Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CANALES, RICARDO

NPI: 1023086345 · MCALLEN, TX 78501 · Family Medicine Physician · NPI assigned 03/11/2006

$833K
Total Medicaid Paid
42,048
Total Claims
37,299
Beneficiaries
37
Codes Billed
2020-08
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,402 $45K
2021 9,816 $199K
2022 10,639 $226K
2023 12,105 $220K
2024 7,086 $143K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,952 10,148 $377K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 984 964 $78K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 862 845 $75K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,831 4,610 $60K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 811 791 $60K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 951 917 $32K
92285 2,132 2,088 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,116 1,052 $23K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,991 1,932 $20K
90472 Immunization administration, each additional vaccine (list separately) 2,010 1,018 $17K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,475 777 $14K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,577 1,280 $12K
92587 1,581 1,544 $11K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 154 150 $10K
99000 947 877 $8K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 746 687 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 25 24 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 12 12 $965.64
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 31 29 $725.06
96161 344 338 $587.25
92567 44 44 $506.44
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 2,711 2,620 $465.00
99051 62 62 $179.28
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $117.28
81002 43 36 $93.44
90674 12 12 $64.38
82947 13 13 $42.90
90686 426 417 $0.77
90620 26 26 $0.03
90651 93 92 $0.02
90670 157 152 $0.00
90648 30 28 $0.00
97803 81 80 $0.00
90734 59 59 $0.00
99401 26 26 $0.00
3008F 3,708 3,524 $0.00
36415 Collection of venous blood by venipuncture 13 13 $0.00