MARIA TERESITA ZAGALA, MD
129 W LAKE MEAD PKWY SUITE 8, HENDERSON, NV 89015
NPI Number
1891704680
Practice location · View on Google Maps
Total Medicaid Payments
$378,831
-54% vs specialty average
Patients Seen
7,180
Total Claims
7,566
$ Per Patient
$53
Specialty avg: $37
Specialty Rank
#82 of 256
Pediatrics providers in Nevada
Peer Average
$819,121
Average total for Pediatrics
Claims per Patient
1.1
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $301,777 | |
| 2019 | $77,053 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 99213 | Office visit for a simple problem (established patient) | 2,119 | $139,579 | 36.8% | $66 |
| 99392 | Wellness checkup — ages 1-4 | 662 | $63,424 | 16.7% | $96 |
| 90460 | Giving a vaccine to a child, including talking with the family about it | 1,340 | $61,553 | 16.2% | $46 |
| 99393 | Wellness checkup — ages 5-11 | 486 | $46,350 | 12.2% | $95 |
| 99391 | Wellness checkup — infant (under 1 year) | 458 | $42,512 | 11.2% | $93 |
| 99394 | Wellness checkup — ages 12-17 | 128 | $13,386 | 3.5% | $105 |
| 99212 | Office visit for a minor problem (established patient) | 113 | $4,707 | 1.2% | $42 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 114 | $2,536 | 0.7% | $22 |
| 94640 | Breathing test or lung function test | 107 | $1,789 | 0.5% | $17 |
| 99382 | Wellness checkup — new patient, ages 1-4 | 14 | $1,505 | 0.4% | $108 |
| 36416 | Finger or heel stick for blood collection | 159 | $749 | 0.2% | $5 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 12 | $420 | 0.1% | $35 |
| 99188 | Other medical service | 27 | $320 | 0.1% | $12 |
| 90656 | Vaccine or immunization | 158 | $0 | 0.0% | $0 |
| 90723 | DTaP-HepB-IPV combination vaccine | 58 | $0 | 0.0% | $0 |
| 90651 | HPV vaccine (protects against cancer-causing virus) | 69 | $0 | 0.0% | $0 |
| 90633 | Hepatitis A vaccine (child dose) | 184 | $0 | 0.0% | $0 |
| 90716 | Chickenpox (varicella) vaccine | 187 | $0 | 0.0% | $0 |
| 90698 | Vaccine or immunization | 145 | $0 | 0.0% | $0 |
| 90670 | Pneumonia vaccine (PCV13, protects against pneumonia) | 394 | $0 | 0.0% | $0 |
| 90734 | Meningitis vaccine | 67 | $0 | 0.0% | $0 |
| 90707 | MMR vaccine (protects against measles, mumps, rubella) | 172 | $0 | 0.0% | $0 |
| 90680 | Vaccine or immunization | 179 | $0 | 0.0% | $0 |
| 90655 | Vaccine or immunization | 48 | $0 | 0.0% | $0 |
| 90648 | Haemophilus influenzae type b (Hib) vaccine (4-dose) | 90 | $0 | 0.0% | $0 |
| 90696 | DTaP-IPV vaccine (protects against diphtheria, tetanus, whooping cough, and polio) | 44 | $0 | 0.0% | $0 |
| 90686 | Vaccine or immunization | 32 | $0 | 0.0% | $0 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.