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

Sergio G. Preciado, M.D., P.A.

Sergio G. Preciado, M.D., P.A. was paid $2.51M by Medicaid between Feb 2018 and Dec 2024, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.

33Billing provider infoSERGIO G. PRECIADO, M.D., P.A.
PHARR, TX 78577
33aNPI1235354507assigned 04/13/2007
33bProvider typePediatrics Physician
28Total paid$2.51M
24GClaims106,822
24DCodes billed62
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#188 of 1,136
Median peer was paid$329K
This provider vs. median7.6×

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

$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
201851$2K
201969$2K
20203,773$73K
202124,829$536K
202228,158$647K
202326,847$662K
2024incomplete23,095$589K
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 38% 25,848 19,658 $951K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7.6% 2,232 2,214 $191K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7.5% 2,252 2,242 $188K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7.4% 2,376 2,354 $186K
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 7.2% 3,507 3,324 $181K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 6.0% 3,588 3,418 $152K
90460 Immunization administration through 18 years of age via any route, first or only component 5.2% 12,038 5,958 $130K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4.6% 1,523 1,500 $116K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3.0% 5,594 5,353 $76K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2.9% 5,472 2,623 $73K
99000 2.2% 5,323 5,041 $54K
99429 2.0% 1,494 1,484 $50K
50 more codes
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.3% 5,120 $33K
99203 Doctor's office visit, new patient (routine) <1% 326 $19K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 2,268 $19K
90461 <1% 1,406 $11K
92567 <1% 775 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 379 $9K
87807 <1% 787 $8K
0001A <1% 224 $8K
0002A <1% 204 $8K
0071A <1% 166 $6K
0072A <1% 127 $5K
83655 <1% 466 $5K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 55 $4K
81003 <1% 1,969 $4K
96161 <1% 1,228 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 280 $2K
90480 <1% 73 $2K
99381 <1% 24 $2K
96160 <1% 766 $2K
97169 <1% 31 $1K
99204 Doctor's office visit, new patient (more involved) <1% 13 $1K
90671 <1% 508 $220.89
85027 <1% 17 $59.73
90686 <1% 2,312 $18.48
90656 <1% 341 $17.47
97802 <1% 4,090 $8.22
90620 <1% 512 $0.24
90651 <1% 540 $0.21
90670 <1% 837 $0.01
90697 0% 420 $0.00
90680 0% 999 $0.00
90723 0% 75 $0.00
S9451 Exercise classes, non-physician provider, per session 0% 5,253 $0.00
91307 0% 295 $0.00
90716 0% 91 $0.00
90698 0% 74 $0.00
90677 0% 72 $0.00
90696 0% 53 $0.00
90381 0% 16 $0.00
90648 0% 332 $0.00
90633 0% 722 $0.00
90734 0% 554 $0.00
91321 0% 32 $0.00
91300 0% 459 $0.00
90710 0% 67 $0.00
90715 0% 64 $0.00
90700 0% 68 $0.00
90707 0% 54 $0.00
91322 0% 15 $0.00
91311 0% 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 officialPRECIADO, SERGIO (OWNER)
Parent organizationSERGIO G. PRECIADO, M.D., P.A.
Same official

Other billing entities under PRECIADO, SERGIO

Full network →
ProviderLocationPaid
Upper Valley Pediatrics, PLLCEdinburg, TX$2.37M
Sergio G. Preciado, M.D., P.A.Mission, TX$1.61M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.