Agency
South Alamo Medical Group, P.A.
South Alamo Medical Group, P.A. was paid $1.11M by Medicaid between Jan 2018 and Jun 2022, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 17% of everything it billed.
33Billing provider infoSOUTH ALAMO MEDICAL GROUP, P.A.
SAN ANTONIO, TX 78222
SAN ANTONIO, TX 78222
33aNPI1316023773assigned 10/28/2006
33bProvider typeCase Management Agency
28Total paid$1.11M
24GClaims56,881
24DCodes billed51
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Case Management Agency providers in Texas
Rank by total paid#117 of 219
Median peer was paid$1.45M
This provider vs. median0.8×
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 | 389 | $6K | |
| 2019 | 412 | $4K | |
| 2020 | 10,690 | $172K | |
| 2021 | 31,392 | $625K | |
| 2022 | 13,998 | $304K |
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 | 17% | 6,066 | 5,701 | $193K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 16% | 2,301 | 2,252 | $181K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 15% | 2,266 | 2,215 | $166K |
| 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 | 13% | 3,011 | 2,856 | $140K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 1,888 | 1,843 | $134K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.6% | 13,441 | 5,676 | $96K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.9% | 1,254 | 1,241 | $88K |
| 92552 | 2.8% | 3,121 | 3,079 | $32K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.7% | 1,409 | 1,338 | $30K |
| 90461 | 1.8% | 2,877 | 2,340 | $20K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 562 | 535 | $7K |
| 99441 | <1% | 345 | 325 | $7K |
39 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 848 | $6K |
| 99442 | <1% | 110 | $3K | |
| 99383 | <1% | 27 | $2K | |
| 92550 | <1% | 115 | $2K | |
| 99381 | <1% | 14 | $1K | |
| 90674 | <1% | 29 | $659.90 | |
| 99173 | <1% | 5,241 | $535.00 | |
| 99080 | <1% | 123 | $398.24 | |
| 96160 | <1% | 205 | $392.22 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 59 | $354.36 |
| 90620 | <1% | 211 | $176.99 | |
| 90734 | <1% | 446 | $138.21 | |
| 90688 | <1% | 16 | $135.24 | |
| 1036F | 0% | 437 | $0.00 | |
| 90680 | 0% | 421 | $0.00 | |
| 96127 | 0% | 294 | $0.00 | |
| 90686 | 0% | 2,434 | $0.00 | |
| 90723 | 0% | 714 | $0.00 | |
| 1126F | 0% | 343 | $0.00 | |
| 90651 | 0% | 657 | $0.00 | |
| 1170F | 0% | 144 | $0.00 | |
| 3074F | 0% | 67 | $0.00 | |
| 1000F | 0% | 154 | $0.00 | |
| 90716 | 0% | 306 | $0.00 | |
| 1220F | 0% | 27 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 16 | $0.00 |
| 90696 | 0% | 12 | $0.00 | |
| 90707 | 0% | 304 | $0.00 | |
| 1159F | 0% | 515 | $0.00 | |
| 90633 | 0% | 309 | $0.00 | |
| 90715 | 0% | 34 | $0.00 | |
| 90670 | 0% | 1,193 | $0.00 | |
| 90648 | 0% | 1,191 | $0.00 | |
| 90685 | 0% | 290 | $0.00 | |
| 1160F | 0% | 507 | $0.00 | |
| 4019F | 0% | 328 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 103 | $0.00 |
| 3078F | 0% | 58 | $0.00 | |
| 90700 | 0% | 38 | $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 officialAYALA, MIGUEL (MD)