Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MARIO R ANZALDUA MD PA

NPI: 1740626340 · MISSION, TX 78572 · Family Medicine Physician · NPI assigned 05/22/2013

$77K
Total Medicaid Paid
20,863
Total Claims
10,184
Beneficiaries
38
Codes Billed
2021-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANZALDUA, MARIO (PRESIDENT)
NPI Enumeration Date05/22/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 502 $1K
2022 1,924 $11K
2023 12,493 $46K
2024 5,944 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,107 1,765 $43K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,307 717 $22K
99442 768 478 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 144 58 $2K
99497 71 68 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 193 64 $629.30
90688 110 38 $588.06
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 12 $569.85
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 92 15 $380.88
87430 32 15 $196.26
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 44 13 $168.42
99490 Ccm add 20min 217 182 $119.17
G0442 Annual alcohol misuse screening, 5 to 15 minutes 61 60 $36.66
G0444 Annual depression screening, 5 to 15 minutes 61 58 $36.00
2010F 638 413 $0.00
1170F 63 60 $0.00
G0008 Administration of influenza virus vaccine 86 73 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 15 13 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 760 414 $0.00
3075F 365 261 $0.00
2001F 638 410 $0.00
3044F 19 12 $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) 28 26 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 14 13 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 91 27 $0.00
96127 38 37 $0.00
1159F 3,790 1,602 $0.00
1160F 3,790 1,602 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 760 414 $0.00
1090F 90 73 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 485 181 $0.00
4019F 964 316 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 490 293 $0.00
3078F 365 261 $0.00
90662 61 50 $0.00
3288F 63 60 $0.00
1158F 15 15 $0.00
0521F 15 15 $0.00