Physician
Alaniz, Raul
Alaniz, Raul was paid $1.57M by Medicaid between Oct 2018 and Dec 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoALANIZ, RAUL
ALAMO, TX 78516
ALAMO, TX 78516
33aNPI1417900879assigned 05/18/2006
33bProvider typePediatrics Physician
28Total paid$1.57M
24GClaims59,891
24DCodes billed42
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#287 of 1,136
Median peer was paid$329K
This provider vs. median4.8×
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 | |
|---|---|---|---|
| 2018 | 26 | $361.40 | |
| 2020 | 2,776 | $56K | |
| 2021 | 13,570 | $338K | |
| 2022 | 16,462 | $445K | |
| 2023 | 13,612 | $377K | |
| 2024incomplete | 13,445 | $355K |
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 | 22% | 9,205 | 6,849 | $339K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 14% | 5,734 | 4,954 | $224K |
| 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 | 14% | 4,222 | 3,774 | $217K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 13% | 2,561 | 2,372 | $202K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 10% | 12,260 | 5,443 | $163K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.2% | 6,126 | 5,491 | $82K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.0% | 760 | 743 | $63K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.5% | 5,183 | 2,821 | $54K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.3% | 668 | 647 | $52K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.3% | 689 | 623 | $52K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 232 | 228 | $21K |
| 87807 | 1.2% | 1,838 | 1,600 | $19K |
30 more codes
| 99429 | 1.0% | 493 | $16K | |
| 92567 | <1% | 1,247 | $14K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,949 | $14K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 916 | $10K |
| 92587 | <1% | 498 | $9K | |
| 90461 | <1% | 1,194 | $4K | |
| 0072A | <1% | 88 | $3K | |
| 0071A | <1% | 81 | $3K | |
| 83655 | <1% | 150 | $1K | |
| 0111A | <1% | 35 | $1K | |
| 69210 | <1% | 43 | $1K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 544 | $783.13 |
| 96160 | <1% | 268 | $549.47 | |
| 0073A | <1% | 13 | $520.00 | |
| 0001A | <1% | 18 | $520.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 28 | $324.95 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 27 | $283.84 |
| 81002 | <1% | 99 | $280.32 | |
| 96381 | <1% | 12 | $132.48 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 26 | $101.15 |
| 90688 | <1% | 1,650 | $51.31 | |
| 90671 | <1% | 173 | $0.02 | |
| 91311 | 0% | 63 | $0.00 | |
| 90670 | 0% | 197 | $0.00 | |
| 91300 | 0% | 43 | $0.00 | |
| 90680 | 0% | 145 | $0.00 | |
| 90660 | 0% | 43 | $0.00 | |
| 91307 | 0% | 205 | $0.00 | |
| 90697 | 0% | 150 | $0.00 | |
| 90698 | 0% | 15 | $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.