Providence Medical and Geriatric Associates, PA

Providence Medical and Geriatric Associates, PA was paid $4K by Medicaid between Feb 2018 and Jul 2022, across 11 billing codes. Its largest line is 99444, — 48% of everything it billed.

33Billing provider infoPROVIDENCE MEDICAL AND GERIATRIC ASSOCIATES, PA
MCALLEN, TX 78503

33aNPI1942409198assigned 07/17/2007

33bProvider typeGeneral Practice Physician

28Total paid$4K

24GClaims845

24DCodes billed11

24AFirst – last monthFeb 2018 – Jul 2022

Compared with peers

Next to other General Practice Physician providers in Texas

Rank by total paid#83 of 113

Median peer was paid$22K

This provider vs. median0.2×

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	74	$565.85
2019	628	$3K
2020	74	$257.71
2021	37	$249.41
2022	32	$392.07

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99444		48%	36	22	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	34%	276	240	$1K
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	12%	194	175	$491.02
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	5.6%	80	70	$237.51
96127		0%	35	30	$0.00
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	0%	12	12	$0.00
J1885	Injection, ketorolac tromethamine, per 15 mg	0%	83	72	$0.00
90674		0%	14	13	$0.00
99497		0%	30	24	$0.00
82947		0%	45	45	$0.00
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	0%	40	40	$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 officialOLIVARES-HERRERA, OLGA (PRESIDENT)