Physician
Jose L Berlioz MD PA
Jose L Berlioz MD PA was paid $6.85M by Medicaid between Jan 2018 and Dec 2024, across 78 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.
33Billing provider infoJOSE L BERLIOZ MD PA
LAREDO, TX 78045
LAREDO, TX 78045
33aNPI1922025998assigned 07/16/2006
33bProvider typePediatrics Physician
28Total paid$6.85M
24GClaims365,538
24DCodes billed78
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#51 of 1,136
Median peer was paid$329K
This provider vs. median21×
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 | 2,091 | $88K | |
| 2019 | 2,219 | $72K | |
| 2020 | 30,219 | $492K | |
| 2021 | 108,084 | $1.78M | |
| 2022 | 100,127 | $1.80M | |
| 2023 | 74,494 | $1.53M | |
| 2024incomplete | 48,304 | $1.09M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 37,171 | 33,945 | $1.33M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 10,336 | 9,465 | $772K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 8,907 | 8,636 | $711K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 9,284 | 9,006 | $708K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.0% | 5,686 | 5,498 | $477K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.9% | 47,306 | 17,829 | $471K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.5% | 12,839 | 11,965 | $305K |
| 99460 | 3.8% | 3,386 | 3,263 | $258K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.6% | 4,281 | 4,111 | $246K |
| 99429 | 3.5% | 7,555 | 7,346 | $238K | |
| 99464 | 2.9% | 2,394 | 2,282 | $202K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.7% | 1,168 | 1,086 | $115K |
66 more codes
| 99468 | 1.6% | 136 | $108K | |
| 99235 | 1.6% | 711 | $107K | |
| 99232 | Hospital visit by a doctor, follow-up day | 1.2% | 1,732 | $81K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 9,204 | $73K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | <1% | 205 | $68K |
| 99462 | <1% | 1,795 | $66K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 866 | $64K |
| 90461 | <1% | 13,090 | $59K | |
| 99050 | <1% | 3,585 | $51K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,685 | $49K |
| S9470 | Nutritional counseling, dietitian visit | <1% | 15,498 | $39K |
| 99441 | <1% | 1,244 | $29K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 480 | $24K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,039 | $23K |
| 92551 | <1% | 7,109 | $18K | |
| 0072A | <1% | 395 | $18K | |
| 0071A | <1% | 445 | $17K | |
| 90677 | <1% | 1,501 | $17K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 105 | $12K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 176 | $12K |
| 99000 | <1% | 1,309 | $12K | |
| 96160 | <1% | 5,900 | $11K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 801 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 842 | $11K |
| 86580 | <1% | 2,004 | $9K | |
| 90619 | <1% | 811 | $6K | |
| 90651 | <1% | 2,449 | $6K | |
| 90620 | <1% | 1,067 | $5K | |
| 54150 | <1% | 41 | $3K | |
| 0001A | <1% | 65 | $2K | |
| 99383 | <1% | 27 | $2K | |
| 0002A | <1% | 52 | $2K | |
| 97169 | <1% | 82 | $2K | |
| 83655 | <1% | 2,679 | $1K | |
| 90686 | <1% | 3,489 | $1K | |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | <1% | 8,648 | $750.26 |
| 99442 | <1% | 21 | $737.80 | |
| 0003A | <1% | 16 | $520.00 | |
| 0004A | <1% | 12 | $488.00 | |
| 90734 | <1% | 1,189 | $140.29 | |
| 90715 | <1% | 1,030 | $34.68 | |
| 99173 | <1% | 9,978 | $17.50 | |
| 85018 | <1% | 12 | $1.99 | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 15,743 | $0.01 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 1,299 | $0.01 |
| S9449 | Weight management classes, non-physician provider, per session | <1% | 15,767 | $0.01 |
| 90723 | 0% | 3,415 | $0.00 | |
| 90680 | 0% | 4,749 | $0.00 | |
| 2001F | 0% | 2,828 | $0.00 | |
| 90716 | 0% | 3,080 | $0.00 | |
| 90698 | 0% | 1,659 | $0.00 | |
| 90696 | 0% | 1,129 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 27,243 | $0.00 |
| S3620 | Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) | 0% | 1,289 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 800 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 8,425 | $0.00 |
| 36416 | 0% | 272 | $0.00 | |
| 90656 | 0% | 221 | $0.00 | |
| 90744 | 0% | 32 | $0.00 | |
| 90648 | 0% | 4,900 | $0.00 | |
| 90670 | 0% | 5,292 | $0.00 | |
| 90633 | 0% | 3,425 | $0.00 | |
| 3210F | 0% | 2,791 | $0.00 | |
| 90700 | 0% | 1,171 | $0.00 | |
| 90707 | 0% | 3,065 | $0.00 | |
| 4120F | 0% | 105 | $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 officialKAFATI, MARY (GENERAL MANAGER)