Physician
Marco T. Florez, M.D., P.A.
Marco T. Florez, M.D., P.A. was paid $93K by Medicaid between Jan 2018 and Oct 2020, across 11 billing codes. Its largest line is 99444, — 72% of everything it billed.
33Billing provider infoMARCO T. FLOREZ, M.D., P.A.
PHARR, TX 78577
PHARR, TX 78577
33aNPI1770884827assigned 11/05/2010
33bProvider typeFamily Medicine Physician
28Total paid$93K
24GClaims4,463
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#424 of 1,204
Median peer was paid$31K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2018 | 2,478 | $66K | |
| 2019 | 1,422 | $25K | |
| 2020 | 563 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99444 | 72% | 1,178 | 323 | $67K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 1,320 | 1,156 | $11K |
| 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 | 11% | 599 | 574 | $10K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.2% | 392 | 314 | $2K |
| 99442 | 1.8% | 315 | 274 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 149 | 134 | $917.44 |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | <1% | 167 | 167 | $373.28 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 0% | 24 | 24 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 294 | 293 | $0.00 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 0% | 12 | 12 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 13 | 13 | $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 officialFLOREZ, MARCO (DIRECTOR)