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
EAGLE PASS, TX 78852
33aNPI1467412189assigned 03/25/2006
33bProvider typeFamily Medicine Physician
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
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 | 2,888 | $165K | |
| 2019 | 1,252 | $61K | |
| 2020 | 1,015 | $22K | |
| 2021 | 231 | $7K | |
| 2022 | 665 | $16K | |
| 2023 | 809 | $21K | |
| 2024incomplete | 604 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.