Physician
Maria Elena Falcon, M.D., P.A.
Maria Elena Falcon, M.D., P.A. was paid $1.37M by Medicaid between Nov 2020 and Dec 2024, across 10 billing codes. Its largest line is 95004, Percutaneous tests with allergenic extracts, immediate type reaction — 50% of everything it billed.
33Billing provider infoMARIA ELENA FALCON, M.D., P.A.
MCALLEN, TX 78504
MCALLEN, TX 78504
33aNPI1023061041assigned 05/19/2006
33bProvider typeAllergy Physician
28Total paid$1.37M
24GClaims15,013
24DCodes billed10
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Allergy Physician providers in Texas
Rank by total paid#5 of 27
Median peer was paid$342K
This provider vs. median4.0×
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 | 214 | $14K | |
| 2021 | 2,900 | $253K | |
| 2022 | 3,755 | $376K | |
| 2023 | 4,129 | $392K | |
| 2024incomplete | 4,015 | $335K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 50% | 2,503 | 2,405 | $688K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 19% | 789 | 409 | $262K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 16% | 1,918 | 1,854 | $218K |
| 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 | 4.6% | 1,318 | 1,265 | $63K |
| 95117 | 4.3% | 6,698 | 2,843 | $60K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 1,035 | 1,000 | $35K |
| 99243 | 2.3% | 383 | 380 | $31K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 91 | 85 | $7K |
| 94010 | <1% | 250 | 240 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | 28 | $645.96 |
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 officialFALCON, MARIA (PRESIDENT/OWNER)