Southwest Pain Clinic PA
Southwest Pain Clinic PA was paid $474K by Medicaid between Jan 2018 and Feb 2023, across 37 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoSOUTHWEST PAIN CLINIC PA
SAN ANTONIO, TX 78224
SAN ANTONIO, TX 78224
33aNPI1396180618assigned 04/30/2013
33bProvider typeLegal Medicine
28Total paid$474K
24GClaims32,858
24DCodes billed37
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Legal Medicine providers in Texas
Rank by total paid#3 of 13
Median peer was paid$42K
This provider vs. median11×
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 | 377 | $2K | |
| 2019 | 3,378 | $8K | |
| 2020 | 8,724 | $114K | |
| 2021 | 12,020 | $208K | |
| 2022 | 8,073 | $133K | |
| 2023 | 286 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 8,059 | 7,527 | $190K |
| 95924 | 12% | 1,155 | 1,134 | $57K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 3,370 | 3,275 | $55K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 7.2% | 807 | 289 | $34K |
| 95816 | 6.8% | 228 | 223 | $32K | |
| 64483 | 5.1% | 349 | 333 | $24K | |
| 80305 | 4.4% | 5,001 | 4,748 | $21K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.8% | 368 | 315 | $13K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.8% | 464 | 182 | $8K |
| 95923 | 1.6% | 174 | 168 | $7K | |
| 93040 | 1.4% | 1,495 | 1,466 | $6K | |
| 95930 | 1.3% | 230 | 224 | $6K |
25 more codes
| 99152 | <1% | 681 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 568 | $4K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 47 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 369 | $2K |
| 97162 | <1% | 19 | $1K | |
| 20610 | <1% | 63 | $1K | |
| 81025 | <1% | 465 | $1K | |
| 93923 | <1% | 1,151 | $1K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 133 | $356.09 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $355.76 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 415 | $250.47 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 637 | $185.91 |
| 96138 | <1% | 226 | $153.50 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 607 | $103.32 |
| 92650 | <1% | 205 | $44.38 | |
| 0011A | <1% | 19 | $33.88 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 753 | $6.85 |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | 0% | 131 | $0.00 |
| 82962 | 0% | 3,887 | $0.00 | |
| 0012A | 0% | 16 | $0.00 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 0% | 36 | $0.00 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 0% | 444 | $0.00 |
| 95957 | 0% | 228 | $0.00 | |
| 92585 | 0% | 12 | $0.00 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 34 | $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 officialHERNANDEZ, ARTHUR (OWNER)