Physician
Manuel J Mercado MD PA
Manuel J Mercado MD PA was paid $448K by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99444, — 45% of everything it billed.
33Billing provider infoMANUEL J MERCADO MD PA
PHARR, TX 78577
PHARR, TX 78577
33aNPI1427020676assigned 02/02/2006
33bProvider typeInternal Medicine Physician
28Total paid$448K
24GClaims21,635
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#70 of 1,028
Median peer was paid$10K
This provider vs. median43×
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 | 3,433 | $53K | |
| 2019 | 5,342 | $168K | |
| 2020 | 5,914 | $109K | |
| 2021 | 2,803 | $48K | |
| 2022 | 1,996 | $31K | |
| 2023 | 1,400 | $23K | |
| 2024incomplete | 747 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99444 | 45% | 3,589 | 886 | $199K | |
| 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 | 23% | 5,612 | 4,870 | $101K |
| 99422 | 13% | 2,842 | 864 | $60K | |
| 99423 | 11% | 894 | 445 | $50K | |
| 99443 | 2.7% | 863 | 712 | $12K | |
| 99091 | 2.4% | 713 | 695 | $11K | |
| 99490 | Ccm add 20min | 1.0% | 1,259 | 1,258 | $5K |
| 99457 | <1% | 1,579 | 1,529 | $4K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 595 | 506 | $3K |
| 90756 | <1% | 486 | 415 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 160 | 151 | $1K |
| 99454 | <1% | 99 | 90 | $175.76 |
23 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 70 | $104.80 |
| 90658 | <1% | 12 | $64.48 | |
| G8482 | Influenza immunization administered or previously received | 0% | 252 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 177 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 34 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 232 | $0.00 |
| 4004F | 0% | 22 | $0.00 | |
| 4040F | 0% | 80 | $0.00 | |
| 3046F | 0% | 98 | $0.00 | |
| 1100F | 0% | 20 | $0.00 | |
| 3045F | 0% | 14 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 13 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 95 | $0.00 |
| 3288F | 0% | 26 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 141 | $0.00 |
| 3017F | 0% | 41 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 333 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 271 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 236 | $0.00 |
| 1101F | 0% | 320 | $0.00 | |
| 3044F | 0% | 43 | $0.00 | |
| 1036F | 0% | 319 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 95 | $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 officialMERCADO, MANUEL (OWNER)