Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Seguin › NPI 1710195458
Physician

Antonio A. Flores M.D. P.A.

Antonio A. Flores M.D. P.A. was paid $78K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.

33Billing provider infoANTONIO A. FLORES M.D. P.A.
SEGUIN, TX 78155
33aNPI1710195458assigned 05/18/2007
28Total paid$78K
24GClaims7,925
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#452 of 1,204
Median peer was paid$31K
This provider vs. median2.5×

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$5.0K$10K2018201920202021202220232024
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
20181,152$14K
20191,426$2K
2020918$11K
20211,172$17K
20221,151$15K
20231,548$12K
2024incomplete558$8K
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 49% 1,685 1,496 $38K
99309 Subsequent nursing facility care, per day, low to moderate complexity 29% 2,037 1,831 $22K
99490 Ccm add 20min 10% 2,307 2,304 $8K
99308 Subsequent nursing facility care, per day, straightforward 7.7% 625 530 $6K
99439 2.1% 811 811 $2K
99487 Ccm add 20min 1.4% 331 331 $1K
99318 <1% 14 13 $282.87
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 14 12 $269.09
99304 <1% 15 13 $122.89
99489 Ccm add 20min <1% 57 57 $51.83
3288F 0% 16 13 $0.00
99443 0% 13 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 officialFLORES, ANTONIO (PRESIDENT)
Same official

Other billing entities under FLORES, ANTONIO

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.