Managed care
Maverick County Medical Family Center
Maverick County Medical Family Center was paid $230K by Medicaid between Jan 2018 and Oct 2022, across 32 billing codes. Its largest line is 99444, — 61% of everything it billed.
33Billing provider infoMAVERICK COUNTY MEDICAL FAMILY CENTER
EAGLE PASS, TX 78852
EAGLE PASS, TX 78852
33aNPI1467583286assigned 03/07/2007
33bProvider typePreferred Provider Organization
28Total paid$230K
24GClaims17,603
24DCodes billed32
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other Preferred Provider Organization providers in Texas
Rank by total paid#15 of 32
Median peer was paid$168K
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 | 5,865 | $64K | |
| 2019 | 6,086 | $121K | |
| 2020 | 3,304 | $20K | |
| 2021 | 1,832 | $23K | |
| 2022 | 516 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99444 | 61% | 2,511 | 652 | $141K | |
| 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 | 24% | 2,691 | 2,435 | $55K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10.0% | 2,344 | 1,989 | $23K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 379 | 348 | $2K |
| 93000 | <1% | 547 | 542 | $2K | |
| 99000 | <1% | 2,237 | 2,010 | $1K | |
| 95923 | <1% | 79 | 79 | $1K | |
| 99454 | <1% | 329 | 329 | $1K | |
| 96116 | <1% | 118 | 118 | $1K | |
| 99457 | <1% | 265 | 265 | $879.50 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 914 | 905 | $527.02 |
| 93922 | <1% | 78 | 78 | $367.07 |
20 more codes
| 95921 | <1% | 79 | $207.14 | |
| 82947 | <1% | 944 | $182.63 | |
| 92552 | <1% | 31 | $96.85 | |
| 96127 | <1% | 137 | $88.09 | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 53 | $59.08 |
| 82044 | <1% | 185 | $51.13 | |
| 82570 | <1% | 184 | $39.74 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 174 | $35.10 |
| 96146 | <1% | 81 | $25.08 | |
| 90674 | <1% | 55 | $21.52 | |
| 81002 | <1% | 411 | $14.60 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 2,210 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 116 | $0.00 |
| 3044F | 0% | 12 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 123 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 51 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 146 | $0.00 |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 0% | 60 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 14 | $0.00 |
| 96103 | 0% | 45 | $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 officialSOSA, ELIZABETH (CREDENTIALING AND ENROLLMENT MANAGE)