Physician
Frank S Floca MD PLLC
Frank S Floca MD PLLC was paid $1.32M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoFRANK S FLOCA MD PLLC
AUSTIN, TX 78723
AUSTIN, TX 78723
33aNPI1770878043assigned 06/15/2011
33bProvider typePsychiatry Physician
28Total paid$1.32M
24GClaims70,077
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychiatry Physician providers in Texas
Rank by total paid#28 of 311
Median peer was paid$63K
This provider vs. median21×
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 | 9,658 | $75K | |
| 2019 | 7,929 | $62K | |
| 2020 | 7,548 | $87K | |
| 2021 | 11,172 | $242K | |
| 2022 | 11,619 | $278K | |
| 2023 | 11,820 | $312K | |
| 2024incomplete | 10,331 | $268K |
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 | 52% | 28,095 | 26,788 | $688K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 30% | 17,330 | 16,499 | $399K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 6.5% | 8,696 | 7,425 | $86K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.9% | 11,077 | 10,260 | $64K |
| 90836 | 2.1% | 1,466 | 1,391 | $28K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 930 | 839 | $26K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 889 | 846 | $14K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 540 | 520 | $13K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 39 | 37 | $4K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 570 | 510 | $707.45 |
| 90785 | <1% | 373 | 354 | $286.01 | |
| 99307 | 0% | 72 | 66 | $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 officialFLOCA, FRANK (PRESIDENT)