Physician
Family Practice Associates, P.A.
Family Practice Associates, P.A. was paid $566K by Medicaid between Feb 2018 and Sep 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoFAMILY PRACTICE ASSOCIATES, P.A.
KERRVILLE, TX 78028
KERRVILLE, TX 78028
33aNPI1972520302assigned 07/15/2006
33bProvider typeFamily Medicine Physician
28Total paid$566K
24GClaims21,722
24DCodes billed22
24AFirst – last monthFeb 2018 – Sep 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#161 of 1,204
Median peer was paid$31K
This provider vs. median18×
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 | 12 | $540.73 | |
| 2019 | 27 | $314.24 | |
| 2020 | 548 | $16K | |
| 2021 | 6,182 | $163K | |
| 2022 | 6,834 | $171K | |
| 2023 | 5,489 | $145K | |
| 2024incomplete | 2,630 | $71K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 6,216 | 5,648 | $248K |
| 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 | 28% | 2,975 | 2,713 | $159K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 8.7% | 3,675 | 1,726 | $50K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.7% | 2,299 | 2,168 | $32K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.6% | 3,001 | 1,299 | $32K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.4% | 294 | 283 | $25K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 139 | 136 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 57 | 57 | $5K |
| 92551 | <1% | 937 | 921 | $2K | |
| 90461 | <1% | 181 | 128 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 83 | 65 | $711.27 |
| 87807 | <1% | 49 | 43 | $533.13 |
10 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $214.29 |
| 96160 | <1% | 69 | $107.12 | |
| 94760 | <1% | 329 | $24.62 | |
| 99173 | <1% | 1,075 | $12.50 | |
| 99051 | 0% | 38 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 90670 | 0% | 17 | $0.00 | |
| 90686 | 0% | 137 | $0.00 | |
| 96127 | 0% | 96 | $0.00 | |
| 90651 | 0% | 30 | $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 officialSPROUSE, DAVID (PRESIDENT)