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

Zamora, Sergio

Zamora, Sergio was paid $304K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99444, — 74% of everything it billed.

33Billing provider infoZAMORA, SERGIO
EAGLE PASS, TX 78852
33aNPI1467412189assigned 03/25/2006
28Total paid$304K
24GClaims7,464
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#234 of 1,204
Median peer was paid$31K
This provider vs. median9.9×

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$10K$20K2018201920202021202220232024
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
20182,888$165K
20191,252$61K
20201,015$22K
2021231$7K
2022665$16K
2023809$21K
2024incomplete604$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99444 74% 4,140 998 $226K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.1% 1,234 699 $28K
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 8.8% 687 490 $27K
99422 7.3% 1,015 258 $22K
99000 <1% 190 163 $1K
81002 <1% 25 24 $55.48
36415 Collection of venous blood by venipuncture 0% 173 146 $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.