Physician
Bca Medical Associates, PA
Bca Medical Associates, PA was paid $41.19M by Medicaid between Jan 2018 and Dec 2024, across 112 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoBCA MEDICAL ASSOCIATES, PA
ROSWELL, NM 88201
ROSWELL, NM 88201
33aNPI1568576056assigned 08/19/2006
33bProvider typePediatrics Physician
28Total paid$41.19M
24GClaims1,057,752
24DCodes billed112
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New Mexico
Rank by total paid#1 of 53
Median peer was paid$535K
This provider vs. median77×
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 | 132,480 | $4.26M | |
| 2019 | 132,511 | $4.72M | |
| 2020 | 118,284 | $4.38M | |
| 2021 | 157,671 | $5.81M | |
| 2022 | 173,774 | $6.61M | |
| 2023 | 175,303 | $7.43M | |
| 2024incomplete | 167,729 | $7.98M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 130,375 | 122,319 | $9.27M |
| 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 | 16% | 60,323 | 57,667 | $6.62M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.0% | 27,651 | 27,582 | $2.90M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.9% | 27,305 | 27,241 | $2.85M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.1% | 23,601 | 22,352 | $2.53M |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 4.5% | 35,224 | 34,411 | $1.86M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.4% | 17,664 | 17,614 | $1.82M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.9% | 69,616 | 69,250 | $1.59M |
| 90461 | 3.7% | 34,416 | 34,293 | $1.50M | |
| 92587 | 3.7% | 70,477 | 70,113 | $1.50M | |
| 99177 | 3.5% | 52,771 | 52,569 | $1.46M | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 2.8% | 39,443 | 35,835 | $1.13M |
100 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.5% | 59,158 | $1.03M |
| 99173 | 1.9% | 31,173 | $781K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 49,679 | $754K |
| 99188 | 1.3% | 29,294 | $536K | |
| 99401 | <1% | 15,993 | $402K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 8,756 | $358K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 19,871 | $332K |
| 90756 | <1% | 6,347 | $207K | |
| 80061 | Lipid panel | <1% | 11,721 | $164K |
| S9999 | Sales tax | <1% | 18,645 | $160K |
| 90672 | <1% | 6,561 | $138K | |
| 99381 | <1% | 781 | $138K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 8,368 | $134K |
| 90686 | <1% | 12,603 | $92K | |
| 83655 | <1% | 6,511 | $86K | |
| 99080 | <1% | 6,670 | $81K | |
| 87081 | <1% | 11,139 | $77K | |
| 90685 | <1% | 5,178 | $66K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,873 | $62K |
| 99072 | <1% | 10,652 | $46K | |
| 85018 | <1% | 14,793 | $37K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 7,375 | $35K |
| 99383 | <1% | 190 | $34K | |
| 86756 | <1% | 2,030 | $33K | |
| 85014 | <1% | 11,638 | $29K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 207 | $28K |
| 98966 | <1% | 2,213 | $28K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 249 | $25K |
| 99058 | <1% | 839 | $24K | |
| 0001A | <1% | 575 | $23K | |
| 0002A | <1% | 480 | $20K | |
| 0071A | <1% | 490 | $19K | |
| 87430 | <1% | 1,227 | $19K | |
| 90473 | <1% | 689 | $13K | |
| 0072A | <1% | 261 | $10K | |
| 69210 | <1% | 198 | $10K | |
| 99441 | <1% | 166 | $10K | |
| 99382 | <1% | 49 | $9K | |
| 99050 | <1% | 343 | $9K | |
| 87428 | <1% | 163 | $7K | |
| 94010 | <1% | 239 | $7K | |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 12 | $6K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 646 | $5K |
| 90480 | <1% | 137 | $5K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 522 | $5K |
| 90680 | <1% | 8,400 | $5K | |
| 36416 | <1% | 13,620 | $4K | |
| 99384 | <1% | 25 | $4K | |
| 94664 | <1% | 262 | $4K | |
| 99001 | <1% | 15,710 | $4K | |
| 99051 | <1% | 948 | $3K | |
| 96160 | <1% | 723 | $3K | |
| 0003A | <1% | 68 | $3K | |
| 95930 | <1% | 25 | $2K | |
| 90649 | <1% | 4,175 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 43 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $2K |
| 0124A | <1% | 40 | $2K | |
| 0081A | <1% | 35 | $1K | |
| 96380 | <1% | 60 | $1K | |
| 99000 | <1% | 1,215 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 436 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $981.93 |
| 92567 | <1% | 72 | $973.96 | |
| 81000 | <1% | 233 | $892.49 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 33 | $873.05 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 37 | $830.70 |
| S8101 | Holding chamber or spacer for use with an inhaler or nebulizer; with mask | <1% | 63 | $828.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 144 | $762.99 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 77 | $756.25 |
| 94060 | <1% | 15 | $721.83 | |
| 91307 | <1% | 1,070 | $720.00 | |
| 90633 | <1% | 4,754 | $714.41 | |
| 81003 | <1% | 544 | $696.59 | |
| 91300 | <1% | 1,494 | $400.00 | |
| 90671 | <1% | 1,370 | $356.79 | |
| 88720 | <1% | 54 | $341.26 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $243.82 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 29 | $212.97 |
| S9470 | Nutritional counseling, dietitian visit | <1% | 2,488 | $180.00 |
| 90710 | <1% | 3,608 | $175.52 | |
| 90734 | <1% | 1,843 | $102.08 | |
| 85027 | <1% | 15 | $93.86 | |
| 90647 | <1% | 11,063 | $49.24 | |
| 90670 | <1% | 11,251 | $19.03 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | <1% | 104 | $17.82 |
| 90723 | <1% | 6,907 | $11.29 | |
| 90715 | <1% | 633 | $0.76 | |
| 90696 | <1% | 406 | $0.21 | |
| 90700 | <1% | 240 | $0.06 | |
| 90707 | 0% | 63 | $0.00 | |
| 91308 | 0% | 73 | $0.00 | |
| 91312 | 0% | 25 | $0.00 | |
| 90697 | 0% | 2,759 | $0.00 | |
| 90677 | 0% | 2,389 | $0.00 | |
| 90619 | 0% | 1,114 | $0.00 | |
| 91305 | 0% | 98 | $0.00 | |
| 90620 | 0% | 219 | $0.00 | |
| 90716 | 0% | 61 | $0.00 | |
| 91319 | 0% | 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 officialVANDENBOUT, ROE (OFFICE MANAGER)