Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Su Clinica Familiar

Su Clinica Familiar was paid $2.28M by Medicaid between Jan 2018 and Dec 2024, across 78 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 77% of everything it billed.

33Billing provider infoSU CLINICA FAMILIAR
BROWNSVILLE, TX 78526
33aNPI1811901655assigned 07/28/2006
28Total paid$2.28M
24GClaims48,029
24DCodes billed78
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Texas

Rank by total paid#84 of 248
Median peer was paid$796K
This provider vs. median2.9×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
2018342$65K
2019390$74K
20205,698$332K
202115,128$799K
20224,333$223K
202318,801$645K
2024incomplete3,337$141K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 77% 12,242 8,532 $1.76M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6.7% 4,759 3,796 $152K
D0999 Unspecified diagnostic procedure, by report 5.8% 1,134 1,004 $132K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.4% 3,197 2,546 $100K
G0467 Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 1.5% 1,064 930 $34K
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 1.4% 966 806 $32K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only <1% 741 661 $14K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 144 139 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 59 59 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 47 47 $3K
84443 Thyroid stimulating hormone (TSH) <1% 653 620 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 14 14 $3K
66 more codes
90460 Immunization administration through 18 years of age via any route, first or only component <1% 602 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 426 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 439 $2K
81002 <1% 1,718 $2K
90834 Psychotherapy session, about 45 minutes <1% 40 $2K
80053 Comprehensive metabolic panel <1% 762 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 812 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 117 $2K
0012A <1% 41 $2K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month <1% 101 $1K
0011A <1% 40 $1K
0001A <1% 98 $1K
0002A <1% 86 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 215 $945.20
85018 <1% 648 $915.30
99050 <1% 73 $911.34
80061 Lipid panel <1% 663 $885.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 216 $878.85
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 282 $872.61
83036 Hemoglobin; glycosylated (A1C) <1% 767 $824.94
81001 <1% 481 $727.56
87081 <1% 259 $690.68
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 17 $663.08
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 147 $579.32
90461 <1% 90 $354.04
90686 <1% 494 $330.34
86592 <1% 401 $283.22
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 49 $266.34
84479 <1% 109 $188.22
81025 <1% 60 $86.76
84436 <1% 57 $86.55
D0120 Dental checkup, returning patient <1% 489 $86.55
87086 Culture, bacterial; quantitative colony count, urine <1% 56 $74.58
D1208 Topical application of fluoride, excluding varnish <1% 559 $57.33
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 22 $49.72
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 123 $49.09
D1110 Prophylaxis - adult <1% 119 $40.00
D1120 Dental cleaning, child <1% 228 $28.00
D0274 Bitewings - four radiographic images <1% 192 $26.00
1160F 0% 458 $0.00
D0145 Oral evaluation for a patient under three years of age 0% 50 $0.00
0502F 0% 496 $0.00
99173 0% 237 $0.00
1159F 0% 1,259 $0.00
3725F 0% 652 $0.00
3078F 0% 1,403 $0.00
92552 0% 15 $0.00
91300 0% 188 $0.00
D0220 Intraoral - periapical first radiographic image 0% 15 $0.00
90734 0% 12 $0.00
D2150 Silver amalgam - two surfaces, primary or permanent 0% 16 $0.00
3074F 0% 1,413 $0.00
3008F 0% 1,559 $0.00
D0603 0% 520 $0.00
1036F 0% 1,327 $0.00
3075F 0% 27 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 0% 84 $0.00
3079F 0% 77 $0.00
D1330 0% 158 $0.00
1126F 0% 540 $0.00
D0272 Bitewings - two radiographic images 0% 76 $0.00
3044F 0% 178 $0.00
91301 0% 111 $0.00
D0230 Intraoral - periapical each additional radiographic image 0% 14 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 12 $0.00
91307 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 officialSALDIVAR, ADAM (CFO)
Same official

Other billing entities under SALDIVAR, ADAM

Full network →
ProviderLocationPaid
Su Clinica FamiliarHarlingen, TX$37.58M
Su Clinica FamiliarHarlingen, TX$3.10M
Su Clinica FamiliarRaymondville, TX$1.56M
Su Clinica FamiliarHarlingen, TX$435.72

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.