Physician
Higuera, Emiliano
Higuera, Emiliano was paid $113K by Medicaid between Jan 2018 and Apr 2020, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoHIGUERA, EMILIANO
EL CENTRO, CA 92243
EL CENTRO, CA 92243
33aNPI1023344660assigned 11/01/2009
33bProvider typePediatrics Physician
28Total paid$113K
24GClaims4,133
24DCodes billed17
24AFirst – last monthJan 2018 – Apr 2020
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#466 of 1,490
Median peer was paid$15K
This provider vs. median7.5×
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 | 3,925 | $106K | |
| 2019 | 133 | $4K | |
| 2020 | 75 | $4K |
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% | 1,118 | 906 | $50K |
| 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 | 15% | 241 | 214 | $17K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 435 | 412 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 173 | 171 | $13K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.9% | 171 | 167 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.3% | 70 | 67 | $5K |
| 92552 | 2.0% | 193 | 183 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | 12 | $991.19 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 14 | 12 | $784.25 |
| 94760 | <1% | 1,365 | 1,118 | $200.15 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 17 | 17 | $198.85 |
| 99173 | <1% | 190 | 175 | $179.35 |
5 more codes
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.