Physician
Bustamante, Erik
Bustamante, Erik was paid $931K by Medicaid between Nov 2020 and Nov 2022, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoBUSTAMANTE, ERIK
HOUSTON, TX 77004
HOUSTON, TX 77004
33aNPI1023302361assigned 06/03/2011
33bProvider typePediatrics Physician
28Total paid$931K
24GClaims35,920
24DCodes billed49
24AFirst – last monthNov 2020 – Nov 2022
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#382 of 1,136
Median peer was paid$329K
This provider vs. median2.8×
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 | 956 | $25K | |
| 2021 | 11,016 | $299K | |
| 2022 | 23,948 | $607K |
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 | 31% | 7,770 | 6,149 | $286K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 18% | 2,093 | 1,992 | $166K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 7.5% | 5,125 | 2,425 | $70K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.1% | 954 | 916 | $48K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.8% | 3,297 | 3,067 | $45K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.2% | 479 | 476 | $39K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.2% | 456 | 453 | $39K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.0% | 474 | 472 | $37K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.7% | 608 | 599 | $25K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.4% | 2,982 | 1,229 | $22K |
| 87634 | 2.4% | 388 | 363 | $22K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 250 | 249 | $19K |
37 more codes
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.0% | 469 | $19K |
| 87428 | 2.0% | 268 | $19K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.6% | 2,058 | $15K |
| 87081 | 1.4% | 2,346 | $13K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.3% | 1,844 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 440 | $10K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 284 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 299 | $2K |
| 87581 | <1% | 77 | $2K | |
| 0071A | <1% | 58 | $2K | |
| 90461 | <1% | 312 | $2K | |
| 86318 | <1% | 114 | $2K | |
| 0072A | <1% | 33 | $1K | |
| 82570 | <1% | 289 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $738.72 |
| 92567 | <1% | 51 | $673.50 | |
| 81003 | <1% | 292 | $546.21 | |
| 96160 | <1% | 131 | $293.88 | |
| 87400 | <1% | 48 | $189.92 | |
| 86308 | <1% | 43 | $187.05 | |
| 90680 | 0% | 146 | $0.00 | |
| 90651 | 0% | 62 | $0.00 | |
| 90688 | 0% | 120 | $0.00 | |
| 91307 | 0% | 104 | $0.00 | |
| 90697 | 0% | 60 | $0.00 | |
| 90686 | 0% | 264 | $0.00 | |
| 90723 | 0% | 26 | $0.00 | |
| 90716 | 0% | 36 | $0.00 | |
| 90696 | 0% | 18 | $0.00 | |
| 90620 | 0% | 15 | $0.00 | |
| 90715 | 0% | 29 | $0.00 | |
| 90670 | 0% | 285 | $0.00 | |
| 90648 | 0% | 105 | $0.00 | |
| 90633 | 0% | 107 | $0.00 | |
| 90707 | 0% | 63 | $0.00 | |
| 90734 | 0% | 107 | $0.00 | |
| 90700 | 0% | 29 | $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.