Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Brownsville › NPI 1164495776
Physician

Mendoza, Elsa

Mendoza, Elsa was paid $4.78M by Medicaid between Jan 2018 and Dec 2024, across 86 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoMENDOZA, ELSA
BROWNSVILLE, TX 78521
33aNPI1164495776assigned 02/13/2006
33bProvider typePediatrics Physician
28Total paid$4.78M
24GClaims298,232
24DCodes billed86
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#90 of 1,136
Median peer was paid$329K
This provider vs. median15×

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

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
2018430$12K
2019725$13K
202014,269$190K
202162,048$1.03M
202287,900$1.52M
202373,241$1.14M
2024incomplete59,619$865K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 40,754 28,509 $1.47M
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 18% 19,819 16,357 $838K
S8301 Infection control supplies, not otherwise specified 8.4% 18,840 13,750 $400K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 7.2% 25,960 11,183 $344K
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 6.7% 6,242 5,530 $319K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4.8% 2,785 2,648 $228K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4.5% 2,662 2,592 $214K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.6% 2,239 2,159 $170K
90460 Immunization administration through 18 years of age via any route, first or only component 3.5% 16,054 8,655 $167K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.3% 1,511 1,430 $112K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.8% 6,434 6,005 $86K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.8% 3,575 3,364 $85K
74 more codes
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.3% 9,578 $60K
87807 <1% 3,893 $41K
85027 <1% 3,717 $19K
71046 Radiologic examination, chest; 2 views <1% 743 $19K
0001A <1% 500 $19K
81002 <1% 6,038 $17K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,502 $17K
0002A <1% 444 $17K
0071A <1% 406 $15K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 227 $15K
90461 <1% 2,931 $12K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 1,383 $11K
0072A <1% 275 $11K
0004A <1% 273 $9K
90480 <1% 343 $9K
0124A <1% 245 $9K
97169 <1% 372 $9K
92551 <1% 1,435 $8K
96160 <1% 2,869 $5K
81025 <1% 607 $4K
0111A <1% 72 $3K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 452 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,459 $2K
0074A <1% 55 $2K
90688 <1% 3,693 $2K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 2,623 $2K
0154A <1% 35 $1K
99381 <1% 15 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 76 $1K
99050 <1% 50 $657.36
99203 Doctor's office visit, new patient (routine) <1% 14 $554.04
0112A <1% 12 $480.00
74019 <1% 14 $422.90
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 12 $54.88
90658 <1% 211 $16.12
91307 <1% 857 $15.89
90620 <1% 338 $0.13
90677 <1% 305 $0.04
90651 <1% 432 $0.02
91300 <1% 1,400 $0.01
90685 0% 395 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 4,189 $0.00
99173 0% 1,494 $0.00
3078F 0% 30,383 $0.00
90734 0% 412 $0.00
90670 0% 743 $0.00
91311 0% 98 $0.00
90707 0% 312 $0.00
90633 0% 332 $0.00
91320 0% 45 $0.00
91322 0% 53 $0.00
90715 0% 36 $0.00
91312 0% 245 $0.00
90648 0% 242 $0.00
G8482 Influenza immunization administered or previously received 0% 467 $0.00
91321 0% 15 $0.00
90687 0% 61 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 30 $0.00
90680 0% 589 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 0% 17,966 $0.00
90698 0% 217 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 1,021 $0.00
3074F 0% 30,640 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 10,336 $0.00
90657 0% 57 $0.00
90716 0% 301 $0.00
3075F 0% 87 $0.00
3079F 0% 321 $0.00
90696 0% 50 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 226 $0.00
90723 0% 13 $0.00
91315 0% 35 $0.00
90744 0% 26 $0.00
91319 0% 14 $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.