Physician
Wise County Medical & Surgical Association
Wise County Medical & Surgical Association was paid $175K by Medicaid between Apr 2018 and May 2022, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
33Billing provider infoWISE COUNTY MEDICAL & SURGICAL ASSOCIATION
DECATUR, TX 76234
DECATUR, TX 76234
33aNPI1467652370assigned 07/19/2007
33bProvider typeFamily Medicine Physician
28Total paid$175K
24GClaims5,384
24DCodes billed23
24AFirst – last monthApr 2018 – May 2022
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#320 of 1,204
Median peer was paid$31K
This provider vs. median5.7×
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 | 54 | $155.40 | |
| 2019 | 74 | $971.97 | |
| 2020 | 593 | $16K | |
| 2021 | 3,609 | $120K | |
| 2022 | 1,054 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 54% | 1,979 | 1,752 | $95K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.8% | 231 | 229 | $17K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.7% | 442 | 431 | $15K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.8% | 147 | 144 | $10K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.5% | 1,270 | 472 | $10K |
| 87428 | 3.6% | 89 | 85 | $6K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.1% | 158 | 142 | $5K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.0% | 134 | 128 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 57 | 57 | $5K |
| 90461 | 1.4% | 388 | 320 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 24 | 22 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 43 | 42 | $583.38 |
11 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 90 | $512.82 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 38 | $472.60 |
| 87807 | <1% | 13 | $132.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 15 | $79.75 |
| 90686 | <1% | 18 | $19.00 | |
| 90680 | 0% | 14 | $0.00 | |
| 90698 | 0% | 28 | $0.00 | |
| 1170F | 0% | 45 | $0.00 | |
| 90744 | 0% | 12 | $0.00 | |
| 1125F | 0% | 13 | $0.00 | |
| 90670 | 0% | 136 | $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 officialBARNES, ROBIN (NETWORK RELATIONS)