Physician
Enrique Caceres MD PA
Enrique Caceres MD PA was paid $1.01M by Medicaid between May 2020 and Oct 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoENRIQUE CACERES MD PA
MCALLEN, TX 78504
MCALLEN, TX 78504
33aNPI1336195429assigned 05/26/2006
33bProvider typePediatric Infectious Diseases Physician
28Total paid$1.01M
24GClaims34,855
24DCodes billed51
24AFirst – last monthMay 2020 – Oct 2024
Compared with peers
Next to other Pediatric Infectious Diseases Physician providers in Texas
Rank by total paid#3 of 10
Median peer was paid$272K
This provider vs. median3.7×
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 | 1,298 | $29K | |
| 2021 | 8,810 | $246K | |
| 2022 | 11,164 | $326K | |
| 2023 | 8,293 | $242K | |
| 2024incomplete | 5,290 | $164K |
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 | 36% | 9,888 | 7,739 | $360K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 11% | 2,757 | 2,557 | $107K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.1% | 931 | 925 | $72K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.0% | 878 | 872 | $71K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.9% | 4,475 | 2,085 | $60K |
| 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 | 5.9% | 1,198 | 1,083 | $59K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.3% | 671 | 656 | $54K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.3% | 1,155 | 437 | $53K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.2% | 4,936 | 2,471 | $52K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.5% | 468 | 458 | $35K |
| 99429 | 2.5% | 791 | 781 | $25K | |
| G0315 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) | 1.1% | 359 | 356 | $11K |
39 more codes
| 99253 | <1% | 83 | $7K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 873 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 532 | $7K |
| 99254 | <1% | 57 | $7K | |
| 90461 | <1% | 854 | $5K | |
| 0072A | <1% | 89 | $3K | |
| 0071A | <1% | 78 | $3K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 321 | $2K |
| 99000 | <1% | 138 | $1K | |
| 99051 | <1% | 102 | $1K | |
| 87807 | <1% | 82 | $882.20 | |
| 0124A | <1% | 19 | $760.00 | |
| 0073A | <1% | 17 | $680.00 | |
| 0081A | <1% | 18 | $680.00 | |
| 96160 | <1% | 303 | $586.25 | |
| 0001A | <1% | 18 | $520.00 | |
| 92551 | <1% | 145 | $472.23 | |
| 83655 | <1% | 24 | $244.08 | |
| 81003 | <1% | 105 | $178.42 | |
| 90686 | <1% | 834 | $0.07 | |
| 90677 | <1% | 33 | $0.03 | |
| 90688 | <1% | 233 | $0.02 | |
| G0310 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) | 0% | 12 | $0.00 |
| 90670 | 0% | 247 | $0.00 | |
| 99173 | 0% | 328 | $0.00 | |
| 90633 | 0% | 40 | $0.00 | |
| 91308 | 0% | 26 | $0.00 | |
| 90687 | 0% | 64 | $0.00 | |
| 91300 | 0% | 29 | $0.00 | |
| 91312 | 0% | 19 | $0.00 | |
| 90734 | 0% | 24 | $0.00 | |
| 90710 | 0% | 13 | $0.00 | |
| 96127 | 0% | 25 | $0.00 | |
| 90620 | 0% | 12 | $0.00 | |
| 90698 | 0% | 86 | $0.00 | |
| 91307 | 0% | 252 | $0.00 | |
| 90680 | 0% | 84 | $0.00 | |
| 90656 | 0% | 117 | $0.00 | |
| 90744 | 0% | 12 | $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 officialCACERES, ENRIQUE (PRESIDENT)