Clinic
Su Clinica Familiar
Su Clinica Familiar was paid $3.10M by Medicaid between Mar 2019 and Oct 2024, across 101 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 81% of everything it billed.
33Billing provider infoSU CLINICA FAMILIAR
HARLINGEN, TX 78550
HARLINGEN, TX 78550
33aNPI1427071968assigned 07/25/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.10M
24GClaims85,378
24DCodes billed101
24AFirst – last monthMar 2019 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#65 of 248
Median peer was paid$796K
This provider vs. median3.9×
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 | |
|---|---|---|---|
| 2019 | 76 | $3K | |
| 2020 | 2,398 | $84K | |
| 2021 | 12,019 | $496K | |
| 2022 | 4,754 | $167K | |
| 2023 | 61,121 | $2.21M | |
| 2024incomplete | 5,010 | $141K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 81% | 19,677 | 14,417 | $2.52M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 13,589 | 10,493 | $330K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 2.2% | 2,043 | 1,771 | $67K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 2,704 | 2,405 | $50K |
| 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 | 1.2% | 1,950 | 1,769 | $36K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 256 | 212 | $21K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 796 | 715 | $15K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 121 | 108 | $8K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 96 | 93 | $6K |
| 99050 | <1% | 638 | 610 | $6K | |
| 81025 | <1% | 1,148 | 970 | $4K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 125 | 120 | $4K |
89 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 58 | $3K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 78 | $3K |
| 59025 | Fetal non-stress test | <1% | 150 | $3K |
| 81002 | <1% | 2,901 | $3K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 602 | $2K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 161 | $2K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 955 | $2K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 970 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 752 | $1K |
| 87081 | <1% | 921 | $1K | |
| 81001 | <1% | 800 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,149 | $1K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 306 | $968.67 |
| 59430 | <1% | 18 | $924.70 | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 35 | $887.76 |
| 76801 | <1% | 18 | $770.80 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 128 | $741.51 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 17 | $735.90 |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 90 | $704.04 |
| 85018 | <1% | 703 | $618.99 | |
| 80053 | Comprehensive metabolic panel | <1% | 366 | $603.16 |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 13 | $603.04 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 101 | $600.48 |
| 0011A | <1% | 15 | $576.94 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 654 | $450.60 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 58 | $389.15 |
| 90715 | <1% | 49 | $361.90 | |
| 86592 | <1% | 545 | $354.19 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 53 | $332.45 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 132 | $324.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 102 | $317.12 |
| 90686 | <1% | 393 | $315.46 | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 132 | $290.55 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 649 | $241.44 |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 210 | $227.42 |
| 86762 | <1% | 42 | $181.35 | |
| 92552 | <1% | 136 | $181.31 | |
| 82950 | <1% | 245 | $171.57 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 237 | $148.07 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 212 | $131.57 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 14 | $124.14 |
| 80061 | Lipid panel | <1% | 352 | $123.75 |
| 84479 | <1% | 58 | $119.46 | |
| 93000 | <1% | 14 | $104.76 | |
| 87210 | <1% | 65 | $78.24 | |
| 87340 | <1% | 26 | $78.12 | |
| 86850 | <1% | 28 | $66.16 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 356 | $43.10 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 12 | $24.86 |
| 86901 | <1% | 27 | $23.18 | |
| 86900 | <1% | 27 | $22.59 | |
| 96160 | <1% | 146 | $17.82 | |
| 84439 | <1% | 13 | $15.16 | |
| 86803 | <1% | 12 | $11.99 | |
| 3078F | 0% | 4,283 | $0.00 | |
| 3725F | 0% | 978 | $0.00 | |
| 1160F | 0% | 844 | $0.00 | |
| 1159F | 0% | 3,498 | $0.00 | |
| 99051 | 0% | 781 | $0.00 | |
| 99173 | 0% | 286 | $0.00 | |
| 0502F | 0% | 413 | $0.00 | |
| 3077F | 0% | 67 | $0.00 | |
| 90461 | 0% | 266 | $0.00 | |
| 99497 | 0% | 50 | $0.00 | |
| S4993 | Contraceptive pills for birth control | 0% | 61 | $0.00 |
| 90670 | 0% | 53 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 12 | $0.00 |
| 90662 | 0% | 41 | $0.00 | |
| 3051F | 0% | 12 | $0.00 | |
| 3008F | 0% | 4,041 | $0.00 | |
| 1125F | 0% | 77 | $0.00 | |
| 1126F | 0% | 381 | $0.00 | |
| 3074F | 0% | 4,391 | $0.00 | |
| 3080F | 0% | 47 | $0.00 | |
| 1036F | 0% | 3,071 | $0.00 | |
| 3044F | 0% | 618 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 112 | $0.00 |
| 3075F | 0% | 138 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 200 | $0.00 |
| 96127 | 0% | 662 | $0.00 | |
| 3079F | 0% | 195 | $0.00 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 195 | $0.00 |
| 1034F | 0% | 18 | $0.00 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 12 | $0.00 |
| 91301 | 0% | 31 | $0.00 | |
| 90677 | 0% | 15 | $0.00 | |
| 90697 | 0% | 32 | $0.00 | |
| 90680 | 0% | 15 | $0.00 | |
| 90620 | 0% | 33 | $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 officialSALDIVAR, ADAM (CFO)
| Provider | Location | Paid |
|---|---|---|
| Su Clinica Familiar | Harlingen, TX | $37.58M |
| Su Clinica Familiar | Brownsville, TX | $2.28M |
| Su Clinica Familiar | Raymondville, TX | $1.56M |
| Su Clinica Familiar | Harlingen, TX | $435.72 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.