Physician
Cesar Costa-Luna, M.D., P.A. & Associates
Cesar Costa-Luna, M.D., P.A. & Associates was paid $86K by Medicaid between Jan 2018 and Mar 2020, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoCESAR COSTA-LUNA, M.D., P.A. & ASSOCIATES
HARLINGEN, TX 78550
HARLINGEN, TX 78550
33aNPI1225254410assigned 04/17/2007
33bProvider typePediatrics Physician
28Total paid$86K
24GClaims4,755
24DCodes billed25
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#741 of 1,136
Median peer was paid$329K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2018 | 1,122 | $26K | |
| 2019 | 900 | $17K | |
| 2020 | 2,733 | $43K |
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 | 49% | 1,184 | 923 | $42K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 12% | 784 | 381 | $10K |
| 94010 | 7.8% | 253 | 233 | $7K | |
| 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 | 6.7% | 119 | 115 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.4% | 75 | 75 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 37 | 37 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.4% | 377 | 167 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.6% | 335 | 327 | $2K |
| 94760 | 1.4% | 549 | 460 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 15 | 15 | $1K |
| 92587 | 1.2% | 60 | 60 | $1K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 117 | 113 | $812.77 |
13 more codes
| 90461 | <1% | 72 | $730.42 | |
| 99000 | <1% | 70 | $703.71 | |
| 80053 | Comprehensive metabolic panel | <1% | 70 | $634.59 |
| 87807 | <1% | 42 | $450.94 | |
| 86308 | <1% | 40 | $186.72 | |
| 96161 | <1% | 40 | $95.36 | |
| 81003 | <1% | 45 | $89.36 | |
| 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 | 0% | 193 | $0.00 |
| 90648 | 0% | 18 | $0.00 | |
| 90670 | 0% | 18 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 193 | $0.00 |
| 90686 | 0% | 37 | $0.00 | |
| 90723 | 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 officialCOSTA-LUNA, CESAR (OWNER)