Managed care
ABA Medical Clinic, INC.
ABA Medical Clinic, INC. was paid $10K by Medicaid between Feb 2020 and May 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoABA MEDICAL CLINIC, INC.
TERRELL, TX 75160
TERRELL, TX 75160
33aNPI1932488020assigned 08/08/2011
33bProvider typeHealth Maintenance Organization
28Total paid$10K
24GClaims1,339
24DCodes billed8
24AFirst – last monthFeb 2020 – May 2024
Compared with peers
Next to other Health Maintenance Organization providers in Texas
Rank by total paid#10 of 16
Median peer was paid$18K
This provider vs. median0.5×
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 | 298 | $2K | |
| 2021 | 314 | $1K | |
| 2022 | 441 | $3K | |
| 2023 | 246 | $3K | |
| 2024incomplete | 40 | $3.65 |
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 | 59% | 167 | 151 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 136 | 130 | $3K |
| 90658 | 4.4% | 19 | 19 | $425.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 17 | 15 | $206.46 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.8% | 37 | 35 | $172.78 |
| 94760 | 1.2% | 924 | 836 | $113.00 | |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 0% | 18 | 16 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 21 | 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 officialAMUSAN, ADEOLA (INTERNAL MEDICINE DOCTOR)