Physician
Canales, Erasto
Canales, Erasto was paid $566K by Medicaid between Aug 2020 and May 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
33Billing provider infoCANALES, ERASTO
MCALLEN, TX 78501
MCALLEN, TX 78501
33aNPI1396713616assigned 03/11/2006
33bProvider typeFamily Medicine Physician
28Total paid$566K
24GClaims22,285
24DCodes billed27
24AFirst – last monthAug 2020 – May 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#162 of 1,204
Median peer was paid$31K
This provider vs. median18×
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 | 819 | $19K | |
| 2021 | 6,234 | $154K | |
| 2022 | 8,086 | $206K | |
| 2023 | 6,989 | $183K | |
| 2024incomplete | 157 | $5K |
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 | 68% | 11,634 | 9,016 | $383K |
| 54160 | 5.0% | 236 | 234 | $28K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.3% | 333 | 330 | $24K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.5% | 1,534 | 703 | $20K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.1% | 1,454 | 1,339 | $17K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.0% | 1,821 | 734 | $17K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.3% | 344 | 329 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 161 | 160 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 140 | 138 | $11K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 147 | 142 | $11K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 125 | 121 | $7K |
| 99000 | 1.2% | 659 | 636 | $7K |
15 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 813 | $5K |
| 81002 | <1% | 1,312 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 195 | $2K |
| 90461 | <1% | 481 | $2K | |
| 92567 | <1% | 131 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 122 | $993.08 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $713.46 |
| 99050 | <1% | 84 | $654.34 | |
| 82947 | <1% | 205 | $609.69 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 63 | $29.28 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 12 | $1.44 |
| 90670 | 0% | 108 | $0.00 | |
| 90648 | 0% | 110 | $0.00 | |
| 90723 | 0% | 37 | $0.00 | |
| 96127 | 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.