Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Merced Family Health Clinic

Merced Family Health Clinic was paid $191K by Medicaid between Sep 2021 and Sep 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.

33Billing provider infoMERCED FAMILY HEALTH CLINIC
PALMVIEW, TX 78572
33aNPI1659974657assigned 11/20/2020
28Total paid$191K
24GClaims11,371
24DCodes billed19
24AFirst – last monthSep 2021 – Sep 2024
Compared with peers

Next to other General Practice Physician providers in Texas

Rank by total paid#27 of 113
Median peer was paid$22K
This provider vs. median8.7×

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$5.0K$10K$15K2018201920202021202220232024
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
2021474$7K
20222,711$55K
20234,028$54K
2024incomplete4,158$75K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 51% 4,023 2,837 $98K
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 13% 723 600 $25K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 9.2% 2,236 1,868 $18K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 8.4% 607 522 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 6.0% 1,365 791 $11K
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 2.9% 96 91 $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 2.6% 126 118 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.1% 514 390 $4K
99000 1.6% 465 415 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.1% 126 114 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 34 29 $2K
87807 <1% 147 130 $1K
7 more codes
90460 Immunization administration through 18 years of age via any route, first or only component <1% 66 $412.50
81003 <1% 124 $132.17
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 149 $25.64
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 88 $13.05
90651 0% 16 $0.00
36415 Collection of venous blood by venipuncture 0% 427 $0.00
90461 0% 39 $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 officialLLANES, JUAN (OWNER)