Physician
Border Clinic PLLC
Border Clinic PLLC was paid $126K by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 69% of everything it billed.
33Billing provider infoBORDER CLINIC PLLC
LAREDO, TX 78041
LAREDO, TX 78041
33aNPI1760766257assigned 10/04/2011
33bProvider typeFamily Medicine Physician
28Total paid$126K
24GClaims23,514
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#374 of 1,204
Median peer was paid$31K
This provider vs. median4.1×
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 | 1,452 | $9K | |
| 2019 | 2,547 | $10K | |
| 2020 | 1,651 | $9K | |
| 2021 | 2,752 | $22K | |
| 2022 | 4,181 | $20K | |
| 2023 | 5,918 | $29K | |
| 2024incomplete | 5,013 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 69% | 4,836 | 3,878 | $87K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 962 | 784 | $22K |
| 99491 | Ccm add 20min | 3.9% | 799 | 797 | $5K |
| 99490 | Ccm add 20min | 3.8% | 1,234 | 1,215 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.3% | 84 | 73 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 86 | 69 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 95 | 82 | $958.41 |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | <1% | 69 | 66 | $549.89 |
| 99306 | Prolong nursin fac eval 15m | <1% | 26 | 25 | $218.31 |
| 0013A | <1% | 25 | 23 | $200.00 | |
| 0012A | <1% | 25 | 23 | $120.00 | |
| 99437 | <1% | 800 | 798 | $67.50 |
39 more codes
| 0011A | <1% | 23 | $33.88 | |
| 99173 | <1% | 68 | $17.50 | |
| 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) | <1% | 48 | $16.01 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 99 | $0.05 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 576 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,301 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,298 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 280 | $0.00 |
| 1159F | 0% | 1,887 | $0.00 | |
| 90662 | 0% | 15 | $0.00 | |
| 99072 | 0% | 179 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 387 | $0.00 |
| 3288F | 0% | 196 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 345 | $0.00 |
| 3078F | 0% | 565 | $0.00 | |
| 1160F | 0% | 31 | $0.00 | |
| 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 | 0% | 12 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 49 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 12 | $0.00 |
| 1124F | 0% | 14 | $0.00 | |
| 3044F | 0% | 88 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 622 | $0.00 |
| 1036F | 0% | 584 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 682 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 128 | $0.00 |
| 3074F | 0% | 686 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 145 | $0.00 |
| 91301 | 0% | 44 | $0.00 | |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 43 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 732 | $0.00 |
| G8473 | Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed | 0% | 104 | $0.00 |
| 1101F | 0% | 14 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 57 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 28 | $0.00 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 24 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 36 | $0.00 |
| 4010F | 0% | 31 | $0.00 | |
| 96119 | 0% | 23 | $0.00 | |
| 1111F | 0% | 17 | $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 officialMERCADO, CLAUDIA (PHYSICIAN)