Physician
Nigalye Medical Clinic, PLLC
Nigalye Medical Clinic, PLLC was paid $40K by Medicaid between Jan 2020 and Nov 2024, across 12 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 49% of everything it billed.
33Billing provider infoNIGALYE MEDICAL CLINIC, PLLC
BROWNWOOD, TX 76801
BROWNWOOD, TX 76801
33aNPI1376014712assigned 12/11/2018
33bProvider typeInternal Medicine Physician
28Total paid$40K
24GClaims7,421
24DCodes billed12
24AFirst – last monthJan 2020 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#334 of 1,028
Median peer was paid$10K
This provider vs. median3.8×
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 | |
|---|---|---|---|
| 2020 | 1,306 | $7K | |
| 2021 | 1,140 | $15K | |
| 2022 | 1,075 | $13K | |
| 2023 | 1,417 | $3K | |
| 2024incomplete | 2,483 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 49% | 2,206 | 2,058 | $19K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 24% | 1,452 | 1,371 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 311 | 269 | $5K |
| 99318 | 11% | 252 | 240 | $4K | |
| 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 | 2.8% | 123 | 103 | $1K |
| 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) | <1% | 798 | 688 | $254.57 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 36 | 26 | $143.50 |
| 36415 | Collection of venous blood by venipuncture | 0% | 35 | 30 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 511 | 442 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,628 | 1,373 | $0.00 |
| 99310 | Prolong nursin fac eval 15m | 0% | 56 | 56 | $0.00 |
| 99306 | Prolong nursin fac eval 15m | 0% | 13 | 13 | $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 officialNIGALYE, NARENDRA (OWNER)