Agency
4L-A Clinic and Consultants INC
4L-A Clinic and Consultants INC was paid $98K by Medicaid between May 2023 and Nov 2024, across 10 billing codes. Its largest line is 90833, Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) — 28% of everything it billed.
33Billing provider info4L-A CLINIC AND CONSULTANTS INC
DUNCANVILLE, TX 75137
DUNCANVILLE, TX 75137
33aNPI1659018604assigned 05/19/2022
33bProvider typeCase Management Agency
28Total paid$98K
24GClaims2,308
24DCodes billed10
24AFirst – last monthMay 2023 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in Texas
Rank by total paid#175 of 219
Median peer was paid$1.45M
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2023 | 594 | $28K | |
| 2024incomplete | 1,714 | $70K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 28% | 909 | 696 | $27K |
| 99205 | Prolong outpt/office vis | 23% | 245 | 233 | $23K |
| 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 | 17% | 417 | 308 | $17K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 16% | 289 | 207 | $16K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 6.4% | 143 | 106 | $6K |
| 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 | 4.0% | 49 | 48 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 114 | 89 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.1% | 15 | 14 | $1K |
| 90836 | <1% | 14 | 12 | $666.20 | |
| 96127 | 0% | 113 | 82 | $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 officialEVERTS, LILIAN MELVIS (OWNER/PROVIDER)