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

Fernando Castaneda MD PA

Fernando Castaneda MD PA was paid $611K by Medicaid between Mar 2021 and Dec 2024, across 44 billing codes. Its largest line is 99394, Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) — 21% of everything it billed.

33Billing provider infoFERNANDO CASTANEDA MD PA
LAREDO, TX 78043
33aNPI1992310973assigned 09/15/2020
33bProvider typePediatrics Physician
28Total paid$611K
24GClaims41,760
24DCodes billed44
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#464 of 1,136
Median peer was paid$329K
This provider vs. median1.9×

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$10K$20K$30K2018201920202021202220232024
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
20216,873$92K
20229,620$150K
202313,136$206K
2024incomplete12,131$163K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 21% 1,415 1,365 $126K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 20% 1,460 1,432 $121K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16% 1,280 1,256 $100K
87428 14% 1,191 1,154 $85K
90460 Immunization administration through 18 years of age via any route, first or only component 11% 6,307 3,109 $69K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6.1% 487 482 $37K
99429 5.7% 1,062 1,054 $35K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.6% 1,509 1,325 $10K
99383 <1% 67 65 $6K
0071A <1% 96 96 $4K
99382 <1% 37 37 $3K
90461 <1% 1,820 1,486 $3K
32 more codes
0072A <1% 72 $3K
96160 <1% 2,997 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 81 $2K
99051 <1% 847 $2K
90620 <1% 322 $1K
99213 Doctor's office visit, returning patient (routine) <1% 8,273 $1K
99381 <1% 12 $1K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 12 $173.16
90651 <1% 465 $150.00
99214 Doctor's office visit, returning patient (more involved) <1% 327 $148.09
86580 <1% 13 $109.46
90658 <1% 527 $92.25
90714 0% 58 $0.00
90670 0% 650 $0.00
97803 0% 3,796 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 0% 4,413 $0.00
90633 0% 246 $0.00
90681 0% 53 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 0% 452 $0.00
90734 0% 318 $0.00
90710 0% 224 $0.00
90700 0% 12 $0.00
96127 0% 111 $0.00
91307 0% 218 $0.00
90647 0% 138 $0.00
90697 0% 203 $0.00
87807 0% 27 $0.00
90680 0% 70 $0.00
90698 0% 27 $0.00
90723 0% 40 $0.00
90696 0% 12 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 0% 13 $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 officialCASTANEDA, FERNANDO (PEDIATRICIAN)