Physician
Jose Fernando Zavaleta M.D., P.A.
Jose Fernando Zavaleta M.D., P.A. was paid $168K by Medicaid between Jan 2018 and Dec 2023, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.
33Billing provider infoJOSE FERNANDO ZAVALETA M.D., P.A.
HOUSTON, TX 77074
HOUSTON, TX 77074
33aNPI1861756546assigned 06/27/2012
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$168K
24GClaims12,405
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in Texas
Rank by total paid#9 of 53
Median peer was paid$11K
This provider vs. median16×
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 | 1,894 | $7K | |
| 2019 | 1,361 | $6K | |
| 2020 | 1,472 | $15K | |
| 2021 | 3,427 | $54K | |
| 2022 | 2,960 | $55K | |
| 2023 | 1,291 | $30K |
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 | 72% | 3,422 | 3,317 | $120K |
| 95923 | 13% | 329 | 311 | $21K | |
| 93922 | 7.8% | 694 | 329 | $13K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.3% | 532 | 509 | $7K |
| 93000 | 2.0% | 448 | 427 | $3K | |
| 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 | 1.1% | 26 | 26 | $2K |
| 95250 | <1% | 14 | 12 | $967.90 | |
| 81003 | <1% | 279 | 267 | $256.77 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 592 | 579 | $97.92 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,143 | 3,023 | $0.00 |
| 4040F | 0% | 16 | 16 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 41 | 39 | $0.00 |
5 more codes
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 officialZAVALETA, MARIA (ADMINISTRATOR)