Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Jose M.Lozano MD, PA

Jose M.Lozano MD, PA was paid $108K by Medicaid between Jan 2018 and Jul 2021, across 9 billing codes. Its largest line is 99444, — 59% of everything it billed.

33Billing provider infoJOSE M.LOZANO MD, PA
FALFURRIAS, TX 78355
33aNPI1679526586assigned 05/19/2006
28Total paid$108K
24GClaims5,453
24DCodes billed9
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#407 of 1,204
Median peer was paid$31K
This provider vs. median3.5×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20182,153$39K
20191,924$43K
20201,042$12K
2021334$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99444 59% 1,156 302 $63K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 1,631 1,450 $21K
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 19% 757 684 $21K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1.5% 656 650 $2K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 238 238 $529.74
99308 Subsequent nursing facility care, per day, straightforward <1% 475 473 $202.52
1125F 0% 233 204 $0.00
36415 Collection of venous blood by venipuncture 0% 280 278 $0.00
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 0% 27 12 $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 officialLOZANO, JOSE (MD)