Physician
Cleburne Family Medicine Associates, PLLC
Cleburne Family Medicine Associates, PLLC was paid $9K by Medicaid between Feb 2018 and Sep 2023, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 78% of everything it billed.
33Billing provider infoCLEBURNE FAMILY MEDICINE ASSOCIATES, PLLC
SHERMAN, TX 75092
SHERMAN, TX 75092
33aNPI1801893656assigned 07/07/2005
33bProvider typeFamily Medicine Physician
28Total paid$9K
24GClaims346
24DCodes billed7
24AFirst – last monthFeb 2018 – Sep 2023
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#790 of 1,204
Median peer was paid$31K
This provider vs. median0.3×
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 | 26 | $381.28 | |
| 2020 | 18 | $493.18 | |
| 2021 | 179 | $6K | |
| 2022 | 93 | $2K | |
| 2023 | 30 | $573.36 |
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 | 78% | 190 | 166 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 68 | 63 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.8% | 29 | 26 | $419.90 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | 13 | $13.62 |
| 1159F | 0% | 15 | 12 | $0.00 | |
| 1160F | 0% | 15 | 12 | $0.00 | |
| 1036F | 0% | 16 | 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 officialGASSAWAY, DANA (ADMINISTRATOR)