Nacogdoches Medical Clinic PLLC

Nacogdoches Medical Clinic PLLC was paid $31K by Medicaid between Jan 2018 and Jul 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.

33Billing provider infoNACOGDOCHES MEDICAL CLINIC PLLC
NACOGDOCHES, TX 75965

33aNPI1841248630assigned 05/04/2006

33bProvider typeInternal Medicine Physician

28Total paid$31K

24GClaims7,634

24DCodes billed26

24AFirst – last monthJan 2018 – Jul 2024

Compared with peers

Next to other Internal Medicine Physician providers in Texas

Rank by total paid#364 of 1,028

Median peer was paid$10K

This provider vs. median3.0×

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	2,989	$9K
2019	1,930	$8K
2020	1,010	$4K
2021	1,200	$6K
2022	429	$4K
2023	47	$25.42
2024incomplete	29	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	63%	1,656	1,440	$20K
99490	Ccm add 20min	14%	934	934	$4K
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	13%	276	261	$4K
99308	Subsequent nursing facility care, per day, straightforward	8.3%	388	384	$3K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.8%	83	69	$566.52
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	12	12	$81.40
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	14	12	$9.76
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	1,150	1,010	$0.00
G8753	Most recent systolic blood pressure >= 140 mmhg	0%	436	399	$0.00
G8482	Influenza immunization administered or previously received	0%	41	41	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	731	669	$0.00
90756		0%	61	60	$0.00

14 more codes

G9622	Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method	0%	44	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	85	$0.00
G0444	Annual depression screening, 5 to 15 minutes	0%	29	$0.00
G9744	Patient not eligible due to active diagnosis of hypertension	0%	57	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	1,182	$0.00
99309	Subsequent nursing facility care, per day, low to moderate complexity	0%	24	$0.00
G0008	Administration of influenza virus vaccine	0%	64	$0.00
1036F		0%	107	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	80	$0.00
36415	Collection of venous blood by venipuncture	0%	54	$0.00
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	26	$0.00
1123F		0%	61	$0.00
82044		0%	13	$0.00
G0442	Annual alcohol misuse screening, 5 to 15 minutes	0%	26	$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 officialVYAS, KAVITA (OWNER)