Physician
DR Sergio Zamora, PA
DR Sergio Zamora, PA was paid $224K by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoDR SERGIO ZAMORA, PA
EAGLE PASS, TX 78852
EAGLE PASS, TX 78852
33aNPI1265734248assigned 11/24/2010
33bProvider typeFamily Medicine Physician
28Total paid$224K
24GClaims49,039
24DCodes billed42
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#285 of 1,204
Median peer was paid$31K
This provider vs. median7.3×
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 | 12,142 | $44K | |
| 2019 | 8,929 | $35K | |
| 2020 | 8,576 | $26K | |
| 2021 | 7,454 | $46K | |
| 2022 | 5,341 | $33K | |
| 2023 | 4,206 | $24K | |
| 2024incomplete | 2,391 | $15K |
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 | 51% | 10,609 | 8,484 | $114K |
| 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 | 34% | 6,832 | 4,792 | $77K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.0% | 280 | 90 | $4K |
| 99490 | Ccm add 20min | 1.9% | 2,462 | 2,417 | $4K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.4% | 316 | 268 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.3% | 2,206 | 470 | $3K |
| 99223 | Prolong inpt eval add15 m | 1.3% | 580 | 501 | $3K |
| 99000 | 1.2% | 4,253 | 3,899 | $3K | |
| 99457 | <1% | 1,344 | 1,330 | $1K | |
| 96373 | <1% | 204 | 185 | $1K | |
| 99454 | <1% | 754 | 748 | $1K | |
| 93000 | <1% | 441 | 395 | $1K |
30 more codes
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 149 | $1K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,075 | $990.34 |
| 99458 | <1% | 687 | $662.42 | |
| 99439 | <1% | 691 | $591.12 | |
| 93922 | <1% | 64 | $587.71 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 174 | $542.55 |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 2,599 | $494.62 |
| 99183 | <1% | 253 | $476.28 | |
| 81002 | <1% | 2,933 | $465.25 | |
| 95923 | <1% | 64 | $292.43 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,365 | $260.52 |
| 95921 | <1% | 63 | $244.95 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 233 | $178.93 |
| 99292 | <1% | 22 | $164.64 | |
| 0013A | <1% | 51 | $80.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 32 | $53.88 |
| 0012A | <1% | 14 | $41.20 | |
| 82962 | <1% | 3,403 | $30.00 | |
| 90756 | <1% | 276 | $25.86 | |
| 91301 | <1% | 26 | $0.01 | |
| 99487 | Ccm add 20min | 0% | 61 | $0.00 |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 52 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 12 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 3,941 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 272 | $0.00 |
| 99489 | Ccm add 20min | 0% | 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 | 0% | 23 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 30 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 118 | $0.00 |
| 0011A | 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 officialZAMORA, SERGIO (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Natividad Wound Care, LLC | Eagle Pass, TX | $19K |
| Sotx Hospitalist Associates, PLLC | San Antonio, TX | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.