Ayala Ent & Facial Plastic Surgery PLLC

Ayala Ent & Facial Plastic Surgery PLLC was paid $5K by Medicaid between May 2018 and Aug 2023, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.

33Billing provider infoAYALA ENT & FACIAL PLASTIC SURGERY PLLC
EDINBURG, TX 78539

33aNPI1033545512assigned 09/17/2013

33bProvider typePlastic Surgery Physician

28Total paid$5K

24GClaims349

24DCodes billed3

24AFirst – last monthMay 2018 – Aug 2023

Compared with peers

Next to other Plastic Surgery Physician providers in Texas

Rank by total paid#3 of 5

Median peer was paid$5K

This provider vs. median1.0×

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
2018	41	$36.89
2019	14	$22.02
2021	215	$3K
2022	60	$1K
2023	19	$743.22

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	76%	113	99	$4K
95117		24%	195	76	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	41	38	$36.89

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 officialAYALA, CARLOS (OWNER)