Robert Morales, M.D.,P.A.

Robert Morales, M.D.,P.A. was paid $79K by Medicaid between Jan 2018 and Sep 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.

33Billing provider infoROBERT MORALES, M.D.,P.A.
KINGSVILLE, TX 78363

33aNPI1780866269assigned 11/27/2007

33bProvider typeFamily Medicine Physician

28Total paid$79K

24GClaims4,308

24DCodes billed8

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#450 of 1,204

Median peer was paid$31K

This provider vs. median2.6×

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	921	$7K
2019	586	$5K
2020	462	$4K
2021	423	$7K
2022	793	$21K
2023	758	$23K
2024incomplete	365	$12K

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	70%	2,769	2,525	$55K
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	25%	716	702	$20K
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	2.4%	234	234	$2K
90688		1.2%	135	135	$923.56
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	172	172	$426.26
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	14	14	$140.00
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	<1%	179	179	$79.78
G0008	Administration of influenza virus vaccine	0%	89	89	$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 officialMORALES, ROBERT (OWNER/PRESIDENT)