Clinic
Frio Hospital Association
Frio Hospital Association was paid $135K by Medicaid between Apr 2023 and Dec 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoFRIO HOSPITAL ASSOCIATION
PEARSALL, TX 78061
PEARSALL, TX 78061
33aNPI1770210627assigned 08/02/2022
33bProvider typeClinic/Center
28Total paid$135K
24GClaims6,396
24DCodes billed29
24AFirst – last monthApr 2023 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Texas
Rank by total paid#68 of 176
Median peer was paid$26K
This provider vs. median5.1×
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 | |
|---|---|---|---|
| 2023 | 3,418 | $63K | |
| 2024incomplete | 2,978 | $72K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 58% | 2,834 | 2,167 | $79K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.7% | 202 | 188 | $13K |
| 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 | 8.0% | 414 | 341 | $11K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.9% | 128 | 121 | $9K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.6% | 748 | 444 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.9% | 61 | 58 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.1% | 246 | 234 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 26 | 25 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.2% | 169 | 155 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 120 | 110 | $1K |
| 99441 | <1% | 102 | 85 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 116 | 92 | $872.50 |
17 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 149 | $704.37 |
| 81003 | <1% | 543 | $638.28 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16 | $333.17 |
| 87428 | <1% | 16 | $330.44 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 36 | $305.32 |
| 90461 | <1% | 125 | $81.93 | |
| 90686 | <1% | 17 | $57.78 | |
| 90677 | <1% | 74 | $0.09 | |
| 90697 | <1% | 12 | $0.01 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 93 | $0.00 |
| 90698 | 0% | 17 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| 90656 | 0% | 13 | $0.00 | |
| 90681 | 0% | 20 | $0.00 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 35 | $0.00 |
| 90670 | 0% | 38 | $0.00 | |
| 90687 | 0% | 14 | $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 officialMARTINEZ, MONICA (RHC DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Frio Hospital Association | Dilley, TX | $828K |
| Encompass Community Services | Santa Cruz, CA | $108K |
| MM Medical Solutions LLC | Las Vegas, NV | $77K |
| Frio Hospital Association | Dilly, TX | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.