Physician
Knapp Medical Group
Knapp Medical Group was paid $59K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoKNAPP MEDICAL GROUP
WESLACO, TX 78596
WESLACO, TX 78596
33aNPI1689905309assigned 01/20/2010
33bProvider typeInternal Medicine Physician
28Total paid$59K
24GClaims6,536
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#276 of 1,028
Median peer was paid$10K
This provider vs. median5.7×
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 | 1,251 | $12K | |
| 2019 | 730 | $6K | |
| 2020 | 294 | $6K | |
| 2021 | 704 | $4K | |
| 2022 | 180 | $3K | |
| 2023 | 1,209 | $9K | |
| 2024incomplete | 2,168 | $19K |
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 | 46% | 2,226 | 2,103 | $27K |
| 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 | 24% | 636 | 584 | $14K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 13% | 435 | 256 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 9.5% | 318 | 256 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.8% | 413 | 244 | $2K |
| 99223 | Prolong inpt eval add15 m | 3.0% | 141 | 138 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 74 | 59 | $271.86 |
| 99091 | <1% | 28 | 28 | $115.83 | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 23 | 19 | $86.26 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $22.59 |
| 80329 | <1% | 20 | 12 | $12.15 | |
| 3078F | 0% | 176 | 145 | $0.00 |
10 more codes
| 1160F | 0% | 711 | $0.00 | |
| 3288F | 0% | 356 | $0.00 | |
| 90662 | 0% | 15 | $0.00 | |
| 3044F | 0% | 72 | $0.00 | |
| 3074F | 0% | 231 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 126 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 16 | $0.00 |
| 3008F | 0% | 251 | $0.00 | |
| 1036F | 0% | 240 | $0.00 | |
| G0245 | Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education | 0% | 16 | $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 officialSURROCK, LESTER (CFO)
| Provider | Location | Paid |
|---|---|---|
| Mission Hospital, INC. | Mission, TX | $7.84M |
| Knapp Medical Center | Weslaco, TX | $6.62M |
| Mission Hospital INC | Mission, TX | $106K |
| Mission Doctors Group | Mission, TX | $69K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.