Clinic
Humberto Nunez MD PA
Humberto Nunez MD PA was paid $57K by Medicaid between Jan 2018 and Feb 2023, across 22 billing codes. Its largest line is 99091, — 25% of everything it billed.
33Billing provider infoHUMBERTO NUNEZ MD PA
MCALLEN, TX 78503
MCALLEN, TX 78503
33aNPI1245667138assigned 10/09/2013
33bProvider typePrimary Care Clinic/Center
28Total paid$57K
24GClaims2,713
24DCodes billed22
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Primary Care Clinic/Center providers in Texas
Rank by total paid#71 of 180
Median peer was paid$25K
This provider vs. median2.3×
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 | 151 | $668.10 | |
| 2019 | 13 | $105.73 | |
| 2022 | 1,614 | $35K | |
| 2023 | 935 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99091 | 25% | 213 | 172 | $14K | |
| 99442 | 22% | 452 | 206 | $13K | |
| 99350 | Prolong home eval add 15m | 14% | 151 | 113 | $8K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 12% | 103 | 100 | $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 | 7.7% | 119 | 95 | $4K |
| 99349 | 6.6% | 62 | 56 | $4K | |
| 99441 | 4.5% | 298 | 213 | $3K | |
| 99344 | 4.2% | 50 | 49 | $2K | |
| 99423 | 1.6% | 308 | 86 | $918.81 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 123 | 108 | $764.88 |
| 99343 | <1% | 12 | 12 | $324.96 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | 12 | $145.96 |
10 more codes
| 81002 | <1% | 80 | $40.88 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 15 | $8.95 |
| A6453 | Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard | <1% | 68 | $3.05 |
| 3074F | 0% | 211 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 26 | $0.00 |
| 99457 | 0% | 64 | $0.00 | |
| 99454 | 0% | 59 | $0.00 | |
| 99458 | 0% | 64 | $0.00 | |
| 3078F | 0% | 200 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 20 | $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 officialNUNEZ, HUMBERTO (MD)
| Provider | Location | Paid |
|---|---|---|
| MD Hospitalists PLLC | Mcallen, TX | $1.60M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.