Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MID VALLEY FAMILY PRACTICE ASSOCIATES, P.A.

NPI: 1407829633 · WESLACO, TX 78596 · Family Medicine Physician · NPI assigned 02/08/2006

$43K
Total Medicaid Paid
12,056
Total Claims
11,353
Beneficiaries
32
Codes Billed
2018-01
First Month
2023-01
Last Month

Provider Details

Authorized OfficialHEREDIA, ROGER (PHYSICIAN)
NPI Enumeration Date02/08/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,248 $17K
2019 5,266 $13K
2020 1,505 $11K
2021 14 $442.68
2023 23 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,363 2,938 $37K
99490 Ccm add 20min 442 442 $3K
99350 Prolong home eval add 15m 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) 75 75 $420.65
80053 Comprehensive metabolic panel 963 960 $217.77
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,083 1,065 $186.18
80061 Lipid panel 772 768 $111.04
82570 371 358 $37.89
83036 Hemoglobin; glycosylated (A1C) 207 206 $25.19
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 32 32 $22.47
90688 59 59 $15.96
81003 352 339 $12.69
36415 Collection of venous blood by venipuncture 493 480 $3.00
G8752 Most recent systolic blood pressure < 140 mmhg 749 710 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 274 256 $0.00
G8598 Aspirin or another antiplatelet therapy used 44 44 $0.00
4040F 86 86 $0.00
G8482 Influenza immunization administered or previously received 261 258 $0.00
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 21 20 $0.00
G9724 Patients who had documentation of use of anticoagulant medications overlapping the measurement year 13 13 $0.00
1101F 288 284 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 185 183 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 966 895 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 26 26 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 168 165 $0.00
1036F 383 380 $0.00
G0008 Administration of influenza virus vaccine 230 164 $0.00
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) 46 46 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 18 16 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 14 14 $0.00
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) 23 23 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 26 26 $0.00