Physician
Canova Internal Medicine Clinic,pa.
Canova Internal Medicine Clinic,pa. was paid $256K by Medicaid between Jan 2018 and Jan 2022, across 43 billing codes. Its largest line is 99444, — 74% of everything it billed.
33Billing provider infoCANOVA INTERNAL MEDICINE CLINIC,PA.
LAREDO, TX 78041
LAREDO, TX 78041
33aNPI1558643478assigned 09/16/2011
33bProvider typeInternal Medicine Physician
28Total paid$256K
24GClaims16,537
24DCodes billed43
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#108 of 1,028
Median peer was paid$10K
This provider vs. median25×
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 | 5,024 | $76K | |
| 2019 | 4,438 | $135K | |
| 2020 | 3,836 | $17K | |
| 2021 | 3,176 | $25K | |
| 2022 | 63 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99444 | 74% | 3,333 | 846 | $188K | |
| 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 | 7.0% | 1,360 | 1,265 | $18K |
| 99423 | 6.8% | 580 | 152 | $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 | 5.5% | 1,092 | 980 | $14K |
| 99497 | 2.7% | 287 | 280 | $7K | |
| 95923 | 1.7% | 256 | 236 | $4K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.1% | 2,265 | 393 | $3K |
| 99490 | Ccm add 20min | <1% | 504 | 504 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 54 | 41 | $979.08 |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 166 | 61 | $573.20 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 109 | 96 | $288.16 |
| 99421 | <1% | 45 | 12 | $120.13 |
31 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $57.76 |
| G0245 | Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education | <1% | 19 | $56.70 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 46 | $35.37 |
| 0011A | <1% | 14 | $16.94 | |
| 93000 | <1% | 38 | $16.49 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 244 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 237 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 500 | $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% | 12 | $0.00 |
| 76706 | 0% | 57 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 42 | $0.00 |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 42 | $0.00 |
| 90756 | 0% | 54 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 13 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 13 | $0.00 |
| 1126F | 0% | 1,121 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 175 | $0.00 |
| 82962 | 0% | 1,344 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 359 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 819 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 128 | $0.00 |
| 1036F | 0% | 210 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 273 | $0.00 |
| 1101F | 0% | 20 | $0.00 | |
| 1170F | 0% | 326 | $0.00 | |
| 4010F | 0% | 49 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 85 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 90 | $0.00 |
| 99406 | 0% | 22 | $0.00 | |
| 90674 | 0% | 80 | $0.00 | |
| 90686 | 0% | 41 | $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 officialCANOVA, EDUARDO (PRESIDENT)