Physician
South Texas Continuum of Care Specialists PLLC
South Texas Continuum of Care Specialists PLLC was paid $68K by Medicaid between Jan 2018 and Feb 2023, across 17 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 80% of everything it billed.
33Billing provider infoSOUTH TEXAS CONTINUUM OF CARE SPECIALISTS PLLC
SAN ANTONIO, TX 78247
SAN ANTONIO, TX 78247
33aNPI1740726868assigned 01/12/2017
33bProvider typeInternal Medicine Physician
28Total paid$68K
24GClaims13,169
24DCodes billed17
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#268 of 1,028
Median peer was paid$10K
This provider vs. median6.5×
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 | 1,554 | $5K | |
| 2019 | 2,597 | $10K | |
| 2020 | 3,535 | $15K | |
| 2021 | 3,696 | $19K | |
| 2022 | 1,560 | $11K | |
| 2023 | 227 | $8K |
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 | 80% | 8,093 | 3,855 | $54K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 16% | 2,554 | 1,413 | $11K |
| 99336 | 1.8% | 57 | 30 | $1K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.6% | 64 | 31 | $1K |
| 99223 | Prolong inpt eval add15 m | <1% | 12 | 12 | $133.29 |
| 99310 | Prolong nursin fac eval 15m | <1% | 19 | 19 | $45.25 |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 64 | 15 | $18.40 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 839 | 435 | $0.03 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | <1% | 810 | 471 | $0.02 |
| G9923 | Safety concerns screen provided and negative | 0% | 63 | 51 | $0.00 |
| G9916 | Functional status performed once in the last 12 months | 0% | 133 | 85 | $0.00 |
| 99490 | Ccm add 20min | 0% | 40 | 37 | $0.00 |
5 more codes
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 110 | $0.00 |
| 1123F | 0% | 213 | $0.00 | |
| 99318 | 0% | 14 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 54 | $0.00 |
| G9922 | Safety concerns screen provided and if positive then documented mitigation recommendations | 0% | 30 | $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 officialAGUIRRE, FELIX (MANAGING PARTNER)