Physician
Guadalupe Ear, Nose and Throat, PA
Guadalupe Ear, Nose and Throat, PA was paid $99K by Medicaid between Oct 2020 and Aug 2022, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoGUADALUPE EAR, NOSE AND THROAT, PA
SEGUIN, TX 78155
SEGUIN, TX 78155
33aNPI1558461855assigned 09/25/2006
33bProvider typeOtolaryngology Physician
28Total paid$99K
24GClaims2,703
24DCodes billed15
24AFirst – last monthOct 2020 – Aug 2022
Compared with peers
Next to other Otolaryngology Physician providers in Texas
Rank by total paid#29 of 68
Median peer was paid$55K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2020 | 264 | $9K | |
| 2021 | 1,593 | $62K | |
| 2022 | 846 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 832 | 806 | $27K |
| 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 | 14% | 313 | 300 | $14K |
| 99243 | 13% | 157 | 157 | $13K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 199 | 198 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.3% | 413 | 413 | $9K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 6.0% | 47 | 45 | $6K |
| 92567 | 3.7% | 308 | 306 | $4K | |
| 92588 | 3.0% | 120 | 120 | $3K | |
| 69210 | 3.0% | 142 | 140 | $3K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.2% | 20 | 19 | $2K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.1% | 26 | 26 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.9% | 44 | 44 | $2K |
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 officialHENNESSEE, JENNIFER (PRESIDENT)