Guerrero, Roy

Guerrero, Roy was paid $64K by Medicaid between Dec 2020 and Dec 2021, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.

33Billing provider infoGUERRERO, ROY
UVALDE, TX 78801

33aNPI1376734558assigned 08/05/2007

33bProvider typeGeneral Practice Physician

28Total paid$64K

24GClaims1,470

24DCodes billed9

24AFirst – last monthDec 2020 – Dec 2021

Compared with peers

Next to other General Practice Physician providers in Texas

Rank by total paid#43 of 113

Median peer was paid$22K

This provider vs. median2.9×

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	14	$668.33
2021	1,456	$63K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	61%	818	700	$39K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	22%	407	368	$14K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	6.3%	54	54	$4K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	5.2%	44	43	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.0%	39	37	$3K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.1%	12	12	$724.40
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	71	58	$415.52
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	13	13	$180.57
90651		<1%	12	12	$0.01

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.