Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Rio Grande City › NPI 1447274048
Physician

Family Medical and Specialty Clinic LLP

Family Medical and Specialty Clinic LLP was paid $1.97M by Medicaid between Feb 2019 and Dec 2024, across 18 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 91% of everything it billed.

33Billing provider infoFAMILY MEDICAL AND SPECIALTY CLINIC LLP
RIO GRANDE CITY, TX 78582
33aNPI1447274048assigned 07/27/2006
28Total paid$1.97M
24GClaims33,350
24DCodes billed18
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#55 of 1,204
Median peer was paid$31K
This provider vs. median64×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
2019659$13K
20202,032$111K
202110,510$550K
20229,974$620K
20236,545$422K
2024incomplete3,630$258K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 91% 20,824 15,123 $1.80M
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 2.9% 3,086 2,090 $58K
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 2.6% 3,297 3,292 $51K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.9% 2,842 2,244 $37K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 186 174 $15K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 69 63 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 71 53 $5K
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% 364 312 $4K
99381 <1% 157 121 $704.40
90460 Immunization administration through 18 years of age via any route, first or only component <1% 851 808 $47.04
90461 0% 739 326 $0.00
99173 0% 68 53 $0.00
6 more codes
96161 0% 350 $0.00
90686 0% 272 $0.00
92587 0% 43 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 0% 100 $0.00
90656 0% 15 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 16 $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, EVA (OFFICE MANAGER)
Same official

Other billing entities under HERNANDEZ, EVA

Full network →
ProviderLocationPaid
Affiliated Hospitalists, PLCPhoenix, AZ$20.90M
Brownsville Associates in Neonatology, LLPBrownsville, TX$4.23M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.