Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Gustavo Marin M.D.P.A.

Gustavo Marin M.D.P.A. was paid $213K by Medicaid between Oct 2020 and Jan 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

33Billing provider infoGUSTAVO MARIN M.D.P.A.
PLANO, TX 75074
33aNPI1396804514assigned 12/06/2006
28Total paid$213K
24GClaims9,349
24DCodes billed27
24AFirst – last monthOct 2020 – Jan 2024
Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#292 of 1,204
Median peer was paid$31K
This provider vs. median6.9×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2020373$7K
20212,839$61K
20223,987$88K
20232,105$55K
2024incomplete45$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44% 2,887 2,392 $94K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12% 2,279 1,842 $26K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 11% 287 272 $24K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11% 286 276 $22K
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 10% 504 432 $22K
90460 Immunization administration through 18 years of age via any route, first or only component 6.1% 1,550 680 $13K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 29 26 $2K
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% 28 24 $1K
99050 <1% 96 87 $1K
90461 <1% 215 159 $1K
99385 <1% 16 16 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 45 44 $1K
15 more codes
81003 <1% 672 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 19 $769.79
87400 <1% 40 $403.58
99442 <1% 15 $343.56
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 57 $324.95
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 30 $219.78
86318 <1% 12 $217.08
90688 <1% 138 $53.65
90650 <1% 12 $0.05
90734 <1% 57 $0.03
90713 <1% 16 $0.02
90716 0% 15 $0.00
90715 0% 14 $0.00
90700 0% 17 $0.00
90707 0% 13 $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 officialMARIN, NOHORA (OFFICE MANAGER)