Clinic
DR Americo M Baca PLLC
DR Americo M Baca PLLC was paid $126K by Medicaid between Oct 2019 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoDR AMERICO M BACA PLLC
SAN JUAN, TX 78589
SAN JUAN, TX 78589
33aNPI1922564863assigned 02/15/2019
33bProvider typeRural Health Clinic/Center
28Total paid$126K
24GClaims7,928
24DCodes billed24
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Texas
Rank by total paid#160 of 225
Median peer was paid$428K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2019 | 344 | $269.27 | |
| 2020 | 1,960 | $11K | |
| 2021 | 2,035 | $26K | |
| 2022 | 1,562 | $27K | |
| 2023 | 1,221 | $34K | |
| 2024incomplete | 806 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 47% | 2,271 | 1,779 | $59K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 1,588 | 1,388 | $38K |
| 99091 | 9.7% | 128 | 127 | $12K | |
| 99000 | 6.4% | 1,346 | 1,158 | $8K | |
| 99442 | 2.2% | 333 | 291 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.1% | 161 | 122 | $1K |
| 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 | <1% | 39 | 37 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 364 | 202 | $1K |
| 99441 | <1% | 116 | 101 | $1K | |
| 99421 | <1% | 218 | 80 | $447.00 | |
| 90688 | <1% | 18 | 17 | $146.42 | |
| 0012A | <1% | 12 | 12 | $120.00 |
12 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $62.72 |
| 99443 | <1% | 14 | $42.99 | |
| 90686 | <1% | 20 | $35.86 | |
| 81002 | <1% | 15 | $25.26 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 40 | $8.32 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 66 | $3.75 |
| 91301 | <1% | 37 | $0.01 | |
| 99490 | Ccm add 20min | 0% | 14 | $0.00 |
| 99072 | 0% | 56 | $0.00 | |
| 82947 | 0% | 31 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,011 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 18 | $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 officialHOVORKA, JOHN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Laser Surgical Solutions, RGV LLC | Mcallen, TX | $982K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.