TPC Family Medicine & Home Visits, PLLC

TPC Family Medicine & Home Visits, PLLC was paid $120K by Medicaid between Oct 2018 and Jun 2021, across 28 billing codes. Its largest line is 99423, — 36% of everything it billed.

33Billing provider infoTPC FAMILY MEDICINE & HOME VISITS, PLLC
LAREDO, TX 78043

33aNPI1770072761assigned 05/04/2018

33bProvider typeFamily Medicine Physician

28Total paid$120K

24GClaims12,654

24DCodes billed28

24AFirst – last monthOct 2018 – Jun 2021

Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#382 of 1,204

Median peer was paid$31K

This provider vs. median3.9×

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	463	$1K
2019	2,701	$10K
2020	6,524	$76K
2021	2,966	$34K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99423		36%	780	201	$44K
99349		31%	3,636	3,117	$37K
86769		6.7%	674	632	$8K
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	5.8%	2,331	2,330	$7K
11755		3.5%	303	146	$4K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	2.7%	765	714	$3K
99350	Prolong home eval add 15m	2.7%	440	414	$3K
99443		2.4%	280	246	$3K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	1.9%	321	304	$2K
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	1.7%	1,124	1,124	$2K
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	1.3%	233	218	$2K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	32	32	$1K

16 more codes

99204	Doctor's office visit, new patient (more involved)	<1%	44	$1K
99343		<1%	61	$870.65
99215	Doctor's office visit, returning patient (complex)	<1%	74	$615.19
99344		<1%	26	$589.71
0012A		<1%	46	$154.00
99354		<1%	66	$126.55
99342		<1%	21	$89.07
0011A		<1%	40	$80.00
99348		<1%	47	$73.22
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	<1%	199	$51.39
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	12	$9.40
91301		<1%	85	$0.03
82962		0%	435	$0.00
90674		0%	128	$0.00
G0008	Administration of influenza virus vaccine	0%	147	$0.00
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	304	$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 officialMONTOYA, CHRISTOPHER (MANAGING DIRECTOR)