Physician
Jose a Escandon MD PA
Jose a Escandon MD PA was paid $368K by Medicaid between Jan 2019 and Nov 2024, across 85 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoJOSE A ESCANDON MD PA
MISSION, TX 78572
MISSION, TX 78572
33aNPI1942697974assigned 04/16/2015
33bProvider typeGeneral Practice Physician
28Total paid$368K
24GClaims72,989
24DCodes billed85
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in Texas
Rank by total paid#24 of 113
Median peer was paid$22K
This provider vs. median17×
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 | |
|---|---|---|---|
| 2019 | 13,063 | $42K | |
| 2020 | 9,648 | $34K | |
| 2021 | 13,697 | $68K | |
| 2022 | 14,781 | $86K | |
| 2023 | 13,627 | $83K | |
| 2024incomplete | 8,173 | $54K |
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 | 51% | 9,713 | 7,742 | $187K |
| 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 | 10% | 1,961 | 1,751 | $38K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 6.3% | 775 | 751 | $23K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4.4% | 4,862 | 4,420 | $16K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.6% | 1,149 | 1,095 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.2% | 1,104 | 1,052 | $8K |
| 71046 | Radiologic examination, chest; 2 views | 2.0% | 784 | 747 | $7K |
| 93922 | 1.9% | 938 | 906 | $7K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.6% | 237 | 237 | $6K |
| 99497 | 1.4% | 767 | 764 | $5K | |
| 82948 | 1.4% | 4,779 | 3,558 | $5K | |
| 99490 | Ccm add 20min | 1.1% | 766 | 766 | $4K |
73 more codes
| 82044 | 1.1% | 2,071 | $4K | |
| 90686 | <1% | 398 | $3K | |
| 81003 | <1% | 3,822 | $3K | |
| 74018 | <1% | 327 | $3K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 47 | $3K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 956 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 135 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 46 | $3K |
| 94060 | <1% | 215 | $2K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 147 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 204 | $2K |
| 93923 | <1% | 250 | $2K | |
| 76881 | <1% | 57 | $2K | |
| 76536 | <1% | 124 | $2K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 53 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 35 | $2K |
| 95250 | <1% | 84 | $1K | |
| 20553 | <1% | 263 | $1K | |
| 93880 | <1% | 92 | $1K | |
| 93882 | <1% | 44 | $912.48 | |
| 20611 | <1% | 158 | $881.75 | |
| 72110 | <1% | 99 | $756.86 | |
| 0011A | <1% | 21 | $365.00 | |
| 95251 | <1% | 84 | $364.73 | |
| 0012A | <1% | 19 | $340.00 | |
| 92250 | <1% | 28 | $329.30 | |
| 83880 | <1% | 39 | $263.84 | |
| G0246 | Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education | <1% | 41 | $216.84 |
| 84484 | <1% | 97 | $167.91 | |
| 20552 | <1% | 13 | $165.82 | |
| 86677 | <1% | 147 | $155.65 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 134 | $146.64 |
| 92567 | <1% | 77 | $123.00 | |
| 73560 | <1% | 26 | $106.96 | |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 13 | $80.19 |
| 3720F | <1% | 128 | $76.86 | |
| 51798 | <1% | 14 | $72.68 | |
| 82553 | <1% | 97 | $68.98 | |
| 72050 | <1% | 26 | $34.22 | |
| 77080 | <1% | 38 | $30.22 | |
| 1126F | 0% | 5,566 | $0.00 | |
| 3074F | 0% | 4,328 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 795 | $0.00 |
| 1170F | 0% | 911 | $0.00 | |
| 3079F | 0% | 1,186 | $0.00 | |
| 0509F | 0% | 750 | $0.00 | |
| 1125F | 0% | 5,268 | $0.00 | |
| 3075F | 0% | 847 | $0.00 | |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 20 | $0.00 |
| 3008F | 0% | 5,986 | $0.00 | |
| 1101F | 0% | 284 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 541 | $0.00 |
| 3080F | 0% | 332 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 216 | $0.00 |
| 90688 | 0% | 73 | $0.00 | |
| 1157F | 0% | 13 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 25 | $0.00 |
| 91301 | 0% | 22 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 12 | $0.00 |
| 84480 | 0% | 25 | $0.00 | |
| 3078F | 0% | 4,196 | $0.00 | |
| 3288F | 0% | 526 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 335 | $0.00 |
| 1090F | 0% | 543 | $0.00 | |
| 3077F | 0% | 311 | $0.00 | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 0% | 518 | $0.00 |
| 1160F | 0% | 302 | $0.00 | |
| 80061 | Lipid panel | 0% | 40 | $0.00 |
| 1159F | 0% | 187 | $0.00 | |
| 84152 | 0% | 13 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 183 | $0.00 |
| 84439 | 0% | 25 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 106 | $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 officialESCANDON, JOSE (OWNER)