NP / PA
Clinica MD LLC
Clinica MD LLC was paid $190K by Medicaid between Jan 2020 and Oct 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
33Billing provider infoCLINICA MD LLC
SEAGOVILLE, TX 75159
SEAGOVILLE, TX 75159
33aNPI1649703430assigned 04/07/2017
33bProvider typeFamily Nurse Practitioner
28Total paid$190K
24GClaims8,545
24DCodes billed18
24AFirst – last monthJan 2020 – Oct 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Texas
Rank by total paid#59 of 344
Median peer was paid$14K
This provider vs. median14×
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 | 154 | $2K | |
| 2021 | 1,455 | $32K | |
| 2022 | 3,132 | $58K | |
| 2023 | 2,218 | $45K | |
| 2024incomplete | 1,586 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 38% | 2,163 | 1,655 | $73K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 1,374 | 1,166 | $38K |
| 99091 | 15% | 246 | 228 | $29K | |
| 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% | 245 | 232 | $17K |
| 87631 | 6.1% | 205 | 185 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.8% | 354 | 324 | $7K |
| 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% | 58 | 51 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 246 | 209 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.2% | 50 | 49 | $2K |
| 81002 | <1% | 897 | 786 | $2K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 828 | 604 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 156 | 99 | $1K |
6 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $804.50 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 18 | $800.45 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 313 | $551.25 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 276 | $504.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,088 | $449.75 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $91.83 |
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 officialTHOMAS, LISSA (CEO)