Physician
Jose Roel Maldonado JR MD PA
Jose Roel Maldonado JR MD PA was paid $184K by Medicaid between Jan 2018 and Feb 2022, across 22 billing codes. Its largest line is 99423, — 44% of everything it billed.
33Billing provider infoJOSE ROEL MALDONADO JR MD PA
LAREDO, TX 78041
LAREDO, TX 78041
33aNPI1790960524assigned 12/28/2007
33bProvider typeFamily Medicine Physician
28Total paid$184K
24GClaims11,509
24DCodes billed22
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#313 of 1,204
Median peer was paid$31K
This provider vs. median6.0×
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 | 1,421 | $6K | |
| 2019 | 2,501 | $51K | |
| 2020 | 3,503 | $82K | |
| 2021 | 3,777 | $35K | |
| 2022 | 307 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99423 | 44% | 1,401 | 371 | $80K | |
| 99444 | 23% | 735 | 179 | $42K | |
| 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 | 23% | 3,128 | 2,288 | $42K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.4% | 179 | 112 | $8K |
| 99422 | 3.9% | 322 | 98 | $7K | |
| 99490 | Ccm add 20min | 2.3% | 3,542 | 3,530 | $4K |
| 95923 | <1% | 17 | 17 | $228.82 | |
| 99457 | <1% | 398 | 397 | $201.61 | |
| 99454 | <1% | 246 | 243 | $181.60 | |
| 99458 | <1% | 382 | 380 | $166.93 | |
| 96127 | <1% | 727 | 415 | $136.94 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 59 | 53 | $27.29 |
10 more codes
| 98966 | <1% | 62 | $13.96 | |
| 80305 | <1% | 106 | $5.22 | |
| 99497 | 0% | 15 | $0.00 | |
| 99401 | 0% | 13 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 16 | $0.00 |
| 99453 | 0% | 27 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 13 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 28 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 65 | $0.00 |
| 90688 | 0% | 28 | $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 officialMALDONADO, JOSE (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Valle De Salinas Behavioral Health | Salinas, CA | $1.20M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.