Clinica San Antonio PLLC

Clinica San Antonio PLLC was paid $403K by Medicaid between Jun 2020 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoCLINICA SAN ANTONIO PLLC
CHARLOTTE, NC 28262

33aNPI1619509197assigned 02/12/2020

33bProvider typeFamily Nurse Practitioner

28Total paid$403K

24GClaims16,870

24DCodes billed23

24AFirst – last monthJun 2020 – Dec 2024

Compared with peers

Next to other Family Nurse Practitioner providers in North Carolina

Rank by total paid#23 of 147

Median peer was paid$12K

This provider vs. median35×

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
2020	175	$12K
2021	1,590	$73K
2022	3,340	$89K
2023	5,009	$143K
2024incomplete	6,756	$87K

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	36%	2,685	2,144	$144K
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	26%	1,565	1,083	$104K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	8.9%	308	262	$36K
99199	Unlisted special service, procedure or report	8.0%	10,195	9,866	$32K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	7.6%	119	25	$30K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	6.4%	108	91	$26K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.6%	347	323	$6K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.3%	65	54	$5K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.2%	60	57	$5K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.2%	69	57	$5K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	<1%	58	51	$2K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	13	13	$1K

11 more codes

36415	Collection of venous blood by venipuncture	<1%	506	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	39	$1K
99443		<1%	13	$922.12
90472	Immunization administration, each additional vaccine (list separately)	<1%	18	$470.35
99173		<1%	160	$461.67
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	25	$396.72
81003		<1%	170	$262.48
92551		<1%	164	$258.32
90734		0%	15	$0.00
90658		0%	31	$0.00
90686		0%	137	$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 officialLORENZANA, GILBERTO (OWNER)