Physician
Jose R. Caballero, M.D. P.C.
Jose R. Caballero, M.D. P.C. was paid $682K by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoJOSE R. CABALLERO, M.D. P.C.
ANNISTON, AL 36207
ANNISTON, AL 36207
33aNPI1043459050assigned 02/13/2009
33bProvider typePediatrics Physician
28Total paid$682K
24GClaims24,310
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#102 of 199
Median peer was paid$702K
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 | 3,849 | $107K | |
| 2019 | 4,413 | $122K | |
| 2020 | 2,308 | $66K | |
| 2021 | 3,685 | $108K | |
| 2022 | 3,664 | $111K | |
| 2023 | 3,743 | $105K | |
| 2024incomplete | 2,648 | $64K |
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 | 39% | 5,475 | 4,967 | $264K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 1,079 | 1,055 | $73K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.3% | 645 | 629 | $43K |
| 99460 | 5.5% | 822 | 775 | $37K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.5% | 559 | 543 | $37K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.4% | 556 | 543 | $37K |
| 99238 | Hospital discharge day management, 30 minutes or less | 5.1% | 736 | 704 | $35K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.4% | 1,105 | 1,064 | $23K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 3.3% | 2,405 | 2,266 | $23K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.4% | 1,308 | 1,236 | $17K |
| 99462 | 2.2% | 593 | 292 | $15K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.2% | 576 | 560 | $15K |
22 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 221 | $12K |
| 92551 | 1.6% | 2,245 | $11K | |
| 99173 | 1.6% | 2,361 | $11K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 802 | $11K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 238 | $4K |
| 87428 | <1% | 50 | $3K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 26 | $2K |
| 81002 | <1% | 660 | $2K | |
| 90670 | <1% | 217 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 115 | $2K |
| 90648 | <1% | 181 | $1K | |
| 90461 | <1% | 17 | $900.00 | |
| 90723 | <1% | 89 | $712.00 | |
| 90686 | <1% | 64 | $504.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 21 | $405.82 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 564 | $257.61 |
| 90651 | <1% | 29 | $232.00 | |
| 90734 | <1% | 27 | $216.00 | |
| 90680 | <1% | 15 | $120.00 | |
| 90715 | <1% | 12 | $96.00 | |
| 36416 | <1% | 29 | $52.50 | |
| J1094 | Injection, dexamethasone acetate, 1 mg | <1% | 468 | $30.36 |
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 officialCABALLERO, JOSE (OWNER)