Physician
Len, Julio
Len, Julio was paid $150K by Medicaid between May 2020 and Dec 2021, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoLEN, JULIO
IRVING, TX 75062
IRVING, TX 75062
33aNPI1700844750assigned 05/01/2006
33bProvider typePediatrics Physician
28Total paid$150K
24GClaims7,644
24DCodes billed26
24AFirst – last monthMay 2020 – Dec 2021
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#669 of 1,136
Median peer was paid$329K
This provider vs. median0.5×
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
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 | 2,697 | $43K | |
| 2021 | 4,947 | $107K |
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 | 24% | 999 | 932 | $37K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 20% | 388 | 385 | $31K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 16% | 292 | 292 | $23K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 1,914 | 781 | $15K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.2% | 183 | 182 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.1% | 164 | 163 | $14K |
| 90461 | 2.4% | 504 | 429 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.2% | 416 | 281 | $3K |
| 92551 | 1.9% | 305 | 305 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 180 | 178 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 298 | 297 | $2K |
| 99381 | <1% | 12 | 12 | $1K |
14 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 50 | $695.00 |
| 96160 | <1% | 179 | $432.63 | |
| 90670 | <1% | 226 | $0.09 | |
| 90686 | 0% | 529 | $0.00 | |
| 36416 | 0% | 110 | $0.00 | |
| 90651 | 0% | 67 | $0.00 | |
| 90680 | 0% | 99 | $0.00 | |
| 90744 | 0% | 33 | $0.00 | |
| 90698 | 0% | 151 | $0.00 | |
| 90620 | 0% | 12 | $0.00 | |
| 99173 | 0% | 417 | $0.00 | |
| 90633 | 0% | 75 | $0.00 | |
| 90734 | 0% | 29 | $0.00 | |
| 90700 | 0% | 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.