Physician
Mata, Nelson
Mata, Nelson was paid $47K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoMATA, NELSON
SAN JUAN, TX 78589
SAN JUAN, TX 78589
33aNPI1518931377assigned 02/16/2006
33bProvider typeInternal Medicine Physician
28Total paid$47K
24GClaims2,101
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#304 of 1,028
Median peer was paid$10K
This provider vs. median4.5×
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 | 421 | $5K | |
| 2019 | 473 | $11K | |
| 2020 | 344 | $7K | |
| 2021 | 311 | $6K | |
| 2022 | 223 | $7K | |
| 2023 | 223 | $7K | |
| 2024incomplete | 106 | $5K |
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 | 46% | 744 | 669 | $22K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 752 | 662 | $15K |
| 99444 | 13% | 105 | 29 | $6K | |
| 99422 | 8.1% | 171 | 60 | $4K | |
| 90756 | <1% | 47 | 45 | $191.59 | |
| 99072 | <1% | 202 | 183 | $180.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14 | 12 | $91.70 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 31 | 26 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 35 | 35 | $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.