Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MARCO GUTIERREZ MD AND ASSOCIATES

NPI: 1558306563 · ALAMO, TX 78516 · Family Medicine Physician · NPI assigned 06/17/2006

$556K
Total Medicaid Paid
54,861
Total Claims
49,126
Beneficiaries
74
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGUTIERREZ, MARCO (OWNER)
NPI Enumeration Date06/17/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,385 $19K
2019 7,546 $15K
2020 7,081 $33K
2021 7,702 $101K
2022 9,123 $158K
2023 8,527 $131K
2024 7,497 $100K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,789 8,133 $330K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,363 1,300 $61K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 742 713 $52K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 999 960 $25K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,120 1,024 $12K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,389 3,198 $11K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 297 268 $10K
83036 Hemoglobin; glycosylated (A1C) 2,263 2,158 $8K
85027 1,388 1,290 $6K
93000 888 826 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 66 66 $5K
90674 423 401 $4K
81002 3,059 2,896 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 338 329 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 82 79 $3K
82043 1,533 1,490 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 34 34 $2K
82570 1,540 1,495 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 40 40 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 44 42 $2K
90661 62 60 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $763.70
92250 21 19 $540.10
86769 15 14 $501.35
99000 77 74 $480.00
93922 44 39 $467.68
95923 43 39 $322.77
J1100 Injection, dexamethasone sodium phosphate, 1 mg 533 514 $300.97
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 75 72 $255.80
95921 45 40 $251.67
90688 18 17 $166.10
0013A 26 26 $160.00
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 31 30 $152.50
86328 15 14 $131.17
J1885 Injection, ketorolac tromethamine, per 15 mg 13 12 $20.27
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,724 1,578 $0.40
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 77 64 $0.02
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 3,348 2,817 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,944 1,637 $0.00
G8598 Aspirin or another antiplatelet therapy used 858 744 $0.00
1159F 162 149 $0.00
90756 14 14 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 604 552 $0.00
3288F 928 846 $0.00
1100F 144 128 $0.00
G8482 Influenza immunization administered or previously received 1,132 970 $0.00
4040F 602 516 $0.00
93925 27 27 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 715 609 $0.00
98960 137 124 $0.00
99215 Prolong outpt/office vis 18 15 $0.00
1158F 48 43 $0.00
2000F 448 389 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 1,015 864 $0.00
1036F 1,600 1,429 $0.00
2001F 367 320 $0.00
3017F 1,021 895 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 612 572 $0.00
G0008 Administration of influenza virus vaccine 184 174 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,915 1,613 $0.00
36415 Collection of venous blood by venipuncture 1,122 1,064 $0.00
1101F 807 722 $0.00
G2197 Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user 204 201 $0.00
2010F 621 551 $0.00
3008F 333 298 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 135 119 $0.00
3044F 113 100 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,224 1,046 $0.00
95922 44 40 $0.00
1123F 67 60 $0.00
1220F 46 41 $0.00
0509F 46 44 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 13 13 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 15 14 $0.00