Managed care
Marshall Family Practice Associates PLLC
Marshall Family Practice Associates PLLC was paid $8K by Medicaid between Jan 2018 and Jul 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.
33Billing provider infoMARSHALL FAMILY PRACTICE ASSOCIATES PLLC
MARSHALL, TX 75670
MARSHALL, TX 75670
33aNPI1528070414assigned 08/12/2006
33bProvider typePreferred Provider Organization
28Total paid$8K
24GClaims1,328
24DCodes billed8
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Preferred Provider Organization providers in Texas
Rank by total paid#27 of 32
Median peer was paid$168K
This provider vs. median0.0×
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 | 578 | $3K | |
| 2019 | 220 | $2K | |
| 2020 | 49 | $1K | |
| 2021 | 25 | $478.52 | |
| 2022 | 215 | $730.62 | |
| 2023 | 177 | $501.67 | |
| 2024incomplete | 64 | $0.00 |
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 | 76% | 216 | 210 | $6K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 17% | 136 | 129 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.1% | 37 | 37 | $478.52 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 15 | 15 | $49.19 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 315 | 295 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 255 | 241 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 342 | 317 | $0.00 |
| 99307 | 0% | 12 | 12 | $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 officialSMITH, TOLESIA (OFFICE MANAGER)