Physician
Jorge Natividad Avila JR MD PA
Jorge Natividad Avila JR MD PA was paid $864K by Medicaid between Nov 2018 and Dec 2024, across 7 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 42% of everything it billed.
33Billing provider infoJORGE NATIVIDAD AVILA JR MD PA
EL PASO, TX 79902
EL PASO, TX 79902
33aNPI1487163176assigned 09/25/2017
33bProvider typePsychiatry Physician
28Total paid$864K
24GClaims11,952
24DCodes billed7
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers
Next to other Psychiatry Physician providers in Texas
Rank by total paid#38 of 311
Median peer was paid$63K
This provider vs. median14×
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 | 35 | $2K | |
| 2019 | 485 | $28K | |
| 2020 | 971 | $66K | |
| 2021 | 2,167 | $146K | |
| 2022 | 2,471 | $179K | |
| 2023 | 3,086 | $220K | |
| 2024incomplete | 2,737 | $222K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 42% | 6,468 | 2,793 | $367K |
| 99223 | Prolong inpt eval add15 m | 20% | 1,192 | 1,135 | $175K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 19% | 2,036 | 1,472 | $161K |
| 99238 | Hospital discharge day management, 30 minutes or less | 12% | 1,637 | 1,539 | $103K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.9% | 345 | 334 | $42K |
| 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 | 1.8% | 256 | 249 | $16K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 18 | 16 | $778.77 |
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 officialAVILA, JORGE (OWNER)