Physician
M Hernandez MD PLLC
M Hernandez MD PLLC was paid $543K by Medicaid between Apr 2021 and Dec 2024, across 8 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 29% of everything it billed.
33Billing provider infoM HERNANDEZ MD PLLC
CORPUS CHRISTI, TX 78417
CORPUS CHRISTI, TX 78417
33aNPI1194984856assigned 06/06/2008
33bProvider typePsychiatry Physician
28Total paid$543K
24GClaims9,734
24DCodes billed8
24AFirst – last monthApr 2021 – Dec 2024
Compared with peers
Next to other Psychiatry Physician providers in Texas
Rank by total paid#63 of 311
Median peer was paid$63K
This provider vs. median8.6×
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 | |
|---|---|---|---|
| 2021 | 1,178 | $64K | |
| 2022 | 2,504 | $133K | |
| 2023 | 2,500 | $143K | |
| 2024incomplete | 3,552 | $203K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 29% | 4,882 | 1,749 | $158K |
| 99222 | Initial hospital care, per day, moderate complexity | 20% | 1,182 | 1,103 | $111K |
| 99239 | Hospital discharge day management, more than 30 minutes | 19% | 1,379 | 1,285 | $105K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 18% | 819 | 780 | $97K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 1,189 | 666 | $59K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.9% | 210 | 101 | $10K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 57 | 56 | $3K |
| 99051 | 0% | 16 | 16 | $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 officialHERNANDEZ, MICHAEL (OWNER/PSYCHIATRIST)
| Provider | Location | Paid |
|---|---|---|
| QTP II INC | Mercedes, TX | $6.30M |
| Motion Behavioral Health | Laredo, TX | $2.24M |
| QTP II, INC. | Mercedes, TX | $925K |
| H&S Champs Medical, LTD | San Antonio, TX | $356K |
| RGV Medical Supply LLC | Mcallen, TX | $323K |
| Chico Physical Therapy Associates INC | Chico, CA | $24K |
| Grupo Fisiatrico Hernandez De LA Fuente CSP | Guaynabo, PR | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.