NP / PA
West Texas Family Medicine, PLLC
West Texas Family Medicine, PLLC was paid $607K by Medicaid between Jan 2018 and Apr 2021, across 32 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 33% of everything it billed.
33Billing provider infoWEST TEXAS FAMILY MEDICINE, PLLC
PLAINVIEW, TX 79072
PLAINVIEW, TX 79072
33aNPI1841628211assigned 10/23/2013
33bProvider typeNurse Practitioner
28Total paid$607K
24GClaims26,602
24DCodes billed32
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Nurse Practitioner providers in Texas
Rank by total paid#19 of 142
Median peer was paid$25K
This provider vs. median24×
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 | 1,171 | $22K | |
| 2019 | 945 | $18K | |
| 2020 | 12,850 | $306K | |
| 2021 | 11,636 | $260K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 33% | 5,883 | 5,210 | $203K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 5,112 | 4,619 | $153K |
| 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 | 14% | 2,402 | 2,131 | $82K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 3,072 | 2,717 | $64K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 9.5% | 4,630 | 2,148 | $57K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.5% | 1,211 | 1,130 | $15K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 85 | 81 | $7K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 769 | 352 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 463 | 418 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 41 | 41 | $3K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 70 | 13 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 26 | 25 | $2K |
20 more codes
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 168 | $1K |
| 99490 | Ccm add 20min | <1% | 327 | $864.01 |
| 80053 | Comprehensive metabolic panel | <1% | 147 | $789.26 |
| 90461 | <1% | 102 | $666.94 | |
| 81025 | <1% | 82 | $513.41 | |
| 99201 | <1% | 20 | $395.00 | |
| 87807 | <1% | 30 | $334.37 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 15 | $332.21 |
| 81003 | <1% | 177 | $316.05 | |
| 0031A | <1% | 30 | $198.73 | |
| 95117 | <1% | 24 | $193.41 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 45 | $191.16 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 30 | $163.15 |
| 80061 | Lipid panel | <1% | 13 | $48.75 |
| A4250 | Urine test or reagent strips or tablets (100 tablets or strips) | <1% | 123 | $30.00 |
| 91303 | <1% | 30 | $0.03 | |
| 90686 | <1% | 103 | $0.01 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 324 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | $0.00 |
| A4208 | Syringe with needle, sterile 3 cc, each | 0% | 1,035 | $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 officialORTEGA, MARIA (BILLING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Ortega NP Services Corp | Miami, FL | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.