Physician
Mid Valley Family Practice Associates, P.A.
Mid Valley Family Practice Associates, P.A. was paid $43K by Medicaid between Jan 2018 and Jan 2023, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.
33Billing provider infoMID VALLEY FAMILY PRACTICE ASSOCIATES, P.A.
WESLACO, TX 78596
WESLACO, TX 78596
33aNPI1407829633assigned 02/08/2006
33bProvider typeFamily Medicine Physician
28Total paid$43K
24GClaims12,056
24DCodes billed32
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#544 of 1,204
Median peer was paid$31K
This provider vs. median1.4×
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 | 5,248 | $17K | |
| 2019 | 5,266 | $13K | |
| 2020 | 1,505 | $11K | |
| 2021 | 14 | $442.68 | |
| 2023 | 23 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 87% | 3,363 | 2,938 | $37K |
| 99490 | Ccm add 20min | 6.8% | 442 | 442 | $3K |
| 99350 | Prolong home eval add 15m | 4.0% | 23 | 22 | $2K |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 75 | 75 | $420.65 |
| 80053 | Comprehensive metabolic panel | <1% | 963 | 960 | $217.77 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,083 | 1,065 | $186.18 |
| 80061 | Lipid panel | <1% | 772 | 768 | $111.04 |
| 82570 | <1% | 371 | 358 | $37.89 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 207 | 206 | $25.19 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 32 | 32 | $22.47 |
| 90688 | <1% | 59 | 59 | $15.96 | |
| 81003 | <1% | 352 | 339 | $12.69 |
20 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 493 | $3.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 749 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 274 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 44 | $0.00 |
| 4040F | 0% | 86 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 261 | $0.00 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 0% | 21 | $0.00 |
| G9724 | Patients who had documentation of use of anticoagulant medications overlapping the measurement year | 0% | 13 | $0.00 |
| 1101F | 0% | 288 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 185 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 966 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 26 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 168 | $0.00 |
| 1036F | 0% | 383 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 230 | $0.00 |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | 0% | 46 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 18 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 14 | $0.00 |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | 0% | 23 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 26 | $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 officialHEREDIA, ROGER (PHYSICIAN)