Physician
South Texas Spinal Clinic, P.A.
South Texas Spinal Clinic, P.A. was paid $530K by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoSOUTH TEXAS SPINAL CLINIC, P.A.
SAN ANTONIO, TX 78258
SAN ANTONIO, TX 78258
33aNPI1679506653assigned 07/10/2006
33bProvider typePediatric Orthopaedic Surgery Physician
28Total paid$530K
24GClaims17,952
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Orthopaedic Surgery Physician providers in Texas
Rank by total paid#1 of 5
Median peer was paid$22K
This provider vs. median24×
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 | 892 | $4K | |
| 2019 | 460 | $4K | |
| 2020 | 1,859 | $49K | |
| 2021 | 6,839 | $193K | |
| 2022 | 3,517 | $106K | |
| 2023 | 2,612 | $94K | |
| 2024incomplete | 1,773 | $80K |
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 | 41% | 5,609 | 5,390 | $219K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 15% | 1,920 | 1,892 | $81K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 2,729 | 2,603 | $56K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 6.7% | 1,537 | 488 | $35K |
| 72082 | 4.6% | 492 | 475 | $24K | |
| 99443 | 3.5% | 392 | 386 | $18K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.1% | 257 | 254 | $16K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.7% | 1,041 | 389 | $14K |
| 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 | 2.3% | 201 | 191 | $12K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.8% | 483 | 191 | $10K |
| 99442 | 1.2% | 201 | 198 | $6K | |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | 1.0% | 410 | 192 | $5K |
18 more codes
| 95886 | <1% | 49 | $5K | |
| 20611 | <1% | 84 | $4K | |
| 62323 | <1% | 32 | $4K | |
| 80305 | <1% | 484 | $4K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 477 | $3K |
| 95912 | <1% | 19 | $3K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 382 | $2K |
| 64493 | <1% | 13 | $2K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 230 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 78 | $2K |
| 97163 | <1% | 17 | $1K | |
| 72110 | <1% | 12 | $492.64 | |
| CP003 | <1% | 15 | $147.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 40 | $78.86 |
| 99000 | <1% | 33 | $31.76 | |
| 96127 | <1% | 679 | $13.44 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 17 | $0.70 |
| J3490 | Unclassified drugs | 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 officialSIMMONS, JAMES (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| All Children's Pediatrics | Port Royal, SC | $2.63M |
| Central Washington Physical Therapy | Yakima, WA | $179K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.