Physician
Edinburg Obstetrics, Gyneceology & Infertility Clinic PA
Edinburg Obstetrics, Gyneceology & Infertility Clinic PA was paid $99K by Medicaid between Jan 2018 and Jan 2021, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoEDINBURG OBSTETRICS, GYNECEOLOGY & INFERTILITY CLINIC PA
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1861455735assigned 04/10/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$99K
24GClaims5,530
24DCodes billed21
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Texas
Rank by total paid#218 of 432
Median peer was paid$103K
This provider vs. median1.0×
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 | 3,023 | $49K | |
| 2019 | 829 | $14K | |
| 2020 | 1,646 | $35K | |
| 2021 | 32 | $761.04 |
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 | 35% | 1,051 | 861 | $35K |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | 12% | 185 | 180 | $12K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 10% | 143 | 133 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.1% | 295 | 262 | $8K |
| 99000 | 4.8% | 437 | 423 | $5K | |
| 87800 | 4.1% | 97 | 97 | $4K | |
| 81025 | 3.8% | 550 | 528 | $4K | |
| 81002 | 3.6% | 1,650 | 1,346 | $4K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 3.3% | 135 | 131 | $3K |
| 87340 | 2.1% | 195 | 192 | $2K | |
| 82607 | 2.0% | 135 | 132 | $2K | |
| 76818 | 1.8% | 25 | 12 | $2K |
9 more codes
| 76830 | Ultrasound, transvaginal | 1.5% | 16 | $1K |
| 87480 | 1.3% | 71 | $1K | |
| 87510 | 1.3% | 71 | $1K | |
| 87660 | 1.3% | 71 | $1K | |
| 86592 | 1.0% | 250 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $889.59 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $823.35 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 83 | $629.37 |
| 82950 | <1% | 41 | $53.16 |
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 officialMARTINEZ, AGUSTIN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Agustin Martinez M D P a | Hialeah, FL | $347K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.