Physician
Pai Participant 9 PA
Pai Participant 9 PA was paid $119K by Medicaid between Feb 2020 and Nov 2024, across 13 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 63% of everything it billed.
33Billing provider infoPAI PARTICIPANT 9 PA
ELGIN, TX 78621
ELGIN, TX 78621
33aNPI1679135420assigned 07/02/2019
33bProvider typeGeriatric Medicine (Internal Medicine) Physician
28Total paid$119K
24GClaims28,618
24DCodes billed13
24AFirst – last monthFeb 2020 – Nov 2024
Compared with peers
Next to other Geriatric Medicine (Internal Medicine) Physician providers in Texas
Rank by total paid#9 of 37
Median peer was paid$31K
This provider vs. median3.8×
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 | 6,937 | $121.53 | |
| 2021 | 8,101 | $40K | |
| 2022 | 6,211 | $38K | |
| 2023 | 4,193 | $24K | |
| 2024incomplete | 3,176 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 63% | 17,596 | 13,526 | $75K |
| 99310 | Prolong nursin fac eval 15m | 31% | 8,356 | 6,860 | $37K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.7% | 1,686 | 1,187 | $6K |
| 99490 | Ccm add 20min | <1% | 566 | 562 | $1K |
| 99318 | <1% | 32 | 32 | $277.71 | |
| 99304 | <1% | 16 | 12 | $126.99 | |
| 99493 | 0% | 47 | 47 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 90 | 89 | $0.00 |
| 99439 | 0% | 46 | 46 | $0.00 | |
| 99484 | 0% | 43 | 43 | $0.00 | |
| 99307 | 0% | 22 | 22 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 106 | 105 | $0.00 |
1 more codes
| 99491 | Ccm add 20min | 0% | 12 | $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 officialFORD, JILL (DIRECTOR OF CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| Pai Participant 1 LLC | Chillicothe, OH | $733K |
| Monroe County Health Department | Tompkinsville, KY | $229K |
| Pai Participant Ma PC | East Boston, MA | $292.09 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.