Managed care
Altea Medical Clinic PLLC
Altea Medical Clinic PLLC was paid $187K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 86% of everything it billed.
33Billing provider infoALTEA MEDICAL CLINIC PLLC
YUMA, AZ 85364
YUMA, AZ 85364
33aNPI1669883864assigned 05/12/2014
33bProvider typeHealth Maintenance Organization
28Total paid$187K
24GClaims7,110
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Health Maintenance Organization providers in Arizona
Rank by total paid#4 of 5
Median peer was paid$593K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2018 | 3,621 | $35K | |
| 2019 | 1,324 | $31K | |
| 2020 | 272 | $13K | |
| 2021 | 337 | $19K | |
| 2022 | 353 | $19K | |
| 2023 | 516 | $32K | |
| 2024incomplete | 687 | $39K |
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 | 86% | 2,857 | 2,231 | $161K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.0% | 349 | 289 | $17K |
| 99442 | 4.2% | 158 | 140 | $8K | |
| 99401 | <1% | 29 | 27 | $915.76 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,168 | 874 | $0.12 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 190 | 155 | $0.03 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 200 | 160 | $0.03 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 445 | 314 | $0.02 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | <1% | 144 | 124 | $0.01 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | <1% | 351 | 259 | $0.01 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 282 | 222 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 398 | 293 | $0.00 |
6 more codes
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 288 | $0.00 |
| 2000F | 0% | 143 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 37 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 37 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 15 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 19 | $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 officialCHAVEZ, VERNON (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Vernon B Chavez MD PLLC | Yuma, AZ | $40K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.