Guillermo Urueta Pediatrics PA
Guillermo Urueta Pediatrics PA was paid $1.38M by Medicaid between Jan 2020 and Dec 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoGUILLERMO URUETA PEDIATRICS PA
EAGLE PASS, TX 78852
EAGLE PASS, TX 78852
33aNPI1073632188assigned 03/28/2007
33bProvider typeSpecialist
28Total paid$1.38M
24GClaims63,271
24DCodes billed43
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Specialist providers in Texas
Rank by total paid#31 of 382
Median peer was paid$29K
This provider vs. median48×
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 | 1,849 | $36K | |
| 2021 | 13,254 | $281K | |
| 2022 | 14,684 | $325K | |
| 2023 | 17,364 | $373K | |
| 2024incomplete | 16,120 | $364K |
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 | 37% | 14,874 | 12,186 | $514K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 2,093 | 1,950 | $159K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 2,147 | 2,004 | $153K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.5% | 1,635 | 1,492 | $131K |
| 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 | 7.6% | 2,095 | 1,925 | $104K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.5% | 8,433 | 3,806 | $89K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.4% | 1,115 | 992 | $74K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.6% | 2,943 | 1,281 | $36K |
| 86328 | 2.1% | 772 | 740 | $30K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 1,600 | 1,521 | $20K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.0% | 2,548 | 1,545 | $14K |
| 92551 | <1% | 5,472 | 5,125 | $12K |
31 more codes
| 90461 | <1% | 2,963 | $10K | |
| 99382 | <1% | 83 | $7K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 126 | $4K |
| 83655 | <1% | 373 | $4K | |
| 99381 | <1% | 54 | $4K | |
| 87807 | <1% | 315 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 576 | $3K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 947 | $3K |
| 99383 | <1% | 17 | $1K | |
| 90651 | <1% | 212 | $600.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | $575.92 |
| 81002 | <1% | 115 | $323.41 | |
| 85018 | <1% | 473 | $263.54 | |
| 90677 | <1% | 431 | $0.46 | |
| 90686 | <1% | 295 | $0.19 | |
| 90688 | <1% | 295 | $0.07 | |
| 90697 | <1% | 178 | $0.02 | |
| 99173 | 0% | 3,713 | $0.00 | |
| 90633 | 0% | 704 | $0.00 | |
| 90710 | 0% | 699 | $0.00 | |
| 90734 | 0% | 494 | $0.00 | |
| 90648 | 0% | 658 | $0.00 | |
| 90670 | 0% | 844 | $0.00 | |
| 90715 | 0% | 80 | $0.00 | |
| 90700 | 0% | 109 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| 90723 | 0% | 302 | $0.00 | |
| 99174 | 0% | 1,621 | $0.00 | |
| 90680 | 0% | 687 | $0.00 | |
| 90696 | 0% | 113 | $0.00 | |
| 90698 | 0% | 24 | $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 officialURUETA, GUILLERMO (OWNER)