Physician
Otto Velasquez MD PHD & Associates
Otto Velasquez MD PHD & Associates was paid $65K by Medicaid between Dec 2020 and Nov 2024, across 4 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 48% of everything it billed.
33Billing provider infoOTTO VELASQUEZ MD PHD & ASSOCIATES
MCALLEN, TX 78504
MCALLEN, TX 78504
33aNPI1881776367assigned 10/20/2006
33bProvider typeHospitalist Physician
28Total paid$65K
24GClaims942
24DCodes billed4
24AFirst – last monthDec 2020 – Nov 2024
Compared with peers
Next to other Hospitalist Physician providers in Texas
Rank by total paid#18 of 71
Median peer was paid$6K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2020 | 25 | $879.84 | |
| 2022 | 157 | $12K | |
| 2023 | 421 | $27K | |
| 2024incomplete | 339 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99222 | Initial hospital care, per day, moderate complexity | 48% | 308 | 297 | $31K |
| 99238 | Hospital discharge day management, 30 minutes or less | 35% | 386 | 365 | $22K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 16% | 223 | 93 | $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 | 1.4% | 25 | 25 | $879.84 |
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 officialVELASQUEZ, OTTO (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Medrano Pediatric Group PLLC | Weslaco, TX | $40K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.