Physician
Specialized Family Clinic PLLC
Specialized Family Clinic PLLC was paid $334K by Medicaid between Apr 2018 and Oct 2024, across 48 billing codes. Its largest line is 99444, — 38% of everything it billed.
33Billing provider infoSPECIALIZED FAMILY CLINIC PLLC
MCALLEN, TX 78504
MCALLEN, TX 78504
33aNPI1750895439assigned 11/17/2017
33bProvider typeFamily Medicine Physician
28Total paid$334K
24GClaims25,896
24DCodes billed48
24AFirst – last monthApr 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#223 of 1,204
Median peer was paid$31K
This provider vs. median11×
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 | 3,099 | $20K | |
| 2019 | 7,872 | $116K | |
| 2020 | 2,613 | $16K | |
| 2021 | 3,222 | $45K | |
| 2022 | 3,810 | $61K | |
| 2023 | 3,185 | $47K | |
| 2024incomplete | 2,095 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99444 | 38% | 2,475 | 639 | $128K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 7,641 | 5,589 | $125K |
| 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 | 16% | 3,167 | 2,867 | $54K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.3% | 275 | 263 | $8K |
| 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 | 1.1% | 1,638 | 1,638 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 457 | 226 | $4K |
| 99457 | <1% | 664 | 664 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 255 | 247 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 456 | 451 | $2K |
| 99490 | Ccm add 20min | <1% | 229 | 229 | $1K |
| 81003 | <1% | 1,014 | 949 | $979.18 | |
| 99458 | <1% | 350 | 350 | $945.89 |
36 more codes
| 99091 | <1% | 78 | $850.85 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 190 | $815.08 |
| 87428 | <1% | 24 | $661.41 | |
| 90686 | <1% | 62 | $475.05 | |
| 80061 | Lipid panel | <1% | 87 | $416.25 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 89 | $391.68 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 41 | $79.62 |
| 87807 | <1% | 13 | $77.00 | |
| 82044 | <1% | 37 | $57.53 | |
| 82570 | <1% | 37 | $47.85 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 12 | $2.32 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 338 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 406 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 353 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 231 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 14 | $0.00 |
| 1159F | 0% | 41 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 547 | $0.00 |
| 90756 | 0% | 48 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 19 | $0.00 |
| 1160F | 0% | 41 | $0.00 | |
| 90662 | 0% | 14 | $0.00 | |
| 1111F | 0% | 98 | $0.00 | |
| 1036F | 0% | 662 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 39 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,081 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 389 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 134 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 602 | $0.00 |
| 1125F | 0% | 275 | $0.00 | |
| 2000F | 0% | 768 | $0.00 | |
| 1126F | 0% | 403 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 30 | $0.00 |
| G0180 | Physician or allowed practitioner 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 | 0% | 41 | $0.00 |
| 9001F | 0% | 12 | $0.00 | |
| 1170F | 0% | 19 | $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 officialNANGAVARAM, SRIKANTH (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Hero Family Medicine Group PLLC | Mcallen, TX | $37K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.