Physician
Saenz, Juan
Saenz, Juan was paid $639K by Medicaid between Jan 2019 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoSAENZ, JUAN
MCALLEN, TX 78504
MCALLEN, TX 78504
33aNPI1407904881assigned 01/08/2007
33bProvider typePediatrics Physician
28Total paid$639K
24GClaims27,017
24DCodes billed32
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#454 of 1,136
Median peer was paid$329K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2019 | 28 | $128.86 | |
| 2020 | 966 | $10K | |
| 2021 | 4,567 | $107K | |
| 2022 | 7,151 | $171K | |
| 2023 | 7,877 | $189K | |
| 2024incomplete | 6,428 | $161K |
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 | 43% | 8,228 | 6,269 | $277K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 19% | 2,950 | 2,680 | $119K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 8.4% | 4,192 | 1,951 | $54K |
| 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 | 7.7% | 1,010 | 933 | $49K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.4% | 2,167 | 1,989 | $28K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 4.3% | 681 | 627 | $27K |
| 99000 | 4.2% | 2,767 | 2,502 | $27K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.5% | 1,465 | 774 | $16K |
| 87807 | 2.0% | 1,214 | 1,119 | $13K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 151 | 140 | $11K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.0% | 93 | 93 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 53 | 52 | $4K |
20 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 456 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 16 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 143 | $917.42 |
| S8301 | Infection control supplies, not otherwise specified | <1% | 284 | $764.45 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 18 | $422.28 |
| 90461 | <1% | 72 | $254.98 | |
| 96160 | <1% | 171 | $222.51 | |
| 99050 | <1% | 12 | $166.08 | |
| 80061 | Lipid panel | <1% | 13 | $146.25 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 14 | $114.24 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 17 | $102.66 |
| 81002 | <1% | 27 | $78.84 | |
| 92587 | <1% | 114 | $18.18 | |
| 90686 | <1% | 341 | $0.01 | |
| 90656 | 0% | 50 | $0.00 | |
| 36416 | 0% | 103 | $0.00 | |
| 96127 | 0% | 25 | $0.00 | |
| 99051 | 0% | 60 | $0.00 | |
| 99173 | 0% | 97 | $0.00 | |
| 99177 | 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.