Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Laredo Minor Emergency Clinic, PA

Laredo Minor Emergency Clinic, PA was paid $543K by Medicaid between Jan 2018 and Nov 2023, across 87 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.

33Billing provider infoLAREDO MINOR EMERGENCY CLINIC, PA
LAREDO, TX 78040
33aNPI1316239155assigned 05/12/2011
28Total paid$543K
24GClaims63,475
24DCodes billed87
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#171 of 1,204
Median peer was paid$31K
This provider vs. median18×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
201813,324$91K
20199,337$37K
20208,866$67K
202117,289$204K
202212,024$121K
20232,635$24K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 31% 5,937 5,660 $171K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27% 6,124 5,382 $147K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 10% 757 717 $57K
99444 8.8% 840 245 $48K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8.6% 657 628 $47K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2.3% 722 654 $13K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.9% 154 146 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.4% 979 914 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.4% 432 395 $8K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.2% 124 118 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.1% 915 862 $6K
99442 <1% 113 105 $5K
75 more codes
99423 <1% 68 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 329 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 2,078 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 220 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 72 $2K
99443 <1% 153 $2K
82947 <1% 359 $761.83
99497 <1% 90 $747.44
90674 <1% 206 $686.91
93923 <1% 44 $333.49
99421 <1% 16 $286.08
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) <1% 91 $230.42
G0246 Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education <1% 269 $229.43
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 64 $194.23
99441 <1% 41 $173.08
90686 <1% 333 $164.49
99490 Ccm add 20min <1% 218 $141.80
95921 <1% 48 $75.62
82962 <1% 3,371 $48.34
87807 <1% 16 $44.00
99072 <1% 341 $5.00
90658 <1% 204 $0.35
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 2,419 $0.00
G8477 Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg 0% 2,837 $0.00
3725F 0% 1,623 $0.00
G8539 Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment 0% 1,039 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 3,170 $0.00
3288F 0% 1,336 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 445 $0.00
S9470 Nutritional counseling, dietitian visit 0% 1,968 $0.00
1100F 0% 926 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 288 $0.00
3078F 0% 1,391 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 206 $0.00
0521F 0% 149 $0.00
3045F 0% 333 $0.00
3046F 0% 113 $0.00
90685 0% 19 $0.00
90715 0% 12 $0.00
1090F 0% 488 $0.00
95923 0% 47 $0.00
G9781 Documentation of medical reason(s) for not currently being a statin therapy user or receiving an order (prescription) for statin therapy (e.g., patients with statin-associated muscle symptoms or an allergy to statin medication therapy, patients who are receiving palliative or hospice care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease [esrd], or other medical reasons) 0% 13 $0.00
G8482 Influenza immunization administered or previously received 0% 12 $0.00
90707 0% 14 $0.00
90670 0% 14 $0.00
90710 0% 14 $0.00
1126F 0% 580 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 0% 61 $0.00
3074F 0% 1,319 $0.00
3044F 0% 937 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 2,521 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 0% 767 $0.00
3008F 0% 1,598 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 0% 600 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 1,372 $0.00
1036F 0% 346 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 2,908 $0.00
1125F 0% 673 $0.00
1170F 0% 1,534 $0.00
1101F 0% 53 $0.00
3075F 0% 73 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 316 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 1,095 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 0% 182 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 210 $0.00
G8542 Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required 0% 17 $0.00
G0008 Administration of influenza virus vaccine 0% 691 $0.00
90651 0% 88 $0.00
90733 0% 101 $0.00
3079F 0% 15 $0.00
99308 Subsequent nursing facility care, per day, straightforward 0% 12 $0.00
90698 0% 13 $0.00
90716 0% 14 $0.00
90696 0% 12 $0.00
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) 0% 106 $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 officialCARDENAS, MELCHOR (MEDICAL DOCTOR)
Parent organizationLAREDO MINOR EMERGENCY CLINIC PA