Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Nextgen RPM

Nextgen RPM was paid $29K by Medicaid between Jul 2021 and Nov 2024, across 14 billing codes. Its largest line is 99489, Ccm add 20min — 37% of everything it billed.

33Billing provider infoNEXTGEN RPM
PLAINVIEW, TX 79072
33aNPI1336674316assigned 04/27/2017
28Total paid$29K
24GClaims10,435
24DCodes billed14
24AFirst – last monthJul 2021 – Nov 2024
Compared with peers

Next to other Family Nurse Practitioner providers in Texas

Rank by total paid#139 of 344
Median peer was paid$14K
This provider vs. median2.1×

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$2.0K$4.0K2018201920202021202220232024
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
20212,489$3K
20222,620$9K
20233,057$11K
2024incomplete2,269$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99489 Ccm add 20min 37% 1,463 1,429 $11K
99487 Ccm add 20min 30% 1,480 1,446 $9K
99454 9.7% 1,504 1,387 $3K
98977 7.0% 1,704 1,643 $2K
98976 5.5% 1,707 1,647 $2K
98968 5.4% 688 323 $2K
99457 2.0% 447 362 $575.02
99458 1.5% 454 359 $421.11
99426 <1% 172 149 $261.46
99427 <1% 118 100 $177.56
99424 <1% 89 84 $166.82
99425 <1% 74 71 $118.88
2 more codes
G2064 Comprehensive care management services for a single high-risk disease, e.g., principal care management, at least 30 minutes of physician or other qualified health care professional time per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been the cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities <1% 394 $85.54
98972 0% 141 $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 officialBILBREY, TIMOTHY (CEO)