Clinic
Setx Healthcare Partners LLC
Setx Healthcare Partners LLC was paid $43K by Medicaid between Jul 2021 and Mar 2023, across 8 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 48% of everything it billed.
33Billing provider infoSETX HEALTHCARE PARTNERS LLC
BEAUMONT, TX 77713
BEAUMONT, TX 77713
33aNPI1508485251assigned 04/13/2020
33bProvider typeUrgent Care Clinic/Center
28Total paid$43K
24GClaims3,878
24DCodes billed8
24AFirst – last monthJul 2021 – Mar 2023
Compared with peers
Next to other Urgent Care Clinic/Center providers in Texas
Rank by total paid#93 of 151
Median peer was paid$125K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2021 | 1,725 | $16K | |
| 2022 | 2,056 | $25K | |
| 2023 | 97 | $929.56 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 48% | 532 | 457 | $20K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 364 | 272 | $14K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 13% | 835 | 641 | $5K |
| 99000 | 4.2% | 1,002 | 734 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.6% | 13 | 13 | $688.84 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 141 | 62 | $273.86 |
| 99072 | 0% | 973 | 761 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 18 | 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 officialCHAUDHRY, KASIM (PROVIDER/OWNER)