Physician
Uptergrove, Kevin
Uptergrove, Kevin was paid $610K by Medicaid between Sep 2020 and Aug 2024, across 50 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 24% of everything it billed.
33Billing provider infoUPTERGROVE, KEVIN
UVALDE, TX 78801
UVALDE, TX 78801
33aNPI1659437960assigned 12/29/2006
33bProvider typeFamily Medicine Physician
28Total paid$610K
24GClaims34,444
24DCodes billed50
24AFirst – last monthSep 2020 – Aug 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#147 of 1,204
Median peer was paid$31K
This provider vs. median20×
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 | 1,226 | $19K | |
| 2021 | 8,601 | $155K | |
| 2022 | 10,709 | $197K | |
| 2023 | 9,233 | $154K | |
| 2024incomplete | 4,675 | $85K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 24% | 2,074 | 1,921 | $149K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 18% | 1,523 | 1,520 | $108K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 8,047 | 3,286 | $82K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.9% | 645 | 642 | $48K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 5.2% | 430 | 418 | $32K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.0% | 651 | 635 | $30K |
| 99000 | 3.6% | 2,444 | 2,323 | $22K | |
| 87634 | 3.0% | 360 | 344 | $18K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.7% | 1,260 | 1,241 | $17K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.4% | 1,138 | 564 | $14K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.2% | 237 | 236 | $13K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 169 | 167 | $12K |
38 more codes
| 99460 | 1.6% | 129 | $10K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 1,167 | $9K |
| 90461 | 1.4% | 2,328 | $9K | |
| 90715 | 1.4% | 431 | $8K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 140 | $5K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 12 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 371 | $3K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 121 | $3K |
| 90686 | <1% | 904 | $2K | |
| 85018 | <1% | 1,091 | $1K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 31 | $1K |
| 87807 | <1% | 129 | $1K | |
| 81002 | <1% | 436 | $1K | |
| 99381 | <1% | 12 | $916.09 | |
| 90674 | <1% | 31 | $826.20 | |
| 82950 | <1% | 241 | $762.09 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 173 | $712.42 |
| 92552 | <1% | 101 | $519.76 | |
| 94760 | <1% | 559 | $487.05 | |
| 81025 | <1% | 41 | $247.38 | |
| 90670 | <1% | 1,119 | $230.90 | |
| 90677 | <1% | 298 | $0.08 | |
| 90697 | <1% | 212 | $0.03 | |
| 99173 | 0% | 410 | $0.00 | |
| 90633 | 0% | 524 | $0.00 | |
| 90648 | 0% | 688 | $0.00 | |
| 90710 | 0% | 359 | $0.00 | |
| 90685 | 0% | 137 | $0.00 | |
| 59426 | 0% | 37 | $0.00 | |
| 90700 | 0% | 14 | $0.00 | |
| 90680 | 0% | 1,044 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 892 | $0.00 |
| 36416 | 0% | 712 | $0.00 | |
| 90619 | 0% | 12 | $0.00 | |
| 90696 | 0% | 28 | $0.00 | |
| 90723 | 0% | 337 | $0.00 | |
| 90651 | 0% | 71 | $0.00 | |
| 90698 | 0% | 124 | $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.