Physician
Access Esperanza Clinics INC.
Access Esperanza Clinics INC. was paid $887K by Medicaid between Feb 2020 and Dec 2024, across 27 billing codes. Its largest line is S4993, Contraceptive pills for birth control — 21% of everything it billed.
33Billing provider infoACCESS ESPERANZA CLINICS INC.
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1669499026assigned 07/15/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$887K
24GClaims29,964
24DCodes billed27
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Texas
Rank by total paid#70 of 432
Median peer was paid$103K
This provider vs. median8.6×
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 | 6,148 | $204K | |
| 2021 | 6,951 | $216K | |
| 2022 | 6,467 | $186K | |
| 2023 | 6,103 | $161K | |
| 2024incomplete | 4,295 | $120K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S4993 | Contraceptive pills for birth control | 21% | 1,234 | 1,204 | $185K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 12% | 1,682 | 1,664 | $110K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 11% | 3,831 | 3,058 | $97K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 11% | 3,829 | 3,055 | $97K |
| 99385 | 9.9% | 1,222 | 1,203 | $88K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 7.1% | 4,173 | 4,089 | $63K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 6.4% | 824 | 817 | $57K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.4% | 1,682 | 1,601 | $48K |
| A4269 | Contraceptive supply, spermicide (e.g., foam, gel), each | 4.6% | 297 | 292 | $41K |
| 81025 | 2.6% | 3,371 | 3,275 | $23K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 2.4% | 28 | 28 | $22K |
| A9150 | Non-prescription drugs | 1.6% | 1,217 | 1,067 | $15K |
15 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.3% | 1,007 | $11K |
| A4267 | Contraceptive supply, condom, male, each | <1% | 1,384 | $8K |
| 87210 | <1% | 1,676 | $8K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 307 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 376 | $3K |
| 11981 | <1% | 25 | $2K | |
| 81002 | <1% | 607 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 81 | $1K |
| 80061 | Lipid panel | <1% | 292 | $1K |
| 82947 | <1% | 303 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $559.92 |
| 85018 | <1% | 14 | $33.15 | |
| S5000 | Prescription drug, generic | 0% | 462 | $0.00 |
| 86592 | 0% | 13 | $0.00 | |
| 97802 | 0% | 14 | $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 officialGONZALEZ, PATRICIO (CEO)