Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JOSE A ESCANDON MD PA

NPI: 1942697974 · MISSION, TX 78572 · General Practice Physician · NPI assigned 04/16/2015

$368K
Total Medicaid Paid
72,989
Total Claims
63,876
Beneficiaries
85
Codes Billed
2019-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialESCANDON, JOSE (OWNER)
NPI Enumeration Date04/16/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13,063 $42K
2020 9,648 $34K
2021 13,697 $68K
2022 14,781 $86K
2023 13,627 $83K
2024 8,173 $54K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,713 7,742 $187K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,961 1,751 $38K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 775 751 $23K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,862 4,420 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,149 1,095 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,104 1,052 $8K
71046 Radiologic examination, chest; 2 views 784 747 $7K
93922 938 906 $7K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 237 237 $6K
99497 767 764 $5K
82948 4,779 3,558 $5K
99490 Ccm add 20min 766 766 $4K
82044 2,071 2,060 $4K
90686 398 396 $3K
81003 3,822 3,712 $3K
74018 327 314 $3K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 47 47 $3K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 956 901 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 135 127 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 46 45 $3K
94060 215 209 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 147 147 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 204 202 $2K
93923 250 249 $2K
76881 57 55 $2K
76536 124 124 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 53 52 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 35 35 $2K
95250 84 84 $1K
20553 263 252 $1K
93880 92 92 $1K
93882 44 44 $912.48
20611 158 156 $881.75
72110 99 98 $756.86
0011A 21 21 $365.00
95251 84 84 $364.73
0012A 19 19 $340.00
92250 28 28 $329.30
83880 39 37 $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 41 40 $216.84
84484 97 93 $167.91
20552 13 12 $165.82
86677 147 145 $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 134 130 $146.64
92567 77 77 $123.00
73560 26 26 $106.96
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 13 12 $80.19
3720F 128 128 $76.86
51798 14 14 $72.68
82553 97 93 $68.98
72050 26 26 $34.22
77080 38 38 $30.22
1126F 5,566 4,737 $0.00
3074F 4,328 3,610 $0.00
36415 Collection of venous blood by venipuncture 795 724 $0.00
1170F 911 901 $0.00
3079F 1,186 1,056 $0.00
0509F 750 716 $0.00
1125F 5,268 4,353 $0.00
3075F 847 782 $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) 20 15 $0.00
3008F 5,986 4,725 $0.00
1101F 284 282 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 541 540 $0.00
3080F 332 307 $0.00
G0008 Administration of influenza virus vaccine 216 216 $0.00
90688 73 73 $0.00
1157F 13 13 $0.00
84443 Thyroid stimulating hormone (TSH) 25 25 $0.00
91301 22 22 $0.00
80053 Comprehensive metabolic panel 12 12 $0.00
84480 25 25 $0.00
3078F 4,196 3,548 $0.00
3288F 526 524 $0.00
G0444 Annual depression screening, 5 to 15 minutes 335 335 $0.00
1090F 543 541 $0.00
3077F 311 277 $0.00
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 518 517 $0.00
1160F 302 295 $0.00
80061 Lipid panel 40 40 $0.00
1159F 187 184 $0.00
84152 13 13 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 183 124 $0.00
84439 25 25 $0.00
G8482 Influenza immunization administered or previously received 106 106 $0.00