Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Victor Lugo Miro MD PA

Victor Lugo Miro MD PA was paid $484K by Medicaid between Oct 2019 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoVICTOR LUGO MIRO MD PA
KINGWOOD, TX 77339
33aNPI1861681975assigned 10/15/2007
33bProvider typePediatrics Physician
28Total paid$484K
24GClaims15,441
24DCodes billed30
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#511 of 1,136
Median peer was paid$329K
This provider vs. median1.5×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2019214$2K
20201,525$43K
20214,314$134K
20224,714$146K
20233,915$131K
2024incomplete759$27K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39% 5,001 4,560 $191K
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 13% 1,211 1,135 $65K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11% 629 622 $56K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10% 610 596 $50K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6.8% 339 335 $33K
90460 Immunization administration through 18 years of age via any route, first or only component 6.6% 3,193 1,400 $32K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4.6% 277 275 $22K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.2% 404 392 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.4% 464 454 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.1% 351 171 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.0% 93 93 $5K
90461 <1% 641 512 $4K
18 more codes
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 243 $2K
90472 Immunization administration, each additional vaccine (list separately) <1% 173 $976.30
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 15 $468.75
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 30 $224.86
97802 <1% 572 $2.92
90686 <1% 201 $0.01
90734 <1% 46 $0.01
90647 0% 39 $0.00
90716 0% 39 $0.00
90723 0% 25 $0.00
90680 0% 26 $0.00
90651 0% 12 $0.00
3210F 0% 417 $0.00
90670 0% 255 $0.00
90715 0% 37 $0.00
90710 0% 31 $0.00
99177 0% 40 $0.00
90707 0% 27 $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 officialLUGO MIRO, VICTOR (CEO/OWNER)