Charles W.Zavala,m.D.,P.A.

Charles W.Zavala,m.D.,P.A. was paid $6K by Medicaid between Jan 2018 and Oct 2020, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.

33Billing provider infoCHARLES W.ZAVALA,M.D.,P.A.
BROWNSVILLE, TX 78520

33aNPI1952606642assigned 01/11/2011

33bProvider typePulmonary Disease Physician

28Total paid$6K

24GClaims1,738

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other Pulmonary Disease Physician providers in Texas

Rank by total paid#53 of 92

Median peer was paid$8K

This provider vs. median0.8×

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	737	$3K
2019	751	$2K
2020	250	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	63%	590	542	$4K
99231	Subsequent hospital care, per day, straightforward or low complexity	15%	348	140	$939.03
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	11%	610	278	$680.12
99223	Prolong inpt eval add15 m	10%	161	156	$642.79
94060		1.6%	29	27	$99.88

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 officialGIRALA, EMMA (OFFICE MANAGER)