Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Los Fresnos › NPI 1871740001
Physician

Julian F. Alvarez, MD. Pediatric Clincic

Julian F. Alvarez, MD. Pediatric Clincic was paid $4.27M by Medicaid between Mar 2018 and Dec 2024, across 84 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.

33Billing provider infoJULIAN F. ALVAREZ, MD. PEDIATRIC CLINCIC
LOS FRESNOS, TX 78566
33aNPI1871740001assigned 08/19/2008
33bProvider typePediatrics Physician
28Total paid$4.27M
24GClaims179,647
24DCodes billed84
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#103 of 1,136
Median peer was paid$329K
This provider vs. median13×

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$50K$100K$150K2018201920202021202220232024
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
2018106$3K
2019294$5K
20205,900$138K
202143,244$1.08M
202252,611$1.23M
202343,548$1.01M
2024incomplete33,944$806K
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 28% 34,537 28,491 $1.20M
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 15% 13,215 11,849 $638K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 9.6% 10,058 9,384 $408K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6.9% 3,740 3,689 $296K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6.1% 3,200 3,133 $259K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.7% 3,298 3,225 $245K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4.8% 16,400 7,582 $207K
90460 Immunization administration through 18 years of age via any route, first or only component 4.1% 16,724 8,277 $175K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.5% 2,103 1,933 $148K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3.0% 9,839 9,214 $127K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.7% 11,928 10,610 $74K
99429 1.7% 2,249 2,218 $73K
72 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.4% 2,515 $59K
S8301 Infection control supplies, not otherwise specified 1.2% 5,117 $52K
99000 <1% 4,207 $41K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 3,938 $31K
99203 Doctor's office visit, new patient (routine) <1% 487 $26K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 773 $24K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 264 $21K
99051 <1% 3,305 $17K
90461 <1% 3,694 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,249 $14K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,034 $14K
87400 <1% 1,070 $12K
87807 <1% 993 $10K
0071A <1% 286 $10K
0072A <1% 227 $9K
96160 <1% 3,082 $6K
90480 <1% 200 $5K
0001A <1% 122 $5K
0003A <1% 114 $5K
86580 <1% 588 $4K
81003 <1% 2,024 $4K
99381 <1% 52 $4K
0073A <1% 86 $3K
0002A <1% 85 $3K
83655 <1% 330 $3K
99383 <1% 32 $3K
CP002 <1% 223 $2K
0124A <1% 48 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 135 $2K
99384 <1% 21 $2K
0081A <1% 44 $1K
99204 Doctor's office visit, new patient (more involved) <1% 14 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 876 $1K
87301 <1% 117 $1K
94010 <1% 40 $995.34
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 18 $817.10
97169 <1% 43 $790.00
94016 <1% 40 $788.19
0154A <1% 14 $560.00
0082A <1% 13 $520.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 41 $513.70
81025 <1% 13 $93.99
82947 <1% 25 $82.50
82270 <1% 33 $55.20
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 153 $24.04
90686 <1% 3,919 $16.90
90619 <1% 536 $0.65
90677 <1% 465 $0.62
90651 <1% 729 $0.21
90621 <1% 288 $0.16
J0570 Buprenorphine implant, 74.2 mg <1% 19 $0.05
90620 <1% 39 $0.01
90698 0% 1,119 $0.00
90716 0% 804 $0.00
90744 0% 654 $0.00
90696 0% 129 $0.00
91319 0% 60 $0.00
90647 0% 70 $0.00
90680 0% 1,014 $0.00
91307 0% 693 $0.00
91315 0% 14 $0.00
91318 0% 14 $0.00
90633 0% 750 $0.00
90670 0% 1,105 $0.00
90734 0% 346 $0.00
90707 0% 799 $0.00
91300 0% 457 $0.00
90700 0% 108 $0.00
90715 0% 231 $0.00
91312 0% 48 $0.00
91308 0% 120 $0.00
91320 0% 41 $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 officialALVAREZ, JULIAN (OWNER)