Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Aurora Concepts, PLLC

Aurora Concepts, PLLC was paid $1.46M by Medicaid between May 2018 and Dec 2024, across 89 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.

33Billing provider infoAURORA CONCEPTS, PLLC
CENTER, TX 75935
33aNPI1750779542assigned 12/31/2014
28Total paid$1.46M
24GClaims81,203
24DCodes billed89
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#73 of 1,204
Median peer was paid$31K
This provider vs. median48×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
2018261$1K
2019321$2K
20205,631$102K
202120,204$363K
202218,517$443K
202322,044$342K
2024incomplete14,225$210K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30% 13,891 11,939 $436K
90460 Immunization administration through 18 years of age via any route, first or only component 11% 15,586 9,082 $165K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 11% 1,227 1,185 $165K
87428 9.0% 2,764 2,538 $132K
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 6.4% 2,306 2,044 $94K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.6% 1,420 1,306 $67K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4.2% 2,503 2,091 $61K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.8% 798 718 $56K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.3% 648 634 $48K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.1% 422 416 $30K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.8% 1,983 1,902 $26K
99000 1.6% 2,810 2,523 $24K
77 more codes
90619 1.1% 2,059 $16K
96112 1.0% 151 $15K
90461 <1% 2,070 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,188 $13K
0001A <1% 335 $10K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 308 $10K
0002A <1% 288 $8K
87430 <1% 568 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 348 $7K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 895 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 532 $6K
99204 Doctor's office visit, new patient (more involved) <1% 98 $6K
0012A <1% 426 $5K
99384 <1% 49 $4K
0011A <1% 513 $4K
91322 <1% 123 $3K
0071A <1% 64 $2K
0004A <1% 77 $2K
90674 <1% 643 $2K
0072A <1% 50 $2K
81025 <1% 316 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 63 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 41 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 26 $2K
90480 <1% 169 $1K
87807 <1% 119 $1K
99383 <1% 13 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 15 $965.64
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 83 $939.77
81003 <1% 410 $713.86
0124A <1% 31 $680.00
81002 <1% 265 $650.84
90620 <1% 237 $614.36
90734 <1% 1,784 $604.46
90661 <1% 387 $443.92
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 365 $308.50
90677 <1% 20 $271.95
0003A <1% 71 $200.00
96160 <1% 131 $155.73
99324 <1% 195 $154.32
91320 <1% 39 $131.10
90694 <1% 29 $64.16
0013A <1% 12 $50.00
90715 <1% 2,623 $32.93
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 26 $31.83
G2024 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source <1% 157 $24.19
91300 <1% 619 $0.62
91301 <1% 326 $0.45
90686 <1% 2,219 $0.22
91307 <1% 114 $0.21
90651 <1% 588 $0.10
90716 <1% 130 $0.02
90670 <1% 64 $0.01
90696 0% 280 $0.00
36415 Collection of venous blood by venipuncture 0% 1,928 $0.00
99050 0% 81 $0.00
3074F 0% 492 $0.00
3079F 0% 55 $0.00
90744 0% 12 $0.00
G0009 Administration of pneumococcal vaccine 0% 19 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 0% 70 $0.00
G0008 Administration of influenza virus vaccine 0% 144 $0.00
90656 0% 37 $0.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 0% 39 $0.00
90698 0% 14 $0.00
90710 0% 358 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 7,722 $0.00
90707 0% 114 $0.00
90633 0% 365 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 0% 33 $0.00
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 0% 45 $0.00
3078F 0% 297 $0.00
99334 0% 23 $0.00
90700 0% 92 $0.00
91312 0% 16 $0.00
90653 0% 79 $0.00
90713 0% 58 $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 officialBARNES, ANITA (MEMBER/MANAGER)