Medicaid Provider Spending

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

AVILA, FELIPE

NPI: 1194764225 · WESLACO, TX 78596 · Pediatrics Physician · NPI assigned 06/05/2006

$3.79M
Total Medicaid Paid
134,091
Total Claims
110,334
Beneficiaries
50
Codes Billed
2018-01
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 538 $12K
2019 951 $13K
2020 5,953 $145K
2021 38,434 $1.16M
2022 50,112 $1.42M
2023 35,058 $957K
2024 3,045 $83K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 51,277 41,706 $1.83M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,775 3,733 $281K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,332 3,288 $276K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,485 3,450 $274K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 6,756 6,019 $267K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 15,088 6,796 $203K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,548 2,517 $186K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,144 2,925 $157K
90460 Immunization administration through 18 years of age via any route, first or only component 5,558 2,650 $53K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,012 2,876 $40K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 452 446 $38K
99000 2,861 2,725 $30K
99381 348 347 $28K
80053 Comprehensive metabolic panel 2,812 2,630 $24K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,929 2,734 $19K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,057 1,525 $16K
87807 1,157 1,005 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 201 199 $12K
90461 1,040 808 $11K
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 6,829 6,753 $9K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 454 436 $6K
96161 2,181 2,163 $5K
92587 240 237 $4K
81003 1,515 1,433 $3K
86308 552 545 $2K
94010 82 75 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 57 56 $2K
90474 132 132 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 42 40 $981.60
97170 58 58 $550.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 28 27 $386.37
86580 30 30 $219.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 12 12 $142.80
94760 78 76 $141.36
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 6,814 6,740 $30.00
90686 703 700 $18.96
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 28 27 $1.20
90716 28 28 $0.00
90696 41 41 $0.00
90651 29 28 $0.00
90680 209 209 $0.00
90723 355 354 $0.00
90648 573 573 $0.00
90633 144 143 $0.00
90734 207 204 $0.00
90715 60 59 $0.00
90670 640 638 $0.00
90710 104 104 $0.00
90658 15 15 $0.00
90707 19 19 $0.00