Physician
Guajardo, Maria
Guajardo, Maria was paid $449K by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoGUAJARDO, MARIA
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1780723114assigned 02/05/2007
33bProvider typeFamily Medicine Physician
28Total paid$449K
24GClaims18,428
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#193 of 1,204
Median peer was paid$31K
This provider vs. median15×
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 | 226 | $4K | |
| 2019 | 312 | $4K | |
| 2020 | 524 | $15K | |
| 2021 | 2,882 | $79K | |
| 2022 | 4,699 | $136K | |
| 2023 | 5,932 | $122K | |
| 2024incomplete | 3,853 | $88K |
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 | 40% | 5,965 | 4,753 | $179K |
| 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 | 32% | 3,522 | 2,592 | $143K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.4% | 472 | 401 | $29K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.6% | 381 | 341 | $16K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.6% | 1,269 | 455 | $12K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.5% | 895 | 421 | $11K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 137 | 129 | $9K |
| 99000 | 2.0% | 1,112 | 915 | $9K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 636 | 621 | $6K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.3% | 120 | 118 | $6K |
| 81002 | 1.1% | 1,994 | 1,375 | $5K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 50 | 49 | $4K |
14 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 288 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 348 | $4K |
| 59430 | <1% | 27 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 35 | $2K |
| 81025 | <1% | 351 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 290 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 110 | $877.93 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 16 | $831.60 |
| 59020 | <1% | 13 | $274.56 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 99 | $141.44 |
| 90670 | 0% | 192 | $0.00 | |
| 90723 | 0% | 25 | $0.00 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 66 | $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.