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

Zagala, Maria Teresita

Zagala, Maria Teresita was paid $379K by Medicaid between Jan 2018 and May 2019, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

33Billing provider infoZAGALA, MARIA TERESITA
HENDERSON, NV 89015
33aNPI1891704680assigned 08/07/2006
33bProvider typePediatrics Physician
28Total paid$379K
24GClaims7,566
24DCodes billed27
24AFirst – last monthJan 2018 – May 2019
Compared with peers

Next to other Pediatrics Physician providers in Nevada

Rank by total paid#78 of 267
Median peer was paid$116K
This provider vs. median3.3×

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$20K$40K$60K2018201920202021202220232024
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
20186,316$302K
20191,250$77K
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 37% 2,119 1,890 $140K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 17% 662 642 $63K
90460 Immunization administration through 18 years of age via any route, first or only component 16% 1,340 1,289 $62K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12% 486 473 $46K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11% 458 436 $43K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.5% 128 126 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.2% 113 108 $5K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 114 113 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 107 102 $2K
99382 <1% 14 14 $2K
36416 <1% 159 159 $748.86
D1206 Topical application of fluoride varnish <1% 12 12 $420.00
15 more codes
99188 <1% 27 $319.80
90734 0% 67 $0.00
90633 0% 184 $0.00
90707 0% 172 $0.00
90670 0% 394 $0.00
90648 0% 90 $0.00
90655 0% 48 $0.00
90680 0% 179 $0.00
90656 0% 158 $0.00
90698 0% 145 $0.00
90716 0% 187 $0.00
90651 0% 69 $0.00
90696 0% 44 $0.00
90686 0% 32 $0.00
90723 0% 58 $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.