Physician
Guadalupe Regional Medical Group
Guadalupe Regional Medical Group was paid $1.58M by Medicaid between Jan 2018 and Dec 2024, across 67 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoGUADALUPE REGIONAL MEDICAL GROUP
SEGUIN, TX 78155
SEGUIN, TX 78155
33aNPI1578873717assigned 10/20/2010
33bProvider typeObstetrics Physician
28Total paid$1.58M
24GClaims42,126
24DCodes billed67
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics Physician providers in Texas
Rank by total paid#2 of 33
Median peer was paid$106K
This provider vs. median15×
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 | 652 | $8K | |
| 2019 | 480 | $5K | |
| 2020 | 1,828 | $49K | |
| 2021 | 9,973 | $308K | |
| 2022 | 9,782 | $388K | |
| 2023 | 12,397 | $527K | |
| 2024incomplete | 7,014 | $290K |
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 | 37% | 13,428 | 10,600 | $583K |
| 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 | 17% | 5,940 | 5,309 | $271K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 8.5% | 260 | 248 | $133K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.6% | 1,549 | 1,462 | $120K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 4.8% | 750 | 725 | $75K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.9% | 1,632 | 1,287 | $61K |
| 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 | 3.8% | 594 | 562 | $59K |
| 59430 | 3.3% | 566 | 542 | $52K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.9% | 560 | 522 | $46K |
| 99000 | 1.1% | 1,970 | 1,857 | $17K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 240 | 210 | $17K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.0% | 154 | 144 | $16K |
55 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.0% | 273 | $16K |
| 99243 | <1% | 167 | $14K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,432 | $13K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 903 | $11K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 121 | $8K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 46 | $8K |
| 81002 | <1% | 2,799 | $8K | |
| 81025 | <1% | 1,148 | $7K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 124 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 733 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 364 | $4K |
| 76801 | <1% | 40 | $4K | |
| 99242 | <1% | 48 | $3K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 57 | $3K |
| 76830 | Ultrasound, transvaginal | <1% | 26 | $2K |
| 69210 | <1% | 82 | $2K | |
| 92567 | <1% | 170 | $2K | |
| 90461 | <1% | 386 | $2K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 16 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 153 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 16 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 87 | $813.53 |
| 92557 | <1% | 28 | $740.46 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 70 | $682.63 |
| 90756 | <1% | 28 | $643.62 | |
| 92551 | <1% | 161 | $541.72 | |
| 99443 | <1% | 43 | $440.52 | |
| 90674 | <1% | 18 | $436.97 | |
| 99201 | <1% | 18 | $338.07 | |
| 81003 | <1% | 75 | $123.34 | |
| 90686 | <1% | 41 | $57.19 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | $39.51 |
| 82947 | <1% | 13 | $30.89 | |
| 82962 | <1% | 414 | $9.84 | |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 0% | 2,259 | $0.00 |
| 99172 | 0% | 24 | $0.00 | |
| 96127 | 0% | 439 | $0.00 | |
| 3008F | 0% | 147 | $0.00 | |
| 99024 | 0% | 12 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 43 | $0.00 |
| 3074F | 0% | 137 | $0.00 | |
| 36416 | 0% | 34 | $0.00 | |
| 90716 | 0% | 38 | $0.00 | |
| 0501F | 0% | 16 | $0.00 | |
| 90677 | 0% | 33 | $0.00 | |
| 90698 | 0% | 18 | $0.00 | |
| 99051 | 0% | 737 | $0.00 | |
| 90633 | 0% | 18 | $0.00 | |
| 99173 | 0% | 24 | $0.00 | |
| 90707 | 0% | 37 | $0.00 | |
| 3078F | 0% | 118 | $0.00 | |
| 99072 | 0% | 56 | $0.00 | |
| 90670 | 0% | 48 | $0.00 | |
| 0502F | 0% | 88 | $0.00 | |
| 3725F | 0% | 45 | $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 officialPRICHARD, SUSIE (DIRECTOR OF OPERATIONS)
| Provider | Location | Paid |
|---|---|---|
| Guadalupe Regional Medical Group | New Braunfels, TX | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.