Physician
Canales, Ricardo
Canales, Ricardo was paid $833K by Medicaid between Aug 2020 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoCANALES, RICARDO
MCALLEN, TX 78501
MCALLEN, TX 78501
33aNPI1023086345assigned 03/11/2006
33bProvider typeFamily Medicine Physician
28Total paid$833K
24GClaims42,048
24DCodes billed37
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#114 of 1,204
Median peer was paid$31K
This provider vs. median27×
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 2,402 | $45K | |
| 2021 | 9,816 | $199K | |
| 2022 | 10,639 | $226K | |
| 2023 | 12,105 | $220K | |
| 2024incomplete | 7,086 | $143K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 45% | 11,952 | 10,148 | $377K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.3% | 984 | 964 | $78K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.0% | 862 | 845 | $75K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 7.3% | 4,831 | 4,610 | $60K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.2% | 811 | 791 | $60K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.8% | 951 | 917 | $32K |
| 92285 | 3.1% | 2,132 | 2,088 | $26K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 1,116 | 1,052 | $23K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.4% | 1,991 | 1,932 | $20K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.0% | 2,010 | 1,018 | $17K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 1,475 | 777 | $14K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 1,577 | 1,280 | $12K |
25 more codes
| 92587 | 1.3% | 1,581 | $11K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 154 | $10K |
| 99000 | <1% | 947 | $8K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 746 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 25 | $1K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 12 | $965.64 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 31 | $725.06 |
| 96161 | <1% | 344 | $587.25 | |
| 92567 | <1% | 44 | $506.44 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 2,711 | $465.00 |
| 99051 | <1% | 62 | $179.28 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $117.28 |
| 81002 | <1% | 43 | $93.44 | |
| 90674 | <1% | 12 | $64.38 | |
| 82947 | <1% | 13 | $42.90 | |
| 90686 | <1% | 426 | $0.77 | |
| 90620 | <1% | 26 | $0.03 | |
| 90651 | <1% | 93 | $0.02 | |
| 90670 | 0% | 157 | $0.00 | |
| 90648 | 0% | 30 | $0.00 | |
| 97803 | 0% | 81 | $0.00 | |
| 90734 | 0% | 59 | $0.00 | |
| 99401 | 0% | 26 | $0.00 | |
| 3008F | 0% | 3,708 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 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.