Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DR SERGIO ZAMORA, PA

NPI: 1265734248 · EAGLE PASS, TX 78852 · Family Medicine Physician · NPI assigned 11/24/2010

$224K
Total Medicaid Paid
49,039
Total Claims
38,235
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialZAMORA, SERGIO (PRESIDENT)
NPI Enumeration Date11/24/2010

Related Entities

Other providers sharing the same authorized official: ZAMORA, SERGIO

ProviderCityStateTotal Paid
NATIVIDAD WOUND CARE, LLC EAGLE PASS TX $19K
SOTX HOSPITALIST ASSOCIATES, PLLC SAN ANTONIO TX $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,142 $44K
2019 8,929 $35K
2020 8,576 $26K
2021 7,454 $46K
2022 5,341 $33K
2023 4,206 $24K
2024 2,391 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,609 8,484 $114K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,832 4,792 $77K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 280 90 $4K
99490 Ccm add 20min 2,462 2,417 $4K
99222 Initial hospital care, per day, moderate complexity 316 268 $3K
99233 Prolong inpt eval add15 m 2,206 470 $3K
99223 Prolong inpt eval add15 m 580 501 $3K
99000 4,253 3,899 $3K
99457 1,344 1,330 $1K
96373 204 185 $1K
99454 754 748 $1K
93000 441 395 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 149 135 $1K
99239 Hospital discharge day management, more than 30 minutes 1,075 920 $990.34
99458 687 677 $662.42
99439 691 668 $591.12
93922 64 64 $587.71
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 174 158 $542.55
99232 Subsequent hospital care, per day, moderate complexity 2,599 678 $494.62
99183 253 28 $476.28
81002 2,933 2,794 $465.25
95923 64 64 $292.43
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,365 706 $260.52
95921 63 63 $244.95
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 233 232 $178.93
99292 22 17 $164.64
0013A 51 50 $80.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 32 29 $53.88
0012A 14 14 $41.20
82962 3,403 2,790 $30.00
90756 276 275 $25.86
91301 26 26 $0.01
99487 Ccm add 20min 61 61 $0.00
99238 Hospital discharge day management, 30 minutes or less 52 43 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $0.00
36415 Collection of venous blood by venipuncture 3,941 3,665 $0.00
G0008 Administration of influenza virus vaccine 272 272 $0.00
99489 Ccm add 20min 61 61 $0.00
G0245 Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education 23 15 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 30 23 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 118 102 $0.00
0011A 14 14 $0.00