Physician
Beacon Health Care PA
Beacon Health Care PA was paid $768K by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99444, — 35% of everything it billed.
33Billing provider infoBEACON HEALTH CARE PA
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1699197731assigned 01/08/2014
33bProvider typeFamily Medicine Physician
28Total paid$768K
24GClaims38,094
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#126 of 1,204
Median peer was paid$31K
This provider vs. median25×
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 | 4,368 | $146K | |
| 2019 | 3,969 | $144K | |
| 2020 | 3,374 | $121K | |
| 2021 | 4,764 | $73K | |
| 2022 | 7,074 | $110K | |
| 2023 | 8,536 | $101K | |
| 2024incomplete | 6,009 | $74K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99444 | 35% | 4,764 | 1,197 | $269K | |
| 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 | 17% | 4,852 | 3,973 | $129K |
| 99423 | 16% | 4,723 | 1,211 | $124K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 5,057 | 4,106 | $117K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 5.4% | 1,259 | 1,108 | $42K |
| 99091 | 3.6% | 241 | 226 | $27K | |
| 99000 | 2.5% | 2,286 | 1,861 | $19K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 563 | 430 | $11K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 871 | 726 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.0% | 699 | 619 | $8K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,091 | 1,816 | $7K |
| 99422 | <1% | 384 | 142 | $2K |
28 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 22 | $856.29 |
| 90674 | <1% | 71 | $759.21 | |
| 81003 | <1% | 516 | $544.89 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 159 | $536.58 |
| 99457 | <1% | 942 | $419.69 | |
| 99458 | <1% | 935 | $339.24 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $287.78 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 18 | $199.40 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 20 | $176.58 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 502 | $96.27 |
| 99454 | <1% | 102 | $82.24 | |
| 99421 | <1% | 1,134 | $58.44 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 144 | $7.68 |
| 80061 | Lipid panel | <1% | 69 | $4.85 |
| 82947 | <1% | 58 | $3.23 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 134 | $0.77 |
| 3077F | 0% | 34 | $0.00 | |
| 3078F | 0% | 653 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 977 | $0.00 |
| 99453 | 0% | 17 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 2,715 | $0.00 |
| 3074F | 0% | 696 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 15 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 43 | $0.00 |
| 3079F | 0% | 199 | $0.00 | |
| 3075F | 0% | 63 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 39 | $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 officialNAQVI, ALI (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Focus Rehab PC | Southfield, MI | $75K |
| My Doctors Medical Group, PLLC | Bartlett, TN | $60K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.