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

Fonseca, Anacani

Fonseca, Anacani was paid $33K by Medicaid between Apr 2024 and Dec 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.

33Billing provider infoFONSECA, ANACANI
EL PASO, TX 79912
33aNPI1972810539assigned 09/02/2010
28Total paid$33K
24GClaims466
24DCodes billed5
24AFirst – last monthApr 2024 – Dec 2024
Compared with peers

Next to other Developmental - Behavioral Pediatrics Physician providers in Texas

Rank by total paid#6 of 7
Median peer was paid$126K
This provider vs. median0.3×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2024incomplete466$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 324 291 $21K
99245 19% 65 49 $6K
96112 12% 31 31 $4K
96113 5.4% 28 28 $2K
96127 0% 18 17 $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.