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

Mario R Anzaldua MD PA

Mario R Anzaldua MD PA was paid $77K by Medicaid between Jul 2021 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoMARIO R ANZALDUA MD PA
MISSION, TX 78572
33aNPI1740626340assigned 05/22/2013
28Total paid$77K
24GClaims20,863
24DCodes billed38
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#453 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$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
2021502$1K
20221,924$11K
202312,493$46K
2024incomplete5,944$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 56% 4,107 1,765 $43K
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 28% 1,307 717 $22K
99442 7.5% 768 478 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2.8% 144 58 $2K
99497 1.5% 71 68 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 193 64 $629.30
90688 <1% 110 38 $588.06
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 13 12 $569.85
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 92 15 $380.88
87430 <1% 32 15 $196.26
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 44 13 $168.42
99490 Ccm add 20min <1% 217 182 $119.17
26 more codes
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 61 $36.66
G0444 Annual depression screening, 5 to 15 minutes <1% 61 $36.00
2010F 0% 638 $0.00
1170F 0% 63 $0.00
G0008 Administration of influenza virus vaccine 0% 86 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 15 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 760 $0.00
3075F 0% 365 $0.00
2001F 0% 638 $0.00
3044F 0% 19 $0.00
G0513 Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preventive service) 0% 28 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 0% 14 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 0% 91 $0.00
96127 0% 38 $0.00
1159F 0% 3,790 $0.00
1160F 0% 3,790 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 760 $0.00
1090F 0% 90 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 485 $0.00
4019F 0% 964 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 490 $0.00
3078F 0% 365 $0.00
90662 0% 61 $0.00
3288F 0% 63 $0.00
1158F 0% 15 $0.00
0521F 0% 15 $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 officialANZALDUA, MARIO (PRESIDENT)