Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Luis F Morales MD PA

Luis F Morales MD PA was paid $2.07M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.

33Billing provider infoLUIS F MORALES MD PA
BROWNSVILLE, TX 78521
33aNPI1225141302assigned 08/16/2006
28Total paid$2.07M
24GClaims80,459
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Texas

Rank by total paid#21 of 1,028
Median peer was paid$10K
This provider vs. median199×

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$25K$50K$75K2018201920202021202220232024
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
201830$1K
201914$319.02
20202,018$45K
202118,894$475K
202223,833$604K
202319,411$513K
2024incomplete16,259$431K
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 34% 19,036 15,215 $699K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 8.4% 4,098 3,751 $173K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 8.3% 2,079 2,004 $172K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8.3% 2,076 2,020 $171K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7.2% 1,903 1,841 $149K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7.0% 6,036 5,708 $145K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4.1% 1,151 1,095 $86K
90460 Immunization administration through 18 years of age via any route, first or only component 3.9% 7,801 3,358 $81K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3.9% 6,033 2,823 $81K
99429 2.6% 1,683 1,620 $54K
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 2.2% 884 825 $46K
99000 1.3% 2,699 2,497 $27K
48 more codes
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.3% 417 $26K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.2% 4,019 $25K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.0% 2,671 $22K
36410 <1% 1,403 $19K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,601 $15K
S8301 Infection control supplies, not otherwise specified <1% 1,242 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 878 $10K
90461 <1% 2,462 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 639 $8K
0002A <1% 189 $7K
0001A <1% 220 $6K
0071A <1% 112 $4K
0072A <1% 98 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 370 $3K
81002 <1% 992 $3K
99050 <1% 140 $2K
86580 <1% 226 $2K
99203 Doctor's office visit, new patient (routine) <1% 26 $2K
0053A <1% 40 $1K
87807 <1% 117 $1K
96160 <1% 530 $1K
97169 <1% 13 $650.00
99051 <1% 28 $313.74
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 426 $235.48
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 27 $189.50
90715 <1% 108 $124.28
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 59 $73.38
84030 <1% 13 $50.82
90620 <1% 253 $10.06
90686 <1% 820 $0.23
90677 <1% 242 $0.20
90651 <1% 409 $0.13
90619 <1% 147 $0.09
90671 <1% 56 $0.01
90697 0% 620 $0.00
90698 0% 145 $0.00
90696 0% 58 $0.00
90744 0% 46 $0.00
91307 0% 256 $0.00
91305 0% 87 $0.00
90633 0% 444 $0.00
90681 0% 355 $0.00
90700 0% 27 $0.00
90710 0% 319 $0.00
90670 0% 876 $0.00
90734 0% 269 $0.00
91300 0% 471 $0.00
90648 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.

From NPPES

Who's on the registration

Authorized officialMORALES, LUIS (PRESIDENT)