Physician
OIG excluded
Malave, Ernesto
Malave, Ernesto was paid $153K by Medicaid between Jan 2018 and Oct 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 97% of everything it billed.
33Billing provider infoMALAVE, ERNESTO
KILLEEN, TX 76549
KILLEEN, TX 76549
33aNPI1609985852assigned 08/30/2006
33bProvider typeFamily Medicine Physician
28Total paid$153K
24GClaims4,491
24DCodes billed3
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#341 of 1,204
Median peer was paid$31K
This provider vs. median5.0×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
OIG exclusionListed on the federal exclusion list (08/20/2025).
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 | 392 | $6K | |
| 2019 | 451 | $8K | |
| 2020 | 273 | $8K | |
| 2021 | 1,183 | $44K | |
| 2022 | 1,110 | $46K | |
| 2023 | 704 | $26K | |
| 2024incomplete | 378 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 97% | 4,277 | 3,539 | $148K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 135 | 128 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 79 | 70 | $1K |
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.