Privia Medical Group West Texas, PLLC
Privia Medical Group West Texas, PLLC was paid $1.74M by Medicaid between Jan 2018 and Dec 2024, across 104 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoPRIVIA MEDICAL GROUP WEST TEXAS, PLLC
ABILENE, TX 79606
ABILENE, TX 79606
33aNPI1346242567assigned 06/01/2005
33bProvider typeSpecialist
28Total paid$1.74M
24GClaims89,063
24DCodes billed104
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Texas
Rank by total paid#26 of 382
Median peer was paid$29K
This provider vs. median60×
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 | 2,261 | $19K | |
| 2019 | 2,100 | $16K | |
| 2020 | 5,387 | $76K | |
| 2021 | 22,804 | $533K | |
| 2022 | 25,475 | $466K | |
| 2023 | 18,817 | $380K | |
| 2024incomplete | 12,219 | $252K |
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 | 28% | 17,153 | 14,785 | $479K |
| 99091 | 12% | 1,731 | 1,687 | $206K | |
| 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 | 9.3% | 5,187 | 4,550 | $163K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 7.5% | 2,948 | 2,750 | $131K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.2% | 2,751 | 2,680 | $125K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 5.0% | 2,420 | 2,280 | $87K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.4% | 6,299 | 2,992 | $77K |
| 99223 | Prolong inpt eval add15 m | 4.0% | 821 | 790 | $69K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 2.6% | 3,232 | 2,983 | $45K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 533 | 505 | $37K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 2.1% | 245 | 239 | $37K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 492 | 473 | $34K |
92 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.8% | 2,532 | $32K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.8% | 438 | $31K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 3,474 | $31K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 1.5% | 106 | $26K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 1.5% | 111 | $25K |
| 98942 | 1.1% | 590 | $19K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 769 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 123 | $8K |
| 90461 | <1% | 1,897 | $8K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 93 | $7K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 118 | $7K |
| 11721 | <1% | 564 | $5K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 358 | $5K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 75 | $5K |
| 81002 | <1% | 1,560 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 98 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,485 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 53 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 297 | $2K |
| 80053 | Comprehensive metabolic panel | <1% | 763 | $2K |
| 99307 | <1% | 349 | $2K | |
| 95117 | <1% | 189 | $1K | |
| 80050 | General health panel | <1% | 40 | $1K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 602 | $1K |
| 87807 | <1% | 142 | $1K | |
| 80061 | Lipid panel | <1% | 401 | $1K |
| 99383 | <1% | 13 | $1K | |
| 76801 | <1% | 12 | $803.15 | |
| 11056 | <1% | 52 | $717.09 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 411 | $652.47 |
| 73630 | <1% | 67 | $609.51 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 263 | $547.67 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 307 | $443.44 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 55 | $432.90 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 104 | $422.62 |
| 99442 | <1% | 13 | $391.31 | |
| 83721 | <1% | 387 | $361.18 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 357 | $270.35 |
| 85018 | <1% | 123 | $199.00 | |
| 90686 | <1% | 300 | $195.51 | |
| 85014 | <1% | 115 | $183.08 | |
| 92567 | <1% | 13 | $163.85 | |
| 81001 | <1% | 355 | $154.84 | |
| 99000 | <1% | 13 | $109.34 | |
| 87186 | <1% | 162 | $101.78 | |
| 87088 | <1% | 136 | $95.20 | |
| 99490 | Ccm add 20min | <1% | 85 | $78.72 |
| 82607 | <1% | 48 | $76.02 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 39 | $62.83 |
| 80076 | <1% | 46 | $41.16 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 13 | $40.08 |
| 82947 | <1% | 13 | $33.03 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 39 | $22.50 |
| 83735 | <1% | 15 | $16.89 | |
| 84134 | <1% | 12 | $12.26 | |
| 84436 | <1% | 15 | $11.54 | |
| 3078F | <1% | 1,997 | $0.02 | |
| 3008F | <1% | 5,523 | $0.02 | |
| 3074F | <1% | 2,566 | $0.02 | |
| 1160F | 0% | 2,764 | $0.00 | |
| 1159F | 0% | 2,762 | $0.00 | |
| 90633 | 0% | 47 | $0.00 | |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | 0% | 1,980 | $0.00 |
| 90670 | 0% | 414 | $0.00 | |
| 90681 | 0% | 61 | $0.00 | |
| 99497 | 0% | 26 | $0.00 | |
| 90715 | 0% | 13 | $0.00 | |
| 90710 | 0% | 41 | $0.00 | |
| 3077F | 0% | 36 | $0.00 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 14 | $0.00 |
| 90700 | 0% | 13 | $0.00 | |
| 90648 | 0% | 30 | $0.00 | |
| 3725F | 0% | 12 | $0.00 | |
| 90713 | 0% | 14 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,504 | $0.00 |
| 1036F | 0% | 2,089 | $0.00 | |
| 90698 | 0% | 78 | $0.00 | |
| G0471 | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) | 0% | 1,868 | $0.00 |
| 3079F | 0% | 251 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 14 | $0.00 |
| 90651 | 0% | 28 | $0.00 | |
| 1126F | 0% | 67 | $0.00 | |
| 1034F | 0% | 71 | $0.00 | |
| 3075F | 0% | 22 | $0.00 | |
| 3080F | 0% | 27 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 26 | $0.00 |
| 90723 | 0% | 13 | $0.00 | |
| 99305 | 0% | 12 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 15 | $0.00 |
| 90744 | 0% | 14 | $0.00 | |
| 90696 | 0% | 17 | $0.00 | |
| 90716 | 0% | 12 | $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 officialKOUBA, ANDREW (CEO/AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Privia Medical Group West Texas, PLLC | Abilene, TX | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.