Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Octavio E. Guzman M.D., PA

Octavio E. Guzman M.D., PA was paid $10K by Medicaid between Jan 2018 and Dec 2021, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.

33Billing provider infoOCTAVIO E. GUZMAN M.D., PA
LAREDO, TX 78041
33aNPI1568531630assigned 11/06/2006
28Total paid$10K
24GClaims1,280
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers

Next to other Cardiovascular Disease Physician providers in Texas

Rank by total paid#85 of 225
Median peer was paid$6K
This provider vs. median1.7×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2018439$1K
2019408$3K
2020247$3K
2021186$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 56% 356 348 $6K
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% 369 366 $3K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 6.8% 31 31 $684.76
93000 5.4% 320 309 $537.95
1036F 0% 69 69 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 40 40 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 71 71 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 24 24 $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.

From NPPES

Who's on the registration

Authorized officialGUZMAN, OCTAVIO (PRESIDENT)