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

Austin Regional Clinic, PA

Austin Regional Clinic, PA was paid $14.70M by Medicaid between Jan 2018 and Dec 2024, across 104 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.

33Billing provider infoAUSTIN REGIONAL CLINIC, PA
AUSTIN, TX 78723
33aNPI1821157579assigned 12/08/2006
28Total paid$14.70M
24GClaims495,485
24DCodes billed104
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Allergy & Immunology Physician providers in Texas

Rank by total paid#2 of 62
Median peer was paid$91K
This provider vs. median162×

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$200K$400K$600K2018201920202021202220232024
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
20182,140$61K
20192,375$54K
202013,996$356K
2021116,929$3.63M
2022132,437$4.14M
2023127,988$3.61M
2024incomplete99,620$2.85M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35% 141,465 134,394 $5.17M
90460 Immunization administration through 18 years of age via any route, first or only component 9.3% 120,521 48,510 $1.37M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8.0% 15,051 14,492 $1.17M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7.8% 13,997 13,952 $1.15M
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 7.7% 14,403 13,112 $1.13M
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 6.4% 18,714 17,743 $937K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 6.3% 7,874 6,436 $920K
99050 5.4% 28,995 28,542 $790K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.3% 5,513 5,495 $479K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 2.0% 11,609 10,542 $293K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.7% 11,430 8,606 $250K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.5% 2,346 2,338 $217K
92 more codes
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.3% 6,392 $191K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 10,900 $93K
90461 <1% 27,833 $84K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 506 $66K
99215 Doctor's office visit, returning patient (complex) <1% 772 $59K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 687 $57K
99204 Doctor's office visit, new patient (more involved) <1% 407 $32K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,134 $24K
99381 <1% 220 $18K
0071A <1% 446 $18K
0002A <1% 551 $18K
0001A <1% 527 $17K
0072A <1% 399 $17K
92551 <1% 2,472 $12K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 54 $10K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 349 $10K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 346 $10K
99429 <1% 559 $10K
87800 <1% 262 $10K
95117 <1% 1,006 $9K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 133 $6K
81513 <1% 66 $6K
96160 <1% 2,106 $5K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 232 $5K
99203 Doctor's office visit, new patient (routine) <1% 69 $4K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 12 $3K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 340 $3K
86780 <1% 241 $3K
99383 <1% 26 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 403 $2K
87481 <1% 132 $2K
84443 Thyroid stimulating hormone (TSH) <1% 188 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 66 $2K
90686 <1% 10,620 $2K
99244 Office or other outpatient consultation, moderate to high complexity <1% 13 $1K
0054A <1% 31 $1K
96380 <1% 74 $1K
0003A <1% 31 $1K
92567 <1% 93 $1K
0111A <1% 25 $1K
90480 <1% 39 $1K
99243 <1% 12 $1K
87340 <1% 99 $822.70
86803 <1% 74 $819.86
80053 Comprehensive metabolic panel <1% 86 $691.95
99238 Hospital discharge day management, 30 minutes or less <1% 15 $689.85
54150 <1% 12 $667.20
86762 <1% 51 $622.43
0082A <1% 13 $622.00
87086 Culture, bacterial; quantitative colony count, urine <1% 68 $441.44
87653 <1% 14 $356.39
90472 Immunization administration, each additional vaccine (list separately) <1% 30 $316.60
90677 <1% 2,845 $258.35
85027 <1% 36 $200.31
83036 Hemoglobin; glycosylated (A1C) <1% 24 $200.24
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 15 $192.87
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 13 $173.56
80061 Lipid panel <1% 12 $140.60
90688 <1% 935 $112.58
A7006 Administration set, with small volume filtered pneumatic nebulizer <1% 15 $78.00
87081 <1% 12 $64.35
85018 <1% 44 $60.31
90658 <1% 238 $33.05
81003 <1% 13 $25.84
0011A <1% 22 $16.94
90619 <1% 94 $0.12
90670 <1% 6,553 $0.01
90698 <1% 9,305 $0.01
90680 <1% 3,269 $0.01
90651 <1% 359 $0.01
90620 <1% 12 $0.01
3078F 0% 443 $0.00
99173 0% 1,099 $0.00
90633 0% 1,222 $0.00
90734 0% 101 $0.00
90707 0% 61 $0.00
90672 0% 28 $0.00
90681 0% 99 $0.00
90710 0% 28 $0.00
90715 0% 13 $0.00
90380 0% 14 $0.00
90744 0% 1,703 $0.00
3074F 0% 1,523 $0.00
96127 0% 88 $0.00
90656 0% 692 $0.00
0012A 0% 18 $0.00
90723 0% 107 $0.00
96161 0% 37 $0.00
90647 0% 146 $0.00
90716 0% 49 $0.00
90696 0% 26 $0.00
90381 0% 18 $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 officialDAGHESTANI, ANAS (CEO/PRESIDENT)