Guzman, Eduardo

Guzman, Eduardo was paid $224K by Medicaid between May 2020 and Dec 2022, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.

33Billing provider infoGUZMAN, EDUARDO
PENITAS, TX 78576

33aNPI1295780005assigned 05/23/2006

33bProvider typeFamily Medicine Physician

28Total paid$224K

24GClaims8,548

24DCodes billed19

24AFirst – last monthMay 2020 – Dec 2022

Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#286 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
2020	558	$14K
2021	3,497	$88K
2022	4,493	$122K

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	70%	4,781	3,648	$157K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	14%	1,289	812	$30K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	6.9%	362	235	$15K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.4%	89	75	$5K
87428		2.1%	154	127	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	93	82	$2K
99000		<1%	199	180	$2K
80061	Lipid panel	<1%	185	174	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	172	165	$1K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	381	332	$1K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	16	16	$1K
80053	Comprehensive metabolic panel	<1%	227	211	$966.91

7 more codes

81000		<1%	403	$797.68
87801	Infectious agent detection by nucleic acid; amplified probe, multiple organisms	<1%	23	$471.76
83036	Hemoglobin; glycosylated (A1C)	<1%	56	$401.58
80050	General health panel	<1%	12	$373.56
84443	Thyroid stimulating hormone (TSH)	<1%	14	$112.88
84480		<1%	14	$107.19
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	0%	78	$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.