Physician
Maximiliano Hernandez MD PA
Maximiliano Hernandez MD PA was paid $272K by Medicaid between Jan 2018 and Nov 2024, across 47 billing codes. Its largest line is 99444, — 34% of everything it billed.
33Billing provider infoMAXIMILIANO HERNANDEZ MD PA
PHARR, TX 78577
PHARR, TX 78577
33aNPI1861464026assigned 02/02/2006
33bProvider typeInternal Medicine Physician
28Total paid$272K
24GClaims16,091
24DCodes billed47
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#106 of 1,028
Median peer was paid$10K
This provider vs. median26×
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 | 3,104 | $34K | |
| 2019 | 3,588 | $79K | |
| 2020 | 4,673 | $73K | |
| 2021 | 2,348 | $38K | |
| 2022 | 1,381 | $21K | |
| 2023 | 607 | $16K | |
| 2024incomplete | 390 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99444 | 34% | 1,670 | 418 | $93K | |
| 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 | 28% | 3,546 | 3,141 | $77K |
| 99423 | 15% | 701 | 321 | $40K | |
| 99422 | 12% | 1,521 | 515 | $33K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.9% | 1,753 | 1,365 | $13K |
| 99490 | Ccm add 20min | 1.5% | 1,163 | 1,163 | $4K |
| 99091 | 1.3% | 264 | 264 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.3% | 507 | 440 | $4K |
| 90756 | <1% | 473 | 411 | $2K | |
| 99443 | <1% | 170 | 132 | $879.61 | |
| 99457 | <1% | 481 | 469 | $737.66 | |
| 99442 | <1% | 28 | 25 | $510.24 |
35 more codes
| 99497 | <1% | 117 | $493.32 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 75 | $252.24 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 139 | $116.50 |
| 93922 | <1% | 25 | $65.22 | |
| 93000 | <1% | 13 | $28.72 | |
| G0008 | Administration of influenza virus vaccine | <1% | 325 | $16.96 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 42 | $13.06 |
| 82044 | <1% | 29 | $10.46 | |
| 82570 | <1% | 29 | $9.66 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 93 | $7.96 |
| 81003 | <1% | 29 | $4.18 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 214 | $3.06 |
| G8482 | Influenza immunization administered or previously received | 0% | 341 | $0.00 |
| 3046F | 0% | 104 | $0.00 | |
| 1100F | 0% | 12 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 263 | $0.00 |
| 1090F | 0% | 56 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 12 | $0.00 |
| 4040F | 0% | 106 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 139 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 17 | $0.00 |
| 2022F | 0% | 14 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 24 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 12 | $0.00 |
| 1036F | 0% | 309 | $0.00 | |
| 1101F | 0% | 289 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 265 | $0.00 |
| 3044F | 0% | 141 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 235 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 204 | $0.00 |
| 3017F | 0% | 20 | $0.00 | |
| 1123F | 0% | 43 | $0.00 | |
| 1170F | 0% | 30 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 23 | $0.00 |
| 0509F | 0% | 25 | $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 officialHERNANDEZ, MAXIMILIANO (OWNER)