NP / PA
Sherman Primary Care
Sherman Primary Care was paid $4K by Medicaid between Mar 2023 and May 2024, across 4 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 62% of everything it billed.
33Billing provider infoSHERMAN PRIMARY CARE
SHERMAN, TX 75092
SHERMAN, TX 75092
33aNPI1346844347assigned 11/30/2020
33bProvider typeFamily Nurse Practitioner
28Total paid$4K
24GClaims738
24DCodes billed4
24AFirst – last monthMar 2023 – May 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Texas
Rank by total paid#225 of 344
Median peer was paid$14K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2023 | 572 | $2K | |
| 2024incomplete | 166 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 62% | 436 | 101 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 17% | 196 | 58 | $642.27 |
| 99239 | Hospital discharge day management, more than 30 minutes | 12% | 80 | 67 | $483.39 |
| 99223 | Prolong inpt eval add15 m | 8.8% | 26 | 24 | $342.39 |
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 officialTEGALA, BENARJI (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Benarji Tegala MD PA | Bonham, TX | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.