Physician
Center for Arthritis and Osteoporosis I PA
Center for Arthritis and Osteoporosis I PA was paid $64K by Medicaid between Jan 2018 and May 2018, across 69 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 19% of everything it billed.
33Billing provider infoCENTER FOR ARTHRITIS AND OSTEOPOROSIS I PA
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1962857896assigned 04/28/2016
33bProvider typeRheumatology Physician
28Total paid$64K
24GClaims22,326
24DCodes billed69
24AFirst – last monthJan 2018 – May 2018
Compared with peers
Next to other Rheumatology Physician providers in Texas
Rank by total paid#12 of 45
Median peer was paid$12K
This provider vs. median5.4×
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 | 22,326 | $64K |
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 | 19% | 908 | 889 | $12K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 16% | 444 | 437 | $10K |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | 11% | 328 | 211 | $7K |
| 73218 | 8.9% | 105 | 96 | $6K | |
| 20610 | 5.8% | 742 | 455 | $4K | |
| 96401 | 4.8% | 403 | 265 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 4.3% | 443 | 352 | $3K |
| 20611 | 4.2% | 300 | 193 | $3K | |
| 73221 | 3.3% | 130 | 118 | $2K | |
| 76536 | 2.7% | 152 | 150 | $2K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 2.4% | 127 | 124 | $2K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 2.3% | 624 | 607 | $1K |
57 more codes
| 20552 | 2.0% | 169 | $1K | |
| J9260 | Injection, methotrexate sodium, 50 mg | 1.5% | 384 | $972.57 |
| 86235 | 1.1% | 1,833 | $681.78 | |
| 93880 | <1% | 62 | $629.06 | |
| 73030 | <1% | 120 | $465.29 | |
| 73223 | <1% | 12 | $426.41 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 106 | $426.26 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 318 | $410.08 |
| 70220 | <1% | 104 | $351.46 | |
| 73080 | <1% | 120 | $327.91 | |
| 96415 | <1% | 42 | $305.20 | |
| 73562 | <1% | 75 | $303.07 | |
| 73110 | <1% | 92 | $278.92 | |
| 86160 | <1% | 604 | $221.28 | |
| 73521 | <1% | 44 | $199.67 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 547 | $193.60 |
| 86431 | <1% | 360 | $176.58 | |
| 73130 | <1% | 84 | $170.68 | |
| 86800 | <1% | 308 | $164.97 | |
| 77080 | <1% | 184 | $156.60 | |
| 86376 | <1% | 308 | $150.93 | |
| 86215 | <1% | 300 | $137.34 | |
| 86200 | <1% | 306 | $134.28 | |
| 83520 | <1% | 277 | $134.28 | |
| 82784 | <1% | 282 | $128.64 | |
| 82785 | <1% | 266 | $113.82 | |
| 86038 | <1% | 298 | $111.44 | |
| 86140 | <1% | 838 | $95.36 | |
| 72070 | <1% | 39 | $90.57 | |
| 86704 | <1% | 261 | $83.34 | |
| 86060 | <1% | 298 | $67.28 | |
| 85651 | <1% | 823 | $65.44 | |
| 81001 | <1% | 823 | $62.05 | |
| 80053 | Comprehensive metabolic panel | <1% | 458 | $60.85 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 469 | $53.70 |
| 84550 | <1% | 473 | $52.29 | |
| 93970 | <1% | 13 | $49.92 | |
| 72200 | <1% | 26 | $41.97 | |
| 86677 | <1% | 261 | $37.68 | |
| 86225 | <1% | 193 | $31.66 | |
| 86226 | <1% | 193 | $27.90 | |
| 86803 | <1% | 261 | $24.85 | |
| 86147 | <1% | 530 | $18.08 | |
| 86146 | <1% | 530 | $18.08 | |
| 86021 | <1% | 223 | $17.35 | |
| 87340 | <1% | 261 | $16.55 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 242 | $14.60 |
| 85027 | <1% | 118 | $7.45 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 16 | $5.81 |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | <1% | 331 | $0.11 |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | <1% | 16 | $0.06 |
| 83876 | 0% | 223 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 618 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 835 | $0.00 |
| J7050 | Infusion, normal saline solution, 250 cc | 0% | 439 | $0.00 |
| J1740 | Injection, ibandronate sodium, 1 mg | 0% | 126 | $0.00 |
| J1438 | Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 0% | 78 | $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 officialGARCIA, PRISCILLA (OFFICE MANAGER)