Managed care
Antonio M. Diaz JR Mdpa INC.
Antonio M. Diaz JR Mdpa INC. was paid $62K by Medicaid between Mar 2020 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoANTONIO M. DIAZ JR MDPA INC.
BROWNSVILLE, TX 78520
BROWNSVILLE, TX 78520
33aNPI1386796258assigned 01/18/2007
33bProvider typePreferred Provider Organization
28Total paid$62K
24GClaims12,322
24DCodes billed25
24AFirst – last monthMar 2020 – Dec 2024
Compared with peers
Next to other Preferred Provider Organization providers in Texas
Rank by total paid#20 of 32
Median peer was paid$168K
This provider vs. median0.4×
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 | 364 | $3K | |
| 2021 | 1,040 | $14K | |
| 2022 | 2,069 | $13K | |
| 2023 | 2,980 | $16K | |
| 2024incomplete | 5,869 | $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 | 56% | 2,019 | 1,369 | $35K |
| 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 | 40% | 1,013 | 755 | $25K |
| 99443 | 1.9% | 39 | 38 | $1K | |
| 81003 | <1% | 546 | 385 | $379.67 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 53 | 41 | $335.45 |
| 0013A | <1% | 28 | 28 | $240.00 | |
| 93000 | <1% | 19 | 15 | $111.47 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 22 | 22 | $43.98 |
| 99000 | <1% | 22 | 22 | $30.00 | |
| 1170F | 0% | 394 | 262 | $0.00 | |
| 2000F | 0% | 1,571 | 984 | $0.00 | |
| 1126F | 0% | 615 | 471 | $0.00 |
13 more codes
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 officialPARRA, ERICKA (OFFICE MANAGER)