Physician
Andres Garcia Zuniga, M.D.,Pa
Andres Garcia Zuniga, M.D.,Pa was paid $435K by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99444, — 27% of everything it billed.
33Billing provider infoANDRES GARCIA ZUNIGA, M.D.,PA
LAREDO, TX 78041
LAREDO, TX 78041
33aNPI1649594490assigned 03/23/2010
33bProvider typeInternal Medicine Physician
28Total paid$435K
24GClaims34,080
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#71 of 1,028
Median peer was paid$10K
This provider vs. median42×
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 | 3,900 | $63K | |
| 2019 | 4,120 | $82K | |
| 2020 | 4,288 | $76K | |
| 2021 | 1,765 | $16K | |
| 2022 | 691 | $5K | |
| 2023 | 1,636 | $46K | |
| 2024incomplete | 17,680 | $146K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99444 | 27% | 2,088 | 612 | $119K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 21% | 1,160 | 833 | $91K |
| 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% | 5,092 | 3,739 | $76K |
| 99423 | 15% | 1,470 | 480 | $64K | |
| 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 | 7.7% | 758 | 564 | $33K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 1,645 | 1,411 | $16K |
| 99422 | 3.5% | 873 | 258 | $15K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 989 | 612 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 258 | 238 | $3K |
| 99490 | Ccm add 20min | <1% | 525 | 525 | $3K |
| 99497 | <1% | 122 | 121 | $2K | |
| 99386 | <1% | 36 | 32 | $2K |
46 more codes
| 99350 | Prolong home eval add 15m | <1% | 71 | $973.86 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 98 | $759.06 |
| 99457 | <1% | 263 | $651.39 | |
| 99441 | <1% | 290 | $488.05 | |
| 99454 | <1% | 155 | $433.66 | |
| 99458 | <1% | 286 | $393.88 | |
| 92250 | <1% | 30 | $330.72 | |
| 99406 | <1% | 122 | $134.17 | |
| 99349 | <1% | 55 | $128.73 | |
| 99384 | <1% | 18 | $106.46 | |
| 81003 | <1% | 179 | $100.30 | |
| 99383 | <1% | 17 | $97.62 | |
| 94760 | <1% | 1,872 | $86.57 | |
| G0245 | Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education | <1% | 32 | $35.74 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 76 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,976 | $0.00 |
| 3288F | 0% | 438 | $0.00 | |
| 3078F | 0% | 101 | $0.00 | |
| G9781 | Documentation of medical reason(s) for not currently being a statin therapy user or receiving an order (prescription) for statin therapy (e.g., patients with statin-associated muscle symptoms or an allergy to statin medication therapy, patients who are receiving palliative or hospice care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease [esrd], or other medical reasons) | 0% | 609 | $0.00 |
| 99051 | 0% | 30 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,466 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 499 | $0.00 |
| 90756 | 0% | 95 | $0.00 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 15 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 248 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 14 | $0.00 |
| 99091 | 0% | 23 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 15 | $0.00 |
| 1036F | 0% | 1,861 | $0.00 | |
| 1101F | 0% | 359 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 1,789 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 389 | $0.00 |
| G8599 | Aspirin or another antiplatelet therapy not used, reason not given | 0% | 1,130 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 371 | $0.00 |
| 1111F | 0% | 263 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 516 | $0.00 |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 0% | 1,173 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 454 | $0.00 |
| S8301 | Infection control supplies, not otherwise specified | 0% | 1,399 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 84 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 109 | $0.00 |
| G0443 | Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes | 0% | 14 | $0.00 |
| 1126F | 0% | 18 | $0.00 | |
| 3074F | 0% | 14 | $0.00 | |
| G8866 | Documentation of patient reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient refusal) | 0% | 14 | $0.00 |
| 4010F | 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 officialGARCIA ZUNIGA, ANDRES (OWNER)