Physician
Sports Medicine Associates of San Antonio, PA
Sports Medicine Associates of San Antonio, PA was paid $172K by Medicaid between Mar 2021 and Dec 2024, across 12 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 45% of everything it billed.
33Billing provider infoSPORTS MEDICINE ASSOCIATES OF SAN ANTONIO, PA
SAN ANTONIO, TX 78240
SAN ANTONIO, TX 78240
33aNPI1861549503assigned 01/04/2007
33bProvider typeSports Medicine (Family Medicine) Physician
28Total paid$172K
24GClaims3,343
24DCodes billed12
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers
Next to other Sports Medicine (Family Medicine) Physician providers in Texas
Rank by total paid#2 of 8
Median peer was paid$19K
This provider vs. median9.0×
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 | |
|---|---|---|---|
| 2021 | 259 | $10K | |
| 2022 | 850 | $34K | |
| 2023 | 1,226 | $66K | |
| 2024incomplete | 1,008 | $62K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 45% | 945 | 912 | $77K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 1,213 | 1,078 | $39K |
| 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 | 18% | 688 | 593 | $31K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.4% | 200 | 195 | $11K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.7% | 139 | 65 | $5K |
| 25600 | 2.1% | 13 | 13 | $4K | |
| 73100 | <1% | 45 | 43 | $1K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 30 | 14 | $1K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 19 | 12 | $1K |
| 73564 | <1% | 26 | 24 | $878.03 | |
| 73610 | <1% | 12 | 12 | $372.68 | |
| 73070 | <1% | 13 | 12 | $319.92 |
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 officialBIRKELO, JULIE (CREDENTIALING)