Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Rockport › NPI 1164814794
Physician

DR. Melecio F Apostol M.D.

DR. Melecio F Apostol M.D. was paid $12K by Medicaid between Oct 2020 and Feb 2021, across 12 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 22% of everything it billed.

33Billing provider infoDR. MELECIO F APOSTOL M.D.
ROCKPORT, TX 78382
33aNPI1164814794assigned 02/18/2015
33bProvider typePediatrics Physician
28Total paid$12K
24GClaims1,682
24DCodes billed12
24AFirst – last monthOct 2020 – Feb 2021
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#915 of 1,136
Median peer was paid$329K
This provider vs. median0.0×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2020779$6K
2021903$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 22% 61 31 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 21% 111 55 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 17% 63 37 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11% 28 14 $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 9.3% 614 351 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 9.1% 282 72 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6.8% 195 63 $791.20
90461 2.5% 77 34 $293.04
96160 <1% 111 66 $62.92
96127 0% 24 12 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 0% 85 43 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 0% 31 31 $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 officialAPOSTOL, MELECIO (OWNER)
Same official

Other billing entities under APOSTOL, MELECIO

Full network →
ProviderLocationPaid
Sandcastle Pediatrics LLCRockport, TX$260K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.