Physician
Clinica Emmanuel Ninos Y Adultos LLC
Clinica Emmanuel Ninos Y Adultos LLC was paid $328K by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoCLINICA EMMANUEL NINOS Y ADULTOS LLC
MISSION, TX 78573
MISSION, TX 78573
33aNPI1881048049assigned 04/14/2016
33bProvider typeFamily Medicine Physician
28Total paid$328K
24GClaims19,140
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#226 of 1,204
Median peer was paid$31K
This provider vs. median11×
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 | 367 | $3K | |
| 2019 | 197 | $2K | |
| 2020 | 1,443 | $10K | |
| 2021 | 3,811 | $61K | |
| 2022 | 6,566 | $112K | |
| 2023 | 4,237 | $87K | |
| 2024incomplete | 2,519 | $52K |
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 | 51% | 6,550 | 4,674 | $169K |
| 86769 | 10% | 1,018 | 917 | $33K | |
| 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 | 6.9% | 525 | 448 | $23K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 6.7% | 1,799 | 983 | $22K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.2% | 1,110 | 1,020 | $20K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 5.2% | 424 | 406 | $17K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.4% | 1,192 | 1,140 | $14K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 4.2% | 1,086 | 629 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 55 | 52 | $4K |
| 99050 | <1% | 186 | 168 | $2K | |
| 99000 | <1% | 223 | 218 | $2K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 44 | 41 | $2K |
22 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 200 | $2K |
| 92552 | <1% | 113 | $1K | |
| 99051 | <1% | 1,234 | $866.52 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 96 | $817.62 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 82 | $631.58 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 559 | $245.95 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 580 | $197.99 |
| 81000 | <1% | 69 | $185.90 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 164 | $60.42 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 212 | $48.64 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $44.90 |
| 90686 | <1% | 17 | $41.06 | |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment | <1% | 139 | $40.36 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 207 | $16.01 |
| 90461 | <1% | 23 | $7.84 | |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 0% | 28 | $0.00 |
| 96160 | 0% | 28 | $0.00 | |
| 99173 | 0% | 31 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,069 | $0.00 |
| 96127 | 0% | 31 | $0.00 | |
| 97802 | 0% | 20 | $0.00 | |
| 1170F | 0% | 14 | $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 officialMEGO, AGUSTIN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Agustin B Mego MD PA | Mcallen, TX | $556K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.