Physician
Figueroa, Antonio
Figueroa, Antonio was paid $1.84M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoFIGUEROA, ANTONIO
BROWNSVILLE, TX 78520
BROWNSVILLE, TX 78520
33aNPI1376596080assigned 05/17/2006
33bProvider typePediatrics Physician
28Total paid$1.84M
24GClaims108,310
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#261 of 1,136
Median peer was paid$329K
This provider vs. median5.6×
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 | 29 | $1K | |
| 2020 | 8,011 | $43K | |
| 2021 | 28,500 | $349K | |
| 2022 | 29,253 | $561K | |
| 2023 | 25,787 | $521K | |
| 2024incomplete | 16,730 | $360K |
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 | 31% | 30,796 | 19,633 | $569K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 12% | 5,343 | 4,571 | $214K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.4% | 2,628 | 2,110 | $153K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.1% | 2,672 | 2,104 | $149K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.9% | 2,585 | 2,047 | $144K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.7% | 2,064 | 1,587 | $105K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.0% | 13,638 | 5,300 | $93K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.9% | 8,768 | 7,186 | $90K |
| 87428 | 4.1% | 1,082 | 970 | $75K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.1% | 6,980 | 3,064 | $75K |
| 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 | 3.5% | 1,516 | 1,358 | $64K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.4% | 10,644 | 8,295 | $44K |
41 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,246 | $14K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 230 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,118 | $7K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,144 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,380 | $5K |
| 0071A | <1% | 145 | $4K | |
| 0072A | <1% | 90 | $3K | |
| 99000 | <1% | 498 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 82 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 44 | $2K |
| 86580 | <1% | 218 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 102 | $858.60 |
| 83655 | <1% | 151 | $710.77 | |
| 0081A | <1% | 26 | $680.00 | |
| 81002 | <1% | 348 | $607.55 | |
| 0083A | <1% | 20 | $400.00 | |
| 92567 | <1% | 31 | $363.05 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 744 | $197.43 |
| 90688 | <1% | 917 | $170.88 | |
| 90658 | <1% | 1,213 | $36.92 | |
| 97802 | <1% | 267 | $30.31 | |
| 90670 | <1% | 1,804 | $0.02 | |
| 90680 | <1% | 1,029 | $0.01 | |
| 90648 | <1% | 826 | $0.01 | |
| 90657 | 0% | 168 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 438 | $0.00 |
| 90698 | 0% | 452 | $0.00 | |
| 90723 | 0% | 98 | $0.00 | |
| 90696 | 0% | 97 | $0.00 | |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | 0% | 50 | $0.00 |
| 91307 | 0% | 243 | $0.00 | |
| 36416 | 0% | 179 | $0.00 | |
| 90633 | 0% | 801 | $0.00 | |
| 90707 | 0% | 397 | $0.00 | |
| 90700 | 0% | 318 | $0.00 | |
| 90734 | 0% | 439 | $0.00 | |
| 90649 | 0% | 422 | $0.00 | |
| 90687 | 0% | 346 | $0.00 | |
| 90710 | 0% | 366 | $0.00 | |
| 91308 | 0% | 28 | $0.00 | |
| 90715 | 0% | 79 | $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.