Medicaid Provider Spending

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

CONVIVA MEDICAL CENTER MANAGEMENT OF TEXAS, P.A.

NPI: 1770988990 · LIVE OAK, TX 78233 · Family Medicine Physician · NPI assigned 10/30/2014

$3K
Total Medicaid Paid
424
Total Claims
406
Beneficiaries
7
Codes Billed
2018-01
First Month
2022-08
Last Month

Provider Details

Authorized OfficialBONETTI, JESSICA (ASSOCIATE DIRECTOR)
NPI Enumeration Date10/30/2014

Related Entities

Other providers sharing the same authorized official: BONETTI, JESSICA

ProviderCityStateTotal Paid
AMICUS MEDICAL CENTER LLC STUART FL $429K
CONVIVA SPECIALTY, LLC MIAMI FL $4K
SOUTH FLORIDA CARDIOLOGY ASSOCIATES LLC NORTH BAY VILLAGE FL $0.00
AMICUS MEDICAL CENTER LLC WEST PALM BEACH FL $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 171 $2K
2019 53 $985.44
2021 114 $0.00
2022 86 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 224 208 $3K
0011A 65 65 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13 13 $0.00
0012A 49 49 $0.00
3008F 29 29 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 14 12 $0.00
1159F 30 30 $0.00