Physician
Jose Salguero, MD, PA
Jose Salguero, MD, PA was paid $3.18M by Medicaid between Apr 2020 and Dec 2024, across 52 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoJOSE SALGUERO, MD, PA
ENNIS, TX 75119
ENNIS, TX 75119
33aNPI1790790186assigned 07/31/2006
33bProvider typePediatrics Physician
28Total paid$3.18M
24GClaims109,931
24DCodes billed52
24AFirst – last monthApr 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#148 of 1,136
Median peer was paid$329K
This provider vs. median9.7×
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 | 5,396 | $140K | |
| 2021 | 29,630 | $805K | |
| 2022 | 28,851 | $836K | |
| 2023 | 27,507 | $808K | |
| 2024incomplete | 18,547 | $596K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 34% | 20,539 | 17,614 | $1.07M |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 9.8% | 22,650 | 10,658 | $311K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.3% | 2,883 | 2,869 | $263K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.2% | 3,118 | 3,094 | $260K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 8.0% | 6,314 | 5,912 | $254K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.6% | 6,669 | 6,292 | $241K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.9% | 2,372 | 2,342 | $189K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.3% | 12,489 | 11,762 | $170K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.8% | 1,584 | 1,498 | $120K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.4% | 10,851 | 5,454 | $109K |
| 99429 | 1.6% | 1,545 | 1,522 | $52K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.2% | 459 | 454 | $40K |
40 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 298 | $23K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,606 | $21K |
| 90461 | <1% | 3,009 | $16K | |
| 95117 | <1% | 1,730 | $15K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 719 | $8K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 115 | $7K |
| 99381 | <1% | 66 | $5K | |
| 94010 | <1% | 119 | $3K | |
| 99383 | <1% | 31 | $3K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 215 | $3K |
| 99384 | <1% | 16 | $2K | |
| 69210 | <1% | 48 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 21 | $276.99 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 26 | $141.69 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 14 | $83.97 |
| 96160 | <1% | 27 | $54.00 | |
| 90670 | <1% | 946 | $5.38 | |
| 90619 | <1% | 397 | $2.04 | |
| 90656 | <1% | 1,245 | $2.02 | |
| 90671 | <1% | 286 | $1.39 | |
| 90734 | <1% | 465 | $0.83 | |
| 90677 | <1% | 195 | $0.55 | |
| 90715 | <1% | 445 | $0.52 | |
| 90697 | <1% | 112 | $0.50 | |
| 90688 | <1% | 457 | $0.18 | |
| 90651 | <1% | 457 | $0.12 | |
| 90623 | <1% | 33 | $0.11 | |
| 90633 | <1% | 857 | $0.08 | |
| 90710 | <1% | 452 | $0.07 | |
| 90680 | <1% | 785 | $0.07 | |
| 90707 | <1% | 95 | $0.02 | |
| 90744 | <1% | 459 | $0.02 | |
| 90716 | <1% | 100 | $0.02 | |
| 97802 | <1% | 193 | $0.01 | |
| 90655 | 0% | 85 | $0.00 | |
| 90648 | 0% | 52 | $0.00 | |
| 90700 | 0% | 69 | $0.00 | |
| 90649 | 0% | 30 | $0.00 | |
| 90698 | 0% | 956 | $0.00 | |
| 90696 | 0% | 227 | $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 officialSALGUERO, JOSE (MEMBER)