NP / PA
Sabine Valley Medical Associates INC
Sabine Valley Medical Associates INC was paid $980K by Medicaid between Oct 2020 and Dec 2024, across 44 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoSABINE VALLEY MEDICAL ASSOCIATES INC
GREENVILLE, TX 75402
GREENVILLE, TX 75402
33aNPI1972077063assigned 01/11/2019
33bProvider typeFamily Nurse Practitioner
28Total paid$980K
24GClaims42,297
24DCodes billed44
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Texas
Rank by total paid#15 of 344
Median peer was paid$14K
This provider vs. median71×
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 | 617 | $10K | |
| 2021 | 5,977 | $132K | |
| 2022 | 12,602 | $256K | |
| 2023 | 12,742 | $309K | |
| 2024incomplete | 10,359 | $273K |
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 | 35% | 7,318 | 6,479 | $348K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 1,749 | 1,710 | $130K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 1,722 | 1,661 | $117K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 9,175 | 3,989 | $100K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 9.2% | 6,605 | 5,943 | $90K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.4% | 657 | 642 | $53K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.0% | 1,457 | 1,384 | $49K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.2% | 858 | 829 | $32K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.6% | 406 | 380 | $16K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 799 | 776 | $11K |
| 90461 | <1% | 3,391 | 912 | $8K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 56 | 55 | $5K |
32 more codes
| 17250 | <1% | 100 | $5K | |
| 99383 | <1% | 37 | $3K | |
| 90671 | <1% | 102 | $3K | |
| 81003 | <1% | 1,355 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 180 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 129 | $1K |
| 99382 | <1% | 14 | $1K | |
| 0001A | <1% | 27 | $976.94 | |
| 87807 | <1% | 82 | $960.50 | |
| 99000 | <1% | 90 | $855.18 | |
| 90677 | <1% | 347 | $544.82 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 53 | $501.84 |
| 90686 | <1% | 684 | $1.04 | |
| 90381 | <1% | 28 | $0.15 | |
| 90380 | <1% | 35 | $0.13 | |
| 90619 | <1% | 13 | $0.08 | |
| 91300 | <1% | 44 | $0.05 | |
| 90734 | <1% | 13 | $0.01 | |
| 90698 | 0% | 633 | $0.00 | |
| 90680 | 0% | 963 | $0.00 | |
| 90716 | 0% | 105 | $0.00 | |
| 90744 | 0% | 79 | $0.00 | |
| 90696 | 0% | 39 | $0.00 | |
| 90651 | 0% | 101 | $0.00 | |
| 90723 | 0% | 121 | $0.00 | |
| 90648 | 0% | 565 | $0.00 | |
| 90670 | 0% | 1,168 | $0.00 | |
| 90633 | 0% | 674 | $0.00 | |
| 90710 | 0% | 94 | $0.00 | |
| 90707 | 0% | 81 | $0.00 | |
| 90700 | 0% | 136 | $0.00 | |
| 90715 | 0% | 12 | $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 officialPICKLE KRISPIN, PENNY (FNP/OWNER)