Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SPECIALIZED FAMILY CLINIC PLLC

NPI: 1750895439 · MCALLEN, TX 78504 · Family Medicine Physician

$334K
Total Medicaid Paid
25,896
Total Claims
20,352
Beneficiaries
48
Codes Billed
2018-04
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 2,095 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99444 2,475 639 $128K
99213 7,641 5,589 $125K
99214 3,167 2,867 $54K
87426 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 1,638 1,638 $4K
87804 457 226 $4K
99457 664 664 $3K
87880 255 247 $2K
85025 456 451 $2K
99490 Ccm add 20min 229 229 $1K
81003 1,014 949 $979.18
99458 350 350 $945.89
99091 78 78 $850.85
96372 190 161 $815.08
87428 24 24 $661.41
90686 62 60 $475.05
80061 87 85 $416.25
83036 89 86 $391.68
99204 41 41 $79.62
87807 13 13 $77.00
82044 37 36 $57.53
82570 37 36 $47.85
J1885 Injection, ketorolac tromethamine, per 15 mg 12 12 $2.32
G8783 Normal blood pressure reading documented, follow-up not required 338 287 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 406 324 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 353 278 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 231 196 $0.00
G0444 Annual depression screening, 5 to 15 minutes 14 14 $0.00
1159F 41 40 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 547 463 $0.00
90756 48 48 $0.00
G8482 Influenza immunization administered or previously received 19 16 $0.00
1160F 41 40 $0.00
90662 14 14 $0.00
1111F 98 92 $0.00
1036F 662 528 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 39 35 $0.00
36415 1,081 1,044 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 389 316 $0.00
G0008 Administration of influenza virus vaccine 134 134 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 602 464 $0.00
1125F 275 232 $0.00
2000F 768 599 $0.00
1126F 403 342 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 30 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 41 41 $0.00
9001F 12 12 $0.00
1170F 19 19 $0.00