Physician
Eduardo Guzman MD PA
Eduardo Guzman MD PA was paid $994K by Medicaid between Jan 2018 and Nov 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoEDUARDO GUZMAN MD PA
PENITAS, TX 78576
PENITAS, TX 78576
33aNPI1649401951assigned 08/04/2009
33bProvider typeGeneral Practice Physician
28Total paid$994K
24GClaims58,948
24DCodes billed45
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in Texas
Rank by total paid#12 of 113
Median peer was paid$22K
This provider vs. median45×
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 | 8,438 | $194K | |
| 2019 | 7,994 | $169K | |
| 2020 | 6,572 | $69K | |
| 2021 | 6,699 | $75K | |
| 2022 | 7,470 | $111K | |
| 2023 | 12,947 | $227K | |
| 2024incomplete | 8,828 | $149K |
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 | 40% | 17,019 | 12,567 | $397K |
| 99444 | 32% | 5,596 | 1,679 | $320K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 5.3% | 2,021 | 1,541 | $53K |
| 99422 | 5.0% | 2,328 | 803 | $50K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 4.0% | 937 | 707 | $40K |
| 87428 | 3.0% | 1,015 | 749 | $30K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 320 | 297 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 614 | 560 | $12K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 137 | 127 | $8K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,697 | 3,002 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 972 | 717 | $8K |
| 99000 | <1% | 1,270 | 1,129 | $8K |
33 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 835 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 542 | $6K |
| 80053 | Comprehensive metabolic panel | <1% | 3,284 | $5K |
| 80061 | Lipid panel | <1% | 2,408 | $3K |
| 81000 | <1% | 3,603 | $3K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 583 | $2K |
| 99091 | <1% | 197 | $2K | |
| 84480 | <1% | 622 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,541 | $2K |
| 84439 | <1% | 630 | $2K | |
| 87807 | <1% | 237 | $2K | |
| 82044 | <1% | 1,894 | $1K | |
| 82570 | <1% | 1,890 | $1K | |
| 90658 | <1% | 124 | $817.22 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 68 | $579.62 |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 14 | $412.79 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 62 | $359.42 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 17 | $254.80 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 40 | $250.20 |
| 90756 | <1% | 292 | $81.71 | |
| 82947 | <1% | 60 | $30.47 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 172 | $29.08 |
| G0008 | Administration of influenza virus vaccine | <1% | 318 | $16.71 |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,988 | $2.70 |
| 90651 | <1% | 14 | $0.01 | |
| G8482 | Influenza immunization administered or previously received | 0% | 17 | $0.00 |
| 90734 | 0% | 13 | $0.00 | |
| 36416 | 0% | 414 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 14 | $0.00 |
| 99458 | 0% | 14 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 31 | $0.00 |
| 99457 | 0% | 69 | $0.00 | |
| 1036F | 0% | 15 | $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, EDUARDO (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Ej Guzman, MD INC | Norwalk, CA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.