Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Dallas › NPI 1952613465
Physician

Coral Medical Services, PLLC

Coral Medical Services, PLLC was paid $2.17M by Medicaid between Aug 2018 and Dec 2024, across 41 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.

33Billing provider infoCORAL MEDICAL SERVICES, PLLC
DALLAS, TX 75218
33aNPI1952613465assigned 07/13/2010
28Total paid$2.17M
24GClaims101,215
24DCodes billed41
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#51 of 1,204
Median peer was paid$31K
This provider vs. median70×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
201857$1K
20201,680$35K
202118,109$347K
202227,724$573K
202329,077$659K
2024incomplete24,568$554K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 24% 11,546 10,039 $526K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 18% 9,422 8,276 $393K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 9,233 7,553 $307K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 9.1% 14,824 6,630 $197K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6.5% 10,710 9,468 $141K
92567 5.4% 12,173 10,534 $117K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5.1% 1,588 1,410 $110K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5.0% 5,782 5,034 $109K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.6% 1,023 916 $78K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.0% 931 860 $65K
90460 Immunization administration through 18 years of age via any route, first or only component 2.0% 3,928 1,931 $43K
87807 <1% 1,556 1,393 $16K
29 more codes
99203 Doctor's office visit, new patient (routine) <1% 279 $15K
99204 Doctor's office visit, new patient (more involved) <1% 169 $14K
86580 <1% 1,671 $12K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 191 $6K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 4,738 $5K
83655 <1% 527 $4K
81002 <1% 1,476 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 28 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 84 $2K
99382 <1% 15 $1K
99050 <1% 97 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 20 $783.20
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 5,001 $598.71
92552 <1% 85 $574.92
90461 <1% 270 $462.07
J2550 Injection, promethazine hcl, up to 50 mg <1% 169 $409.16
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 24 $223.89
90686 <1% 685 $215.81
90734 <1% 89 $154.72
36415 Collection of venous blood by venipuncture <1% 2,485 $99.75
81025 <1% 13 $93.99
90715 <1% 15 $62.39
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 24 $0.85
90620 0% 13 $0.00
90696 0% 12 $0.00
90710 0% 68 $0.00
90670 0% 98 $0.00
90649 0% 95 $0.00
90633 0% 58 $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 officialORTEGA, CHARLES (ADMINISTRATOR)