Physician
Alberto D Duran M.D P.A.
Alberto D Duran M.D P.A. was paid $6.92M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoALBERTO D DURAN M.D P.A.
SAN JUAN, TX 78589
SAN JUAN, TX 78589
33aNPI1134381098assigned 07/01/2008
33bProvider typeObstetrics & Gynecology Physician
28Total paid$6.92M
24GClaims200,109
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Texas
Rank by total paid#11 of 432
Median peer was paid$103K
This provider vs. median67×
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 | 2,428 | $56K | |
| 2019 | 3,419 | $80K | |
| 2020 | 20,233 | $521K | |
| 2021 | 48,652 | $1.75M | |
| 2022 | 52,100 | $1.86M | |
| 2023 | 42,039 | $1.56M | |
| 2024incomplete | 31,238 | $1.08M |
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 | 33% | 68,849 | 38,850 | $2.29M |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 13% | 1,632 | 1,603 | $930K |
| 59514 | 7.3% | 778 | 758 | $503K | |
| 59410 | 6.0% | 564 | 555 | $412K | |
| 76830 | Ultrasound, transvaginal | 5.5% | 4,147 | 3,943 | $377K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 4.7% | 3,195 | 3,013 | $324K |
| 59430 | 3.9% | 3,042 | 2,812 | $270K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.4% | 3,147 | 3,066 | $236K |
| 99000 | 3.2% | 22,098 | 18,974 | $218K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 3.0% | 2,446 | 2,238 | $208K |
| 76819 | Fetal biophysical profile; without non-stress testing | 2.7% | 2,799 | 2,497 | $184K |
| 81002 | 2.4% | 62,902 | 34,892 | $163K |
19 more codes
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 2.2% | 2,154 | $154K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 2.2% | 2,519 | $152K |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.7% | 2,580 | $118K |
| 59515 | 1.5% | 144 | $106K | |
| 76801 | 1.1% | 847 | $75K | |
| 81025 | <1% | 8,999 | $58K | |
| 76818 | <1% | 443 | $40K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 509 | $35K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 348 | $18K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 206 | $12K |
| 82950 | <1% | 3,415 | $10K | |
| 99217 | <1% | 171 | $7K | |
| 82951 | <1% | 797 | $7K | |
| 82952 | <1% | 779 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 69 | $1K |
| 59025 | Fetal non-stress test | <1% | 32 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 17 | $192.37 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 41 | $3.03 |
| 36415 | Collection of venous blood by venipuncture | 0% | 440 | $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 officialDURAN, ALBERTO (PRESIDENT)