Physician
Statler, Mark
Statler, Mark was paid $19K by Medicaid between Jun 2022 and Jan 2023, across 22 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 22% of everything it billed.
33Billing provider infoSTATLER, MARK
NEW BRAUNFELS, TX 78130
NEW BRAUNFELS, TX 78130
33aNPI1164475604assigned 05/18/2006
33bProvider typePediatrics Physician
28Total paid$19K
24GClaims1,867
24DCodes billed22
24AFirst – last monthJun 2022 – Jan 2023
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#865 of 1,136
Median peer was paid$329K
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 | |
|---|---|---|---|
| 2022 | 1,837 | $19K | |
| 2023 | 30 | $398.75 |
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) | 22% | 93 | 63 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 20% | 91 | 58 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 78 | 48 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.2% | 481 | 177 | $1K |
| 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 | 7.1% | 71 | 36 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.4% | 101 | 52 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.7% | 25 | 17 | $1K |
| 92551 | 5.4% | 224 | 143 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.7% | 42 | 19 | $723.68 |
| 90461 | 2.3% | 140 | 77 | $450.80 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 56 | 15 | $305.80 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 60 | 28 | $291.69 |
10 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 23 | $234.78 |
| 90710 | <1% | 25 | $0.06 | |
| 90620 | <1% | 22 | $0.04 | |
| 90734 | <1% | 34 | $0.03 | |
| 90670 | <1% | 49 | $0.02 | |
| 99173 | 0% | 116 | $0.00 | |
| 90651 | 0% | 41 | $0.00 | |
| 90696 | 0% | 27 | $0.00 | |
| 90698 | 0% | 24 | $0.00 | |
| 90688 | 0% | 44 | $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.