Brizuela Ducharne, Alberto

Brizuela Ducharne, Alberto was paid $45K by Medicaid between Aug 2020 and Jul 2023, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 88% of everything it billed.

33Billing provider infoBRIZUELA DUCHARNE, ALBERTO
WEST LAKE HILLS, TX 78746

33aNPI1649790841assigned 06/20/2017

33bProvider typeInternal Medicine Physician

28Total paid$45K

24GClaims1,914

24DCodes billed5

24AFirst – last monthAug 2020 – Jul 2023

Compared with peers

Next to other Internal Medicine Physician providers in Texas

Rank by total paid#312 of 1,028

Median peer was paid$10K

This provider vs. median4.3×

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
2020	213	$4K
2021	791	$15K
2022	594	$16K
2023	316	$10K

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	88%	1,396	1,382	$40K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	11%	403	213	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	13	13	$321.78
99429		0%	56	47	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	46	46	$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.