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

Synergy Healthcare Associates, PLLC

Synergy Healthcare Associates, PLLC was paid $5.92M by Medicaid between Oct 2018 and Dec 2024, across 88 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.

33Billing provider infoSYNERGY HEALTHCARE ASSOCIATES, PLLC
SAN ANTONIO, TX 78232
33aNPI1356584544assigned 04/17/2009
28Total paid$5.92M
24GClaims257,442
24DCodes billed88
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Texas

Rank by total paid#15 of 432
Median peer was paid$103K
This provider vs. median57×

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$100K$200K2018201920202021202220232024
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
201832$250.88
2019114$765.91
20209,949$186K
202161,909$1.38M
202269,317$1.60M
202371,311$1.65M
2024incomplete44,810$1.10M
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 29% 37,706 31,571 $1.70M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 32,139 27,255 $1.07M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12% 9,693 9,392 $733K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11% 8,995 8,384 $645K
90460 Immunization administration through 18 years of age via any route, first or only component 8.5% 49,517 19,282 $503K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2.8% 3,458 3,343 $163K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2.2% 1,779 1,713 $133K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.2% 1,634 1,587 $130K
76830 Ultrasound, transvaginal 1.9% 1,283 1,232 $112K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.7% 12,638 9,220 $98K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.4% 1,054 990 $81K
81002 1.3% 28,422 20,974 $77K
76 more codes
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 810 $51K
90461 <1% 12,482 $47K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 474 $46K
S8301 Infection control supplies, not otherwise specified <1% 3,117 $41K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,334 $37K
87634 <1% 605 $34K
99429 <1% 889 $28K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 331 $22K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 38 $21K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 252 $21K
83655 <1% 1,892 $18K
76819 Fetal biophysical profile; without non-stress testing <1% 284 $17K
81025 <1% 2,044 $13K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 194 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 677 $7K
0071A <1% 136 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 99 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 306 $4K
99215 Doctor's office visit, returning patient (complex) <1% 78 $4K
99381 <1% 74 $4K
CP002 <1% 434 $4K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 480 $4K
90756 <1% 164 $4K
99235 <1% 25 $3K
90715 <1% 118 $3K
99385 <1% 39 $3K
92551 <1% 1,707 $2K
59430 <1% 27 $2K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 31 $2K
0072A <1% 28 $1K
99203 Doctor's office visit, new patient (routine) <1% 12 $745.02
88720 <1% 291 $743.26
96160 <1% 3,016 $669.76
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 57 $574.50
90658 <1% 39 $548.08
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 54 $545.73
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 12 $501.16
87807 <1% 36 $374.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 29 $351.74
96380 <1% 12 $229.08
85014 <1% 111 $182.09
80061 Lipid panel <1% 13 $146.25
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 14 $106.12
99173 <1% 3,381 $89.66
99000 <1% 13 $65.00
92552 <1% 14 $55.00
85018 <1% 103 $42.45
82947 <1% 13 $39.60
90686 <1% 5,825 $18.88
96161 <1% 172 $18.00
36416 <1% 3,284 $6.05
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 14 $1.23
90680 <1% 1,983 $0.13
90670 <1% 4,828 $0.10
90671 <1% 1,973 $0.08
90656 <1% 582 $0.06
90648 <1% 4,501 $0.06
90723 <1% 3,115 $0.03
90697 <1% 1,153 $0.02
90633 <1% 1,429 $0.02
90716 <1% 620 $0.01
90707 <1% 753 $0.01
96127 0% 88 $0.00
90647 0% 98 $0.00
90696 0% 30 $0.00
99459 0% 196 $0.00
90651 0% 29 $0.00
90619 0% 12 $0.00
90681 0% 692 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 0% 1,067 $0.00
99188 0% 43 $0.00
G9920 Screening performed and negative 0% 95 $0.00
0502F 0% 14 $0.00
90700 0% 86 $0.00
99177 0% 29 $0.00
90672 0% 24 $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 officialWOELFEL, NATHAN (COO)