Fernandez and Associates

Fernandez and Associates was paid $19K by Medicaid between Jan 2018 and Nov 2019, across 11 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 27% of everything it billed.

33Billing provider infoFERNANDEZ AND ASSOCIATES
HOUSTON, TX 77034

33aNPI1043243843assigned 07/08/2006

33bProvider typeGynecology Physician

28Total paid$19K

24GClaims723

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2019

Compared with peers

Next to other Gynecology Physician providers in Texas

Rank by total paid#20 of 24

Median peer was paid$205K

This provider vs. median0.1×

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	102	$3K
2019	621	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	27%	66	65	$5K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	25%	51	50	$5K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	17%	39	39	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	89	79	$3K
90460	Immunization administration through 18 years of age via any route, first or only component	10%	236	120	$2K
90461		1.8%	51	42	$344.36
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	52	47	$179.00
96160		<1%	16	16	$16.82
90686		<1%	96	96	$0.05
90651		<1%	14	14	$0.01
99000		0%	13	13	$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 officialFERNANDEZ, ISAIRIS (VICE PRESIDENT)