Physician
Complete Care Medical Associates
Complete Care Medical Associates was paid $200K by Medicaid between Dec 2018 and Oct 2024, across 6 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 58% of everything it billed.
33Billing provider infoCOMPLETE CARE MEDICAL ASSOCIATES
SAN ANTONIO, TX 78216
SAN ANTONIO, TX 78216
33aNPI1609350024assigned 09/21/2018
33bProvider typeHospitalist Physician
28Total paid$200K
24GClaims7,076
24DCodes billed6
24AFirst – last monthDec 2018 – Oct 2024
Compared with peers
Next to other Hospitalist Physician providers in Texas
Rank by total paid#9 of 71
Median peer was paid$6K
This provider vs. median33×
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 | 18 | $0.00 | |
| 2019 | 1,644 | $5K | |
| 2020 | 1,185 | $34K | |
| 2021 | 1,423 | $47K | |
| 2022 | 585 | $24K | |
| 2023 | 1,576 | $64K | |
| 2024incomplete | 645 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 58% | 3,656 | 1,236 | $116K |
| 99223 | Prolong inpt eval add15 m | 25% | 926 | 880 | $50K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 1,711 | 720 | $23K |
| 99239 | Hospital discharge day management, more than 30 minutes | 5.5% | 342 | 329 | $11K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 357 | 202 | $0.00 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 84 | 40 | $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 officialSANKA, SHANKAR (MEMBER)