Clinic
Su Clinica Familiar
Su Clinica Familiar was paid $1.56M by Medicaid between Jun 2020 and Dec 2024, across 69 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 70% of everything it billed.
33Billing provider infoSU CLINICA FAMILIAR
RAYMONDVILLE, TX 78580
RAYMONDVILLE, TX 78580
33aNPI1871516807assigned 07/25/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.56M
24GClaims27,003
24DCodes billed69
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#98 of 248
Median peer was paid$796K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2020 | 1,498 | $114K | |
| 2021 | 9,989 | $650K | |
| 2022 | 3,656 | $231K | |
| 2023 | 9,581 | $426K | |
| 2024incomplete | 2,279 | $138K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 70% | 7,457 | 5,108 | $1.09M |
| D0999 | Unspecified diagnostic procedure, by report | 15% | 1,535 | 1,398 | $229K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.0% | 3,017 | 2,563 | $94K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 2,567 | 2,120 | $88K |
| 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 | 1.4% | 654 | 543 | $22K |
| 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 | 1.0% | 438 | 398 | $16K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 80 | 78 | $5K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 234 | 209 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 511 | 453 | $3K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 175 | 151 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 27 | 25 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 250 | 226 | $2K |
57 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $830.30 |
| 0012A | <1% | 26 | $709.75 | |
| 81002 | <1% | 458 | $669.62 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 314 | $622.82 |
| 87081 | <1% | 194 | $520.34 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 54 | $458.70 |
| 81025 | <1% | 123 | $404.88 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 364 | $404.77 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 87 | $378.58 |
| 80053 | Comprehensive metabolic panel | <1% | 207 | $366.12 |
| 90461 | <1% | 70 | $360.22 | |
| 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% | 26 | $338.00 |
| 0011A | <1% | 15 | $237.16 | |
| 80061 | Lipid panel | <1% | 166 | $206.25 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 43 | $161.84 |
| D0120 | Dental checkup, returning patient | <1% | 478 | $115.40 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 32 | $88.44 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 32 | $88.44 |
| 90686 | <1% | 350 | $75.36 | |
| 96160 | <1% | 31 | $65.78 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 612 | $58.80 |
| D1120 | Dental cleaning, child | <1% | 250 | $56.00 |
| D1110 | Prophylaxis - adult | <1% | 113 | $40.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 28 | $33.90 |
| 81001 | <1% | 34 | $31.92 | |
| 84436 | <1% | 12 | $23.08 | |
| 84479 | <1% | 12 | $21.72 | |
| 86803 | <1% | 13 | $11.99 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 54 | $10.94 |
| 3725F | 0% | 313 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 159 | $0.00 |
| 1160F | 0% | 288 | $0.00 | |
| 0502F | 0% | 72 | $0.00 | |
| 3078F | 0% | 570 | $0.00 | |
| 1159F | 0% | 704 | $0.00 | |
| 91300 | 0% | 13 | $0.00 | |
| 92552 | 0% | 46 | $0.00 | |
| 99173 | 0% | 143 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 48 | $0.00 |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 0% | 18 | $0.00 |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 13 | $0.00 |
| 3008F | 0% | 754 | $0.00 | |
| D0603 | 0% | 695 | $0.00 | |
| D0602 | 0% | 18 | $0.00 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 45 | $0.00 |
| 3075F | 0% | 17 | $0.00 | |
| 3079F | 0% | 75 | $0.00 | |
| 3044F | 0% | 176 | $0.00 | |
| 1126F | 0% | 50 | $0.00 | |
| 1036F | 0% | 641 | $0.00 | |
| 3074F | 0% | 618 | $0.00 | |
| D1330 | 0% | 195 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 75 | $0.00 |
| 91301 | 0% | 47 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 16 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 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 officialSALDIVAR, ADAM (CFO)
| Provider | Location | Paid |
|---|---|---|
| Su Clinica Familiar | Harlingen, TX | $37.58M |
| Su Clinica Familiar | Harlingen, TX | $3.10M |
| Su Clinica Familiar | Brownsville, TX | $2.28M |
| Su Clinica Familiar | Harlingen, TX | $435.72 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.