Guardia, Rene

Guardia, Rene was paid $42K by Medicaid between Oct 2018 and Nov 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 99% of everything it billed.

33Billing provider infoGUARDIA, RENE
KATY, TX 77450

33aNPI1689721672assigned 01/04/2007

33bProvider typePediatrics Physician

28Total paid$42K

24GClaims1,125

24DCodes billed3

24AFirst – last monthOct 2018 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#801 of 1,136

Median peer was paid$329K

This provider vs. median0.1×

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	17	$627.13
2019	20	$737.80
2020	15	$553.35
2021	262	$9K
2022	208	$8K
2023	240	$9K
2024incomplete	363	$14K

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	99%	1,093	814	$42K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	20	12	$275.00
90686		0%	12	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.