Behavioral
Wise Clinical Care Associates
Wise Clinical Care Associates was paid $969K by Medicaid between Jan 2018 and Nov 2023, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoWISE CLINICAL CARE ASSOCIATES
BRIDGEPORT, TX 76426
BRIDGEPORT, TX 76426
33aNPI1679719801assigned 12/17/2008
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$969K
24GClaims42,243
24DCodes billed51
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Texas
Rank by total paid#7 of 91
Median peer was paid$53K
This provider vs. median18×
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 | 115 | $6.42 | |
| 2019 | 26 | $95.02 | |
| 2020 | 3,724 | $54K | |
| 2021 | 13,424 | $246K | |
| 2022 | 12,755 | $317K | |
| 2023 | 12,199 | $352K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 56% | 12,345 | 10,702 | $539K |
| 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 | 8.1% | 1,473 | 1,162 | $79K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.2% | 1,006 | 994 | $69K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.1% | 943 | 938 | $69K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.1% | 5,171 | 2,226 | $50K |
| 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 | 3.5% | 320 | 316 | $34K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.3% | 441 | 254 | $23K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.9% | 2,326 | 2,314 | $18K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.5% | 351 | 338 | $14K |
| 81002 | 1.1% | 4,091 | 3,067 | $11K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 820 | 404 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 380 | 357 | $10K |
39 more codes
| 90461 | <1% | 1,490 | $9K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 80 | $6K |
| 17110 | <1% | 64 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 374 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 39 | $3K |
| 81003 | <1% | 1,795 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 34 | $3K |
| 99381 | <1% | 44 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 24 | $2K |
| 87807 | <1% | 130 | $1K | |
| 99205 | Prolong outpt/office vis | <1% | 12 | $1K |
| 81025 | <1% | 179 | $1K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 15 | $773.44 |
| 99460 | <1% | 28 | $723.24 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $396.85 |
| 99462 | <1% | 27 | $315.22 | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 26 | $95.02 |
| 90686 | <1% | 424 | $17.52 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 85 | $6.42 |
| 90677 | <1% | 26 | $0.17 | |
| 90697 | <1% | 67 | $0.14 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 424 | $0.05 |
| 90670 | <1% | 761 | $0.01 | |
| 90698 | 0% | 552 | $0.00 | |
| 1036F | 0% | 1,615 | $0.00 | |
| 90744 | 0% | 104 | $0.00 | |
| 90680 | 0% | 435 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 107 | $0.00 |
| 96127 | 0% | 60 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 29 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,880 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 111 | $0.00 |
| 96160 | 0% | 57 | $0.00 | |
| 90633 | 0% | 99 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 1,226 | $0.00 |
| 90710 | 0% | 57 | $0.00 | |
| 1090F | 0% | 42 | $0.00 | |
| G9357 | Post-partum screenings, evaluations and education performed | 0% | 27 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 15 | $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 officialSCOGGINS, BRIAN (CFO)