Physician
New Light Primary Care P. a
New Light Primary Care P. a was paid $252K by Medicaid between Jan 2018 and Jul 2023, across 28 billing codes. Its largest line is 99444, — 87% of everything it billed.
33Billing provider infoNEW LIGHT PRIMARY CARE P. A
EL PASO, TX 79925
EL PASO, TX 79925
33aNPI1508183385assigned 05/03/2010
33bProvider typeFamily Medicine Physician
28Total paid$252K
24GClaims10,237
24DCodes billed28
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#259 of 1,204
Median peer was paid$31K
This provider vs. median8.2×
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 | 1,701 | $36K | |
| 2019 | 4,845 | $195K | |
| 2020 | 3,103 | $9K | |
| 2021 | 264 | $3K | |
| 2022 | 163 | $5K | |
| 2023 | 161 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99444 | 87% | 3,822 | 1,042 | $219K | |
| 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 | 4.0% | 399 | 345 | $10K |
| 99358 | Prolong nursin fac eval 15m | 3.2% | 865 | 857 | $8K |
| 99349 | 2.5% | 342 | 340 | $6K | |
| 99350 | Prolong home eval add 15m | 1.3% | 118 | 116 | $3K |
| 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% | 73 | 61 | $2K |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | <1% | 830 | 830 | $1K |
| 99354 | <1% | 269 | 265 | $959.95 | |
| 99422 | <1% | 973 | 276 | $680.83 | |
| G0179 | Physician or allowed practitioner re-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% | 818 | 818 | $481.85 |
| 99443 | <1% | 102 | 102 | $262.36 | |
| 99497 | <1% | 30 | 29 | $242.26 |
16 more codes
| 99423 | <1% | 29 | $144.89 | |
| 99490 | Ccm add 20min | <1% | 29 | $61.80 |
| 3288F | 0% | 205 | $0.00 | |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment | 0% | 278 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 224 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 71 | $0.00 |
| 1124F | 0% | 91 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 71 | $0.00 |
| 1100F | 0% | 26 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 20 | $0.00 |
| 1123F | 0% | 13 | $0.00 | |
| 99457 | 0% | 73 | $0.00 | |
| 99484 | 0% | 163 | $0.00 | |
| 99493 | 0% | 169 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 71 | $0.00 |
| 99458 | 0% | 63 | $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 officialMANQUERO-BUTLER, MARTHA (PRESIDENT)