Physician
Tyler Family Medical Plaza MD PA
Tyler Family Medical Plaza MD PA was paid $110K by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoTYLER FAMILY MEDICAL PLAZA MD PA
HARLINGEN, TX 78550
HARLINGEN, TX 78550
33aNPI1306966403assigned 03/30/2007
33bProvider typeFamily Medicine Physician
28Total paid$110K
24GClaims11,953
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#399 of 1,204
Median peer was paid$31K
This provider vs. median3.6×
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 | 3,931 | $10K | |
| 2019 | 1,633 | $8K | |
| 2020 | 1,227 | $11K | |
| 2021 | 1,697 | $22K | |
| 2022 | 1,381 | $23K | |
| 2023 | 1,119 | $20K | |
| 2024incomplete | 965 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 52% | 1,890 | 1,752 | $57K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 2,368 | 1,791 | $43K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 5.6% | 3,088 | 2,450 | $6K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 51 | 24 | $1K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 107 | 56 | $938.40 |
| 85651 | <1% | 874 | 841 | $596.90 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 50 | 37 | $323.11 |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 104 | 69 | $311.99 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 28 | 12 | $278.00 |
| 90694 | <1% | 60 | 58 | $197.75 | |
| 0012A | <1% | 20 | 18 | $130.00 | |
| 83037 | <1% | 169 | 167 | $128.95 |
22 more codes
| 0011A | <1% | 20 | $84.70 | |
| 82044 | <1% | 128 | $68.15 | |
| 80053 | Comprehensive metabolic panel | <1% | 296 | $58.18 |
| 82570 | <1% | 127 | $58.18 | |
| 80061 | Lipid panel | <1% | 98 | $20.92 |
| 1036F | 0% | 269 | $0.00 | |
| 1101F | 0% | 212 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 351 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 149 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 137 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 188 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 54 | $0.00 |
| 90674 | 0% | 36 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 76 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 308 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 475 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 22 | $0.00 |
| 90653 | 0% | 40 | $0.00 | |
| 1090F | 0% | 74 | $0.00 | |
| 4040F | 0% | 45 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 22 | $0.00 |
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | 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 officialMOVVA, PRASAD (DR.)