Physician
Erasto Canales, M.D., P.A.
Erasto Canales, M.D., P.A. was paid $839K by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoERASTO CANALES, M.D., P.A.
MCALLEN, TX 78501
MCALLEN, TX 78501
33aNPI1598076226assigned 06/28/2010
33bProvider typeFamily Medicine Physician
28Total paid$839K
24GClaims32,608
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#113 of 1,204
Median peer was paid$31K
This provider vs. median27×
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 | 715 | $14K | |
| 2019 | 737 | $16K | |
| 2020 | 1,249 | $26K | |
| 2021 | 5,869 | $136K | |
| 2022 | 6,303 | $163K | |
| 2023 | 6,642 | $180K | |
| 2024incomplete | 11,093 | $304K |
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 | 56% | 15,043 | 11,488 | $470K |
| 54160 | 13% | 888 | 880 | $113K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.3% | 2,752 | 2,586 | $36K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.2% | 463 | 461 | $35K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.3% | 2,559 | 924 | $27K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.8% | 639 | 619 | $24K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.6% | 303 | 292 | $22K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.5% | 252 | 252 | $21K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.3% | 1,486 | 719 | $19K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 131 | 131 | $11K |
| 99000 | 1.0% | 894 | 857 | $9K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 146 | 141 | $8K |
26 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,399 | $8K |
| 81002 | <1% | 2,417 | $7K | |
| 99050 | <1% | 451 | $6K | |
| 54162 | <1% | 26 | $6K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 431 | $4K |
| 59514 | <1% | 15 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 52 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 327 | $3K |
| 90461 | <1% | 726 | $2K | |
| 99051 | <1% | 63 | $761.94 | |
| 92567 | <1% | 57 | $606.23 | |
| 82947 | <1% | 206 | $450.61 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 13 | $422.33 |
| 81025 | <1% | 35 | $224.13 | |
| 80061 | Lipid panel | <1% | 20 | $102.59 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 17 | $63.44 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 172 | $61.23 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 33 | $2.25 |
| 90723 | 0% | 109 | $0.00 | |
| 90681 | 0% | 25 | $0.00 | |
| 90670 | 0% | 175 | $0.00 | |
| 90715 | 0% | 15 | $0.00 | |
| 90710 | 0% | 24 | $0.00 | |
| 90734 | 0% | 21 | $0.00 | |
| 90648 | 0% | 209 | $0.00 | |
| 90633 | 0% | 14 | $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 officialCANALES, ERASTO (PRESIDENT)