Physician
Medrano Pediatric Group PLLC
Medrano Pediatric Group PLLC was paid $40K by Medicaid between Sep 2023 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoMEDRANO PEDIATRIC GROUP PLLC
WESLACO, TX 78596
WESLACO, TX 78596
33aNPI1194413740assigned 05/01/2023
33bProvider typePediatrics Physician
28Total paid$40K
24GClaims5,519
24DCodes billed22
24AFirst – last monthSep 2023 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#804 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 | |
|---|---|---|---|
| 2023 | 1,499 | $21K | |
| 2024incomplete | 4,020 | $19K |
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 | 46% | 1,858 | 1,599 | $18K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 21% | 522 | 506 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 11% | 494 | 233 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 8.6% | 778 | 748 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.0% | 584 | 260 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.6% | 133 | 131 | $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 | 3.5% | 65 | 64 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.6% | 486 | 450 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 68 | 60 | $97.94 |
| 96160 | <1% | 28 | 28 | $2.25 | |
| 90697 | 0% | 32 | 32 | $0.00 | |
| 90656 | 0% | 57 | 57 | $0.00 |
10 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 24 | $0.00 |
| 90686 | 0% | 27 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 46 | $0.00 |
| 90681 | 0% | 26 | $0.00 | |
| 90461 | 0% | 92 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 49 | $0.00 |
| 90671 | 0% | 52 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 74 | $0.00 |
| 90633 | 0% | 12 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 12 | $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 officialVELASQUEZ, OTTO (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Otto Velasquez MD PHD & Associates | Mcallen, TX | $65K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.