Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

METROPLEX CLINIC PHYSICIANS, INC.

NPI: 1891730396 · KILLEEN, TX 76549 · Orthopaedic Surgery Physician · NPI assigned 06/18/2006

$711K
Total Medicaid Paid
46,397
Total Claims
35,283
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGABARA, KIMBERLEE (DIR PRACTICE OPERATIONS)
NPI Enumeration Date06/18/2006

Related Entities

Other providers sharing the same authorized official: GABARA, KIMBERLEE

ProviderCityStateTotal Paid
ADVENTHEALTH FAMILY MEDICINE RURAL HEALTH CLINICS, INC. LAMPASAS TX $2.16M
ADVENTHEALTH FAMILY MEDICINE RURAL HEALTH CLINICS, INC. COPPERAS COVE TX $1.26M
ADVENTHEALTH FAMILY MEDICINE RURAL HEALTH CLINICS, INC. LAMPASAS TX $110K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 57 $2K
2019 101 $3K
2020 2,129 $37K
2021 17,505 $229K
2022 18,024 $262K
2023 6,264 $146K
2024 2,317 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,788 7,374 $383K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,587 1,788 $101K
90837 Psychotherapy, 53 minutes with patient 847 460 $54K
99215 Prolong outpt/office vis 280 268 $24K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 43 43 $24K
99232 Subsequent hospital care, per day, moderate complexity 493 173 $21K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 238 223 $21K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 506 410 $12K
90792 Psychiatric diagnostic evaluation with medical services 101 93 $11K
96131 60 53 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 108 107 $7K
90834 Psychotherapy, 45 minutes with patient 137 89 $7K
99239 Hospital discharge day management, more than 30 minutes 98 90 $7K
90791 Psychiatric diagnostic evaluation 73 66 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 79 73 $5K
99205 Prolong outpt/office vis 76 69 $5K
99233 Prolong inpt eval add15 m 89 37 $5K
81025 484 449 $3K
96137 40 28 $3K
96130 60 53 $3K
59430 25 24 $2K
96136 32 28 $823.57
11721 74 67 $615.76
90853 Group psychotherapy (other than of a multiple-family group) 25 12 $344.98
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16 13 $159.78
1036F 5,146 3,712 $0.01
3078F 5,795 4,380 $0.00
1160F 3,124 2,237 $0.00
1159F 2,469 1,794 $0.00
3725F 877 712 $0.00
3077F 112 100 $0.00
G0444 Annual depression screening, 5 to 15 minutes 20 18 $0.00
3075F 413 369 $0.00
1126F 927 738 $0.00
3074F 7,189 5,337 $0.00
3079F 1,634 1,379 $0.00
3008F 3,138 2,250 $0.00
1125F 131 111 $0.00
96127 17 16 $0.00
3080F 46 40 $0.00