Physician
Fontenot, Michael
Fontenot, Michael was paid $267K by Medicaid between Aug 2020 and Nov 2021, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoFONTENOT, MICHAEL
KERRVILLE, TX 78028
KERRVILLE, TX 78028
33aNPI1790786937assigned 08/10/2005
33bProvider typePediatrics Physician
28Total paid$267K
24GClaims10,761
24DCodes billed29
24AFirst – last monthAug 2020 – Nov 2021
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#599 of 1,136
Median peer was paid$329K
This provider vs. median0.8×
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 | 1,115 | $24K | |
| 2021 | 9,646 | $242K |
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 | 25% | 1,805 | 1,704 | $68K |
| 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 | 16% | 806 | 761 | $42K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 503 | 495 | $40K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 388 | 380 | $32K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 10% | 304 | 298 | $27K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.6% | 332 | 326 | $26K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.2% | 2,096 | 1,016 | $17K |
| 90461 | 1.8% | 709 | 582 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.7% | 564 | 387 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 111 | 108 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 97 | 93 | $1K |
| 83655 | <1% | 118 | 117 | $1K |
17 more codes
| 96160 | <1% | 318 | $751.75 | |
| 99001 | <1% | 155 | $243.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 18 | $191.90 |
| S8301 | Infection control supplies, not otherwise specified | <1% | 155 | $157.08 |
| 86580 | <1% | 13 | $89.45 | |
| 90686 | <1% | 242 | $0.01 | |
| 90651 | 0% | 112 | $0.00 | |
| 90680 | 0% | 157 | $0.00 | |
| 90698 | 0% | 287 | $0.00 | |
| 90744 | 0% | 114 | $0.00 | |
| 90696 | 0% | 21 | $0.00 | |
| 99173 | 0% | 576 | $0.00 | |
| 90710 | 0% | 159 | $0.00 | |
| 90734 | 0% | 107 | $0.00 | |
| 90670 | 0% | 287 | $0.00 | |
| 90633 | 0% | 155 | $0.00 | |
| 90715 | 0% | 52 | $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.