Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › El Paso › NPI 1609452523
Physician

Nexus Health Solutions, LLC

Nexus Health Solutions, LLC was paid $3K by Medicaid between Oct 2022 and May 2024, across 25 billing codes. Its largest line is M0201, Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home — 73% of everything it billed.

33Billing provider infoNEXUS HEALTH SOLUTIONS, LLC
EL PASO, TX 79903
33aNPI1609452523assigned 03/22/2021
28Total paid$3K
24GClaims3,328
24DCodes billed25
24AFirst – last monthOct 2022 – May 2024
Compared with peers

Next to other Public Health & General Preventive Medicine Physician providers in Texas

Rank by total paid#3 of 5
Median peer was paid$3K
This provider vs. median1.0×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2022324$2K
2023730$243.22
2024incomplete2,274$843.53
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
M0201 Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home 73% 213 197 $2K
80053 Comprehensive metabolic panel 6.4% 418 327 $211.63
84443 Thyroid stimulating hormone (TSH) 5.3% 142 128 $174.91
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4.5% 423 326 $149.13
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4.3% 94 84 $142.96
80061 Lipid panel 2.0% 106 98 $65.26
82607 1.8% 80 73 $60.20
87187 <1% 15 14 $32.05
83036 Hemoglobin; glycosylated (A1C) <1% 137 122 $31.41
83721 <1% 104 97 $25.14
87186 <1% 14 13 $6.91
87086 Culture, bacterial; quantitative colony count, urine <1% 44 41 $6.44
13 more codes
81000 <1% 73 $3.21
G0471 Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) 0% 568 $0.00
0134A 0% 13 $0.00
P9603 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled 0% 506 $0.00
81015 0% 12 $0.00
87205 0% 16 $0.00
87088 0% 14 $0.00
91307 0% 12 $0.00
91300 0% 28 $0.00
83540 0% 12 $0.00
0124A 0% 37 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 0% 225 $0.00
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 0% 22 $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 officialARRIOLA, JAIME (OWNER)