Physician
Roberto Canales M.D. P.A.
Roberto Canales M.D. P.A. was paid $18.33M by Medicaid between Jan 2018 and Dec 2024, across 93 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 16% of everything it billed.
33Billing provider infoROBERTO CANALES M.D. P.A.
EL PASO, TX 79902
EL PASO, TX 79902
33aNPI1023237518assigned 04/24/2007
33bProvider typePediatrics Physician
28Total paid$18.33M
24GClaims438,704
24DCodes billed93
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#11 of 1,136
Median peer was paid$329K
This provider vs. median56×
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 | 6,053 | $252K | |
| 2019 | 7,107 | $321K | |
| 2020 | 19,846 | $820K | |
| 2021 | 94,149 | $3.69M | |
| 2022 | 117,894 | $4.80M | |
| 2023 | 107,077 | $4.46M | |
| 2024incomplete | 86,578 | $4.00M |
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 | 16% | 70,298 | 62,593 | $2.85M |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 8.9% | 31,515 | 28,755 | $1.63M |
| 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 | 7.1% | 23,536 | 20,657 | $1.30M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.3% | 10,551 | 10,107 | $979K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.2% | 10,824 | 10,398 | $962K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 5.0% | 8,118 | 6,727 | $919K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.3% | 55,589 | 25,601 | $797K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.3% | 29,196 | 27,248 | $789K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 4.2% | 3,924 | 890 | $762K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.7% | 7,993 | 7,713 | $686K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.7% | 9,841 | 2,529 | $683K |
| 93229 | 3.3% | 1,026 | 993 | $612K |
81 more codes
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 3.0% | 1,493 | $551K |
| 99223 | Prolong inpt eval add15 m | 2.7% | 3,522 | $487K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.4% | 5,317 | $448K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.4% | 7,081 | $434K |
| 99471 | 1.9% | 436 | $342K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 23,384 | $296K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.4% | 2,468 | $265K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.4% | 1,917 | $254K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.3% | 22,057 | $244K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.2% | 1,454 | $216K |
| 99232 | Hospital visit by a doctor, follow-up day | 1.1% | 3,950 | $205K |
| 93320 | 1.0% | 4,716 | $192K | |
| 99050 | <1% | 2,113 | $173K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,912 | $170K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 15,784 | $149K |
| 93325 | <1% | 4,948 | $88K | |
| 99245 | <1% | 593 | $88K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,616 | $82K |
| 99476 | <1% | 306 | $76K | |
| 93224 | <1% | 1,171 | $76K | |
| 93000 | <1% | 5,356 | $67K | |
| 99475 | <1% | 138 | $63K | |
| 99460 | <1% | 584 | $47K | |
| 0001A | <1% | 1,027 | $40K | |
| 0002A | <1% | 746 | $31K | |
| 99243 | <1% | 277 | $29K | |
| 99499 | <1% | 296 | $26K | |
| 93228 | <1% | 1,072 | $23K | |
| 0071A | <1% | 541 | $22K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 260 | $22K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 202 | $17K |
| 90473 | <1% | 1,180 | $14K | |
| 0072A | <1% | 319 | $14K | |
| 90686 | <1% | 10,899 | $14K | |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | <1% | 487 | $11K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 207 | $10K |
| 94760 | <1% | 11,615 | $8K | |
| 90677 | <1% | 1,064 | $6K | |
| 0003A | <1% | 136 | $6K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 316 | $5K |
| 90670 | <1% | 3,264 | $4K | |
| 86580 | <1% | 506 | $4K | |
| 90474 | <1% | 346 | $4K | |
| 93784 | <1% | 91 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 232 | $3K |
| 90698 | <1% | 2,045 | $3K | |
| 90651 | <1% | 3,398 | $3K | |
| 90680 | <1% | 2,303 | $3K | |
| 99383 | <1% | 27 | $3K | |
| 90633 | <1% | 2,236 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 25 | $2K |
| 0081A | <1% | 38 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $1K |
| 90744 | <1% | 1,004 | $1K | |
| 90688 | <1% | 948 | $1K | |
| 99381 | <1% | 15 | $1K | |
| 90619 | <1% | 2,343 | $1K | |
| 93225 | <1% | 152 | $1K | |
| 90715 | <1% | 1,372 | $1K | |
| 90710 | <1% | 672 | $920.00 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 132 | $866.85 |
| 90716 | <1% | 790 | $796.26 | |
| 90707 | <1% | 782 | $740.00 | |
| 0082A | <1% | 16 | $681.60 | |
| 0073A | <1% | 18 | $663.20 | |
| 90700 | <1% | 375 | $647.60 | |
| 90696 | <1% | 568 | $610.00 | |
| 90734 | <1% | 779 | $580.00 | |
| 90685 | <1% | 368 | $550.84 | |
| 93321 | <1% | 13 | $306.72 | |
| 90620 | <1% | 402 | $290.02 | |
| 90648 | <1% | 247 | $274.43 | |
| 90697 | <1% | 526 | $122.54 | |
| 90656 | <1% | 29 | $40.00 | |
| 90723 | <1% | 53 | $30.00 | |
| 90713 | <1% | 28 | $20.00 | |
| 91300 | <1% | 2,096 | $1.11 | |
| 91307 | <1% | 949 | $0.54 | |
| 91308 | <1% | 74 | $0.02 | |
| 90660 | <1% | 34 | $0.01 | |
| 90672 | 0% | 22 | $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 officialCANALES, ROBERTO (PRESIDENT)