Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Pleasanton › NPI 1992788087
Physician

Zertuche, Benjamin

Zertuche, Benjamin was paid $0.00 by Medicaid between Dec 2023 and Sep 2024, across 2 billing codes. Its largest line is G2211, Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) — 0% of everything it billed.

33Billing provider infoZERTUCHE, BENJAMIN
PLEASANTON, TX 78064
33aNPI1992788087assigned 11/22/2005
28Total paid$0.00
24GClaims34
24DCodes billed2
24AFirst – last monthDec 2023 – Sep 2024
Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#1,168 of 1,204
Median peer was paid$31K
This provider vs. median0.0×

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
YearClaimsPaid
202318$0.00
2024incomplete16$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 0% 16 12 $0.00
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 0% 18 14 $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.