1306380605assigned 12/06/2016
33bProvider typePrimary Care Clinic/Center
28Total paid$112K
24GClaims8,148
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Texas
Rank by total paid#58 of 180
Median peer was paid$25K
This provider vs. median4.5×
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 | |
|---|---|---|---|
| 2018 | 1,149 | $7K | |
| 2019 | 325 | $5K | |
| 2020 | 365 | $5K | |
| 2021 | 1,989 | $29K | |
| 2022 | 2,016 | $31K | |
| 2023 | 1,463 | $20K | |
| 2024incomplete | 841 | $14K |
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 | 77% | 3,932 | 3,404 | $86K |
| 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 | 11% | 501 | 471 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 75 | 68 | $4K |
| 99441 | 2.5% | 147 | 123 | $3K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.0% | 836 | 789 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 118 | 57 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 139 | 126 | $583.05 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 129 | 125 | $439.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | 12 | $427.36 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 48 | 44 | $376.45 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | 17 | $368.25 |
| 82570 | <1% | 285 | 264 | $364.79 |
20 more codes
| 90686 | <1% | 91 | $180.71 | |
| 81003 | <1% | 283 | $156.63 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,011 | $39.00 |
| 82044 | <1% | 14 | $25.63 | |
| 99000 | <1% | 122 | $0.95 | |
| 3008F | 0% | 12 | $0.00 | |
| 1126F | 0% | 59 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | $0.00 |
| 1220F | 0% | 14 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 41 | $0.00 |
| 1170F | 0% | 12 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 28 | $0.00 |
| 1000F | 0% | 14 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 43 | $0.00 |
| 1159F | 0% | 29 | $0.00 | |
| 1160F | 0% | 28 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 16 | $0.00 |
| 3288F | 0% | 16 | $0.00 | |
| 99173 | 0% | 47 | $0.00 | |
| 1090F | 0% | 16 | $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 officialVILLARREAL, VICTOR (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Victorious Care Ambulance Service LLC | Laredo, TX | $1.61M |
| Villarreal Medical Clinic PA | Mcallen, TX | $46K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.