Ugarte, Jose

Ugarte, Jose was paid $34K by Medicaid between Jan 2018 and Oct 2023, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.

33Billing provider infoUGARTE, JOSE
KINGSVILLE, TX 78363

33aNPI1457333882assigned 11/21/2005

33bProvider typeFamily Medicine Physician

28Total paid$34K

24GClaims2,653

24DCodes billed12

24AFirst – last monthJan 2018 – Oct 2023

Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#586 of 1,204

Median peer was paid$31K

This provider vs. median1.1×

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	831	$10K
2019	654	$4K
2020	678	$12K
2021	427	$8K
2022	46	$27.72
2023	17	$166.60

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	44%	1,003	840	$15K
G0181	Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans	18%	1,107	1,040	$6K
99444		16%	95	19	$5K
99423		14%	82	24	$5K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	6.4%	36	35	$2K
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	118	118	$258.07
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%	58	50	$245.06
CP002		<1%	17	13	$166.60
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	46	42	$27.72
36415	Collection of venous blood by venipuncture	0%	13	12	$0.00
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	27	26	$0.00
99307		0%	51	39	$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.