Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ALBERTO D DURAN M.D P.A.

NPI: 1134381098 · SAN JUAN, TX 78589 · Obstetrics & Gynecology Physician · NPI assigned 07/01/2008

$6.92M
Total Medicaid Paid
200,109
Total Claims
135,615
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDURAN, ALBERTO (PRESIDENT)
NPI Enumeration Date07/01/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 31,238 $1.08M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 68,849 38,850 $2.29M
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 1,632 1,603 $930K
59514 778 758 $503K
59410 564 555 $412K
76830 Ultrasound, transvaginal 4,147 3,943 $377K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3,195 3,013 $324K
59430 3,042 2,812 $270K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,147 3,066 $236K
99000 22,098 18,974 $218K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,446 2,238 $208K
76819 Fetal biophysical profile; without non-stress testing 2,799 2,497 $184K
81002 62,902 34,892 $163K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,154 1,675 $154K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,519 2,284 $152K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,580 2,451 $118K
59515 144 139 $106K
76801 847 824 $75K
81025 8,999 8,337 $58K
76818 443 315 $40K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 509 504 $35K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 348 338 $18K
99233 Prolong inpt eval add15 m 206 91 $12K
82950 3,415 3,287 $10K
99217 171 149 $7K
82951 797 759 $7K
82952 779 738 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 69 56 $1K
59025 Fetal non-stress test 32 25 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 17 17 $192.37
J1050 Injection, medroxyprogesterone acetate, 1 mg 41 41 $3.03
36415 Collection of venous blood by venipuncture 440 384 $0.00