Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Pro Med Providers LLC

Pro Med Providers LLC was paid $804K by Medicaid between May 2021 and Nov 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.

33Billing provider infoPRO MED PROVIDERS LLC
PORT ARTHUR, TX 77642
33aNPI1972930840assigned 10/08/2013
28Total paid$804K
24GClaims46,668
24DCodes billed34
24AFirst – last monthMay 2021 – Nov 2024
Compared with peers

Next to other Adolescent and Children Mental Health Clinic/Center providers in Texas

Rank by total paid#3 of 10
Median peer was paid$104K
This provider vs. median7.7×

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$20K$40K$60K2018201920202021202220232024
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
202131$64.48
20226,309$178K
202328,191$402K
2024incomplete12,137$224K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 8,357 4,653 $169K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 12% 3,310 1,919 $99K
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% 3,333 2,018 $97K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11% 1,858 1,089 $86K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10% 1,782 1,076 $81K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6.6% 1,207 757 $53K
90460 Immunization administration through 18 years of age via any route, first or only component 6.5% 6,493 1,779 $52K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6.2% 1,054 602 $50K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4.9% 5,387 1,538 $39K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4.2% 4,234 2,434 $33K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.6% 922 536 $13K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.1% 1,858 755 $9K
22 more codes
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 409 $7K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 1,045 $6K
97169 <1% 268 $3K
99203 Doctor's office visit, new patient (routine) <1% 56 $2K
90681 <1% 680 $2K
90656 <1% 137 $1K
90461 <1% 619 $713.44
96160 <1% 816 $708.43
90620 0% 36 $0.00
90619 0% 173 $0.00
90697 0% 303 $0.00
90651 0% 130 $0.00
90696 0% 46 $0.00
90698 0% 32 $0.00
90723 0% 26 $0.00
90670 0% 1,055 $0.00
90633 0% 475 $0.00
90700 0% 30 $0.00
90710 0% 368 $0.00
90648 0% 70 $0.00
90734 0% 28 $0.00
90715 0% 71 $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 officialSAVOIE, REGINALD (MANAGING MEMBER)