NP / PA
Psja Family Clinic, LLC
Psja Family Clinic, LLC was paid $1.04M by Medicaid between Apr 2018 and Dec 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoPSJA FAMILY CLINIC, LLC
PHARR, TX 78577
PHARR, TX 78577
33aNPI1447631841assigned 06/11/2015
33bProvider typeFamily Nurse Practitioner
28Total paid$1.04M
24GClaims47,010
24DCodes billed43
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Texas
Rank by total paid#13 of 344
Median peer was paid$14K
This provider vs. median75×
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 | 72 | $803.57 | |
| 2019 | 61 | $1K | |
| 2020 | 1,580 | $28K | |
| 2021 | 9,450 | $216K | |
| 2022 | 13,415 | $313K | |
| 2023 | 14,340 | $290K | |
| 2024incomplete | 8,092 | $191K |
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 | 34% | 11,514 | 8,681 | $359K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 15% | 4,049 | 3,497 | $161K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.4% | 1,233 | 1,143 | $87K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.0% | 1,080 | 981 | $73K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 6.6% | 5,385 | 2,393 | $69K |
| 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 | 5.9% | 1,788 | 1,446 | $61K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.8% | 586 | 521 | $39K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.7% | 3,836 | 2,028 | $38K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.8% | 2,329 | 2,111 | $29K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 1,243 | 1,158 | $26K |
| 99000 | 2.0% | 2,358 | 2,135 | $21K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.3% | 1,414 | 1,149 | $13K |
31 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.0% | 1,782 | $11K |
| 87428 | <1% | 249 | $9K | |
| 87807 | <1% | 571 | $6K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 124 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 99 | $5K |
| 90651 | <1% | 109 | $4K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 57 | $4K |
| 90686 | <1% | 1,113 | $4K | |
| 90461 | <1% | 1,581 | $3K | |
| 80061 | Lipid panel | <1% | 430 | $3K |
| 81003 | <1% | 1,124 | $2K | |
| 90480 | <1% | 67 | $2K | |
| 96160 | <1% | 1,021 | $1K | |
| 99384 | <1% | 19 | $1K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 464 | $664.24 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $652.92 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $638.81 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 63 | $565.24 |
| 0012A | <1% | 12 | $400.00 | |
| 90656 | <1% | 35 | $331.93 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 680 | $139.89 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 26 | $71.05 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 15 | $11.90 |
| 91322 | <1% | 12 | $0.02 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 272 | $0.00 |
| 91301 | 0% | 27 | $0.00 | |
| 36416 | 0% | 32 | $0.00 | |
| 91321 | 0% | 32 | $0.00 | |
| 90734 | 0% | 25 | $0.00 | |
| 90658 | 0% | 112 | $0.00 | |
| 90670 | 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 officialMARTINEZ, ORALIA (OWNER)