Physician
J. J. Saenz, M.D. P.A.
J. J. Saenz, M.D. P.A. was paid $646K by Medicaid between Nov 2020 and Dec 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoJ. J. SAENZ, M.D. P.A.
MCALLEN, TX 78504
MCALLEN, TX 78504
33aNPI1750356333assigned 02/17/2006
33bProvider typePediatrics Physician
28Total paid$646K
24GClaims31,971
24DCodes billed31
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#452 of 1,136
Median peer was paid$329K
This provider vs. median2.0×
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 | 947 | $13K | |
| 2021 | 8,272 | $164K | |
| 2022 | 8,414 | $165K | |
| 2023 | 8,878 | $186K | |
| 2024incomplete | 5,460 | $118K |
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 | 38% | 7,337 | 5,773 | $248K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 12% | 1,877 | 1,737 | $79K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.3% | 5,113 | 2,466 | $54K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 6.6% | 3,297 | 1,541 | $43K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.6% | 574 | 536 | $42K |
| 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 | 5.2% | 724 | 660 | $33K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.0% | 431 | 427 | $32K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.5% | 568 | 515 | $23K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.0% | 1,472 | 1,362 | $19K |
| 99000 | 2.5% | 1,749 | 1,549 | $16K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.3% | 1,854 | 1,483 | $15K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.8% | 150 | 149 | $12K |
19 more codes
| 87807 | 1.6% | 988 | $10K | |
| S8301 | Infection control supplies, not otherwise specified | 1.1% | 2,766 | $7K |
| 90461 | <1% | 759 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 52 | $4K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 146 | $1K |
| 99429 | <1% | 36 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 35 | $481.25 |
| 0072A | <1% | 12 | $480.00 | |
| 0071A | <1% | 12 | $480.00 | |
| 96160 | <1% | 303 | $216.01 | |
| 83655 | <1% | 12 | $124.30 | |
| 90686 | <1% | 1,018 | $0.46 | |
| 90671 | <1% | 58 | $0.11 | |
| 90680 | 0% | 53 | $0.00 | |
| 90698 | 0% | 73 | $0.00 | |
| 90656 | 0% | 110 | $0.00 | |
| 91307 | 0% | 44 | $0.00 | |
| 90670 | 0% | 215 | $0.00 | |
| 99173 | 0% | 133 | $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 officialSAENZ, JUAN (OWNER)