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

Alma L. Aguado, M.D., P.A.

Alma L. Aguado, M.D., P.A. was paid $285K by Medicaid between Jan 2018 and Dec 2024, across 62 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.

33Billing provider infoALMA L. AGUADO, M.D., P.A.
SAN ANTONIO, TX 78214
33aNPI1699925560assigned 09/26/2008
28Total paid$285K
24GClaims38,796
24DCodes billed62
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Texas

Rank by total paid#100 of 1,028
Median peer was paid$10K
This provider vs. median27×

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$5.0K$10K$15K2018201920202021202220232024
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
20181,541$4K
20191,894$5K
20206,627$40K
202111,617$98K
20226,378$51K
20236,025$50K
2024incomplete4,714$36K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 57% 6,452 5,053 $163K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 2,521 2,055 $59K
95923 7.9% 436 359 $22K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2.5% 140 114 $7K
94010 2.3% 510 404 $7K
99000 1.7% 775 697 $5K
96116 1.7% 767 558 $5K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.2% 72 68 $3K
93923 <1% 78 57 $2K
96130 <1% 632 469 $2K
90658 <1% 122 112 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 197 184 $1K
50 more codes
81002 <1% 629 $1K
99386 <1% 12 $941.00
93000 <1% 117 $862.91
77081 <1% 80 $726.92
99490 Ccm add 20min <1% 267 $499.13
99407 <1% 34 $435.31
71046 Radiologic examination, chest; 2 views <1% 22 $228.03
G0130 Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) <1% 78 $158.76
CP002 <1% 15 $138.49
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 445 $28.26
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 1,447 $1.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy <1% 3,702 $0.82
99606 0% 40 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 0% 445 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 809 $0.00
36415 Collection of venous blood by venipuncture 0% 1,930 $0.00
1170F 0% 1,649 $0.00
1034F 0% 15 $0.00
1157F 0% 1,157 $0.00
0509F 0% 154 $0.00
3079F 0% 41 $0.00
3074F 0% 204 $0.00
3075F 0% 33 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 74 $0.00
1125F 0% 37 $0.00
1000F 0% 15 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 69 $0.00
3044F 0% 56 $0.00
3060F 0% 55 $0.00
G0008 Administration of influenza virus vaccine 0% 110 $0.00
S0257 Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) 0% 17 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 0% 15 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 0% 286 $0.00
1160F 0% 1,177 $0.00
1159F 0% 1,176 $0.00
G8404 Lower extremity neurological exam performed and documented 0% 441 $0.00
99401 0% 4,053 $0.00
1158F 0% 1,183 $0.00
0521F 0% 1,241 $0.00
0518F 0% 1,695 $0.00
3023F 0% 48 $0.00
99423 0% 14 $0.00
G8482 Influenza immunization administered or previously received 0% 326 $0.00
99498 0% 112 $0.00
G8506 Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 0% 45 $0.00
99497 0% 113 $0.00
3077F 0% 87 $0.00
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 0% 81 $0.00
3078F 0% 208 $0.00
4004F 0% 35 $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 officialAGUADO, ALMA (PRESIDENT)