Clinic
William Nisimblat Mdpa
William Nisimblat Mdpa was paid $7.38M by Medicaid between Jan 2019 and Dec 2024, across 49 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.
33Billing provider infoWILLIAM NISIMBLAT MDPA
ALICE, TX 78332
ALICE, TX 78332
33aNPI1477646271assigned 10/02/2006
33bProvider typeRural Health Clinic/Center
28Total paid$7.38M
24GClaims176,611
24DCodes billed49
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Texas
Rank by total paid#7 of 225
Median peer was paid$428K
This provider vs. median17×
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 | 3,098 | $259K | |
| 2020 | 9,835 | $377K | |
| 2021 | 39,877 | $1.65M | |
| 2022 | 42,613 | $1.78M | |
| 2023 | 42,899 | $1.70M | |
| 2024incomplete | 38,289 | $1.61M |
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 | 78% | 59,934 | 47,853 | $5.76M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.1% | 4,426 | 4,371 | $447K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.8% | 4,290 | 4,219 | $429K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.0% | 3,686 | 3,592 | $371K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.4% | 3,258 | 3,217 | $325K |
| 99381 | <1% | 119 | 113 | $12K | |
| 0071A | <1% | 294 | 290 | $10K | |
| 0072A | <1% | 186 | 185 | $6K | |
| 0001A | <1% | 345 | 341 | $6K | |
| 0002A | <1% | 292 | 283 | $6K | |
| 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% | 45 | 45 | $2K |
| 99429 | <1% | 13,993 | 13,760 | $2K |
37 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 23,002 | $885.19 |
| 0004A | <1% | 29 | $800.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,805 | $169.37 |
| 92587 | <1% | 3,286 | $140.08 | |
| 91307 | <1% | 38 | $116.34 | |
| 90461 | <1% | 6,718 | $101.77 | |
| 83655 | <1% | 1,195 | $30.52 | |
| 92551 | <1% | 1,944 | $29.49 | |
| 97803 | <1% | 9,434 | $23.86 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 217 | $15.86 |
| 96160 | <1% | 4,183 | $12.65 | |
| 90670 | 0% | 1,730 | $0.00 | |
| 99051 | 0% | 1,715 | $0.00 | |
| 90710 | 0% | 1,159 | $0.00 | |
| 99173 | 0% | 5,473 | $0.00 | |
| 90715 | 0% | 292 | $0.00 | |
| 90633 | 0% | 1,448 | $0.00 | |
| 90734 | 0% | 324 | $0.00 | |
| 90621 | 0% | 115 | $0.00 | |
| 90671 | 0% | 1,636 | $0.00 | |
| 91300 | 0% | 580 | $0.00 | |
| 90380 | 0% | 30 | $0.00 | |
| 90697 | 0% | 1,770 | $0.00 | |
| 90698 | 0% | 1,102 | $0.00 | |
| 90680 | 0% | 2,076 | $0.00 | |
| 90686 | 0% | 3,533 | $0.00 | |
| 90651 | 0% | 1,170 | $0.00 | |
| 90744 | 0% | 287 | $0.00 | |
| 96127 | 0% | 3,590 | $0.00 | |
| 90619 | 0% | 679 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 546 | $0.00 |
| 90620 | 0% | 184 | $0.00 | |
| 90696 | 0% | 233 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 115 | $0.00 |
| 90381 | 0% | 77 | $0.00 | |
| 90716 | 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 officialNISIMBLAT, WILLIAM (OWNER)