Clinic
Access Esperanza Clinics INC.
Access Esperanza Clinics INC. was paid $720K by Medicaid between Feb 2020 and Dec 2024, across 29 billing codes. Its largest line is S4993, Contraceptive pills for birth control — 17% of everything it billed.
33Billing provider infoACCESS ESPERANZA CLINICS INC.
MISSION, TX 78572
MISSION, TX 78572
33aNPI1396762753assigned 07/15/2006
33bProvider typeNon-Surgical Family Planning Clinic/Center
28Total paid$720K
24GClaims24,935
24DCodes billed29
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Non-Surgical Family Planning Clinic/Center providers in Texas
Rank by total paid#4 of 20
Median peer was paid$5K
This provider vs. median134×
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 | 5,767 | $171K | |
| 2021 | 6,608 | $209K | |
| 2022 | 5,043 | $167K | |
| 2023 | 4,657 | $109K | |
| 2024incomplete | 2,860 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S4993 | Contraceptive pills for birth control | 17% | 772 | 756 | $121K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 13% | 1,417 | 1,402 | $91K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 11% | 3,073 | 2,463 | $81K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 11% | 3,079 | 2,464 | $81K |
| 99385 | 10% | 1,049 | 1,031 | $75K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 7.8% | 3,454 | 3,366 | $56K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 6.6% | 685 | 676 | $47K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.7% | 1,516 | 1,418 | $41K |
| A4269 | Contraceptive supply, spermicide (e.g., foam, gel), each | 4.2% | 148 | 144 | $31K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 3.2% | 38 | 37 | $23K |
| 81025 | 3.2% | 3,431 | 3,273 | $23K | |
| A9150 | Non-prescription drugs | 1.7% | 1,033 | 817 | $12K |
17 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.3% | 778 | $10K |
| A4267 | Contraceptive supply, condom, male, each | 1.0% | 696 | $7K |
| 87210 | <1% | 1,208 | $6K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 339 | $3K |
| 80061 | Lipid panel | <1% | 430 | $2K |
| 81002 | <1% | 704 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 89 | $2K |
| 82947 | <1% | 432 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 118 | $1K |
| 11981 | <1% | 12 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 27 | $1K |
| 85018 | <1% | 154 | $295.18 | |
| 88142 | <1% | 14 | $153.18 | |
| 86592 | <1% | 63 | $95.13 | |
| 85014 | <1% | 12 | $7.16 | |
| S5000 | Prescription drug, generic | 0% | 149 | $0.00 |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | 0% | 15 | $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 officialGONZALES, PATRICIO (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Access Esperanza Clinics INC. | Mcallen, TX | $1.35M |
| Access Esperanza Clinics INC. | Weslaco, TX | $775K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.