Physician
RGV Pathology Consultants, P.A.
RGV Pathology Consultants, P.A. was paid $2.18M by Medicaid between Jan 2018 and Apr 2024, across 122 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 15% of everything it billed.
33Billing provider infoRGV PATHOLOGY CONSULTANTS, P.A.
MCALLEN, TX 78504
MCALLEN, TX 78504
33aNPI1023439163assigned 12/16/2013
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$2.18M
24GClaims374,260
24DCodes billed122
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in Texas
Rank by total paid#4 of 97
Median peer was paid$24K
This provider vs. median93×
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 | |
|---|---|---|---|
| 2018 | 657 | $9K | |
| 2019 | 761 | $13K | |
| 2020 | 42,218 | $180K | |
| 2021 | 112,368 | $545K | |
| 2022 | 126,138 | $701K | |
| 2023 | 83,353 | $647K | |
| 2024incomplete | 8,765 | $91K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 15% | 10,732 | 10,455 | $331K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 8.6% | 43,478 | 35,141 | $189K |
| 87430 | 8.5% | 15,727 | 15,443 | $185K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 8.1% | 6,550 | 6,405 | $178K |
| 80053 | Comprehensive metabolic panel | 7.7% | 34,275 | 28,512 | $167K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 7.5% | 27,779 | 18,574 | $164K |
| 87040 | 4.8% | 10,886 | 9,907 | $105K | |
| 83880 | 4.4% | 3,938 | 3,329 | $97K | |
| 84484 | 3.6% | 12,386 | 7,796 | $78K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 3.4% | 12,913 | 12,268 | $75K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 3.3% | 3,101 | 2,884 | $73K |
| 83605 | 2.5% | 7,799 | 5,707 | $55K |
110 more codes
| 87420 | 2.4% | 5,076 | $52K | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 1.6% | 2,132 | $36K |
| 87507 | 1.6% | 1,668 | $35K | |
| 88307 | 1.6% | 607 | $35K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 1.4% | 687 | $30K |
| 87186 | 1.3% | 5,032 | $28K | |
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | 1.2% | 1,006 | $27K |
| 87077 | 1.2% | 5,195 | $27K | |
| 82550 | 1.2% | 5,848 | $26K | |
| 86703 | <1% | 2,100 | $21K | |
| 86923 | <1% | 1,035 | $20K | |
| 88304 | <1% | 1,882 | $16K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,041 | $15K |
| 87340 | <1% | 1,983 | $15K | |
| 82140 | <1% | 1,190 | $11K | |
| 87205 | <1% | 2,911 | $11K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 408 | $10K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 408 | $10K |
| 85379 | <1% | 1,721 | $10K | |
| 87070 | <1% | 17,618 | $9K | |
| 87075 | <1% | 1,474 | $7K | |
| 86738 | <1% | 557 | $5K | |
| 87486 | <1% | 1,826 | $4K | |
| 80050 | General health panel | <1% | 515 | $4K |
| 85007 | <1% | 1,904 | $4K | |
| 88312 | <1% | 116 | $2K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 5,361 | $2K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 1,853 | $2K |
| 84295 | <1% | 1,144 | $2K | |
| 86000 | <1% | 228 | $1K | |
| 86592 | <1% | 1,594 | $1K | |
| 85384 | <1% | 181 | $905.35 | |
| 85060 | <1% | 59 | $775.77 | |
| 87184 | <1% | 1,160 | $722.08 | |
| 81001 | <1% | 18,560 | $710.93 | |
| 83690 | <1% | 8,329 | $701.50 | |
| 81025 | <1% | 7,032 | $663.43 | |
| 88342 | <1% | 31 | $652.03 | |
| 88311 | <1% | 96 | $521.55 | |
| 87045 | <1% | 117 | $518.47 | |
| 87641 | <1% | 768 | $468.32 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 7,245 | $458.48 |
| 82270 | <1% | 677 | $378.76 | |
| 84702 | <1% | 2,470 | $362.48 | |
| 82803 | <1% | 1,637 | $317.56 | |
| 87581 | <1% | 1,805 | $314.42 | |
| 83735 | <1% | 4,777 | $313.49 | |
| 88300 | <1% | 104 | $285.72 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,567 | $245.95 |
| 86140 | <1% | 5,460 | $227.15 | |
| 88108 | <1% | 29 | $211.68 | |
| 82784 | <1% | 51 | $210.87 | |
| 85730 | <1% | 5,009 | $182.98 | |
| 85027 | <1% | 3,514 | $176.46 | |
| 84145 | <1% | 2,055 | $172.92 | |
| 86769 | <1% | 27 | $168.52 | |
| 87899 | <1% | 119 | $154.58 | |
| 85610 | <1% | 5,662 | $132.23 | |
| 85008 | <1% | 1,192 | $115.58 | |
| 82565 | <1% | 49 | $115.26 | |
| 86762 | <1% | 460 | $108.81 | |
| 87081 | <1% | 37 | $82.79 | |
| 80177 | <1% | 13 | $71.74 | |
| 88302 | <1% | 18 | $71.72 | |
| 82728 | <1% | 438 | $69.91 | |
| 85652 | <1% | 1,216 | $68.97 | |
| 84100 | <1% | 1,668 | $64.78 | |
| 87150 | <1% | 324 | $58.96 | |
| 85045 | <1% | 18 | $56.95 | |
| 81003 | <1% | 5,149 | $54.91 | |
| 86308 | <1% | 136 | $52.68 | |
| 86901 | <1% | 2,559 | $40.59 | |
| 80076 | <1% | 360 | $33.62 | |
| 86757 | <1% | 13 | $30.88 | |
| 86900 | <1% | 2,457 | $29.29 | |
| 82375 | <1% | 72 | $21.85 | |
| 85018 | <1% | 784 | $19.70 | |
| 83615 | <1% | 331 | $18.78 | |
| 82962 | <1% | 5,848 | $18.00 | |
| 82150 | <1% | 944 | $16.93 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 738 | $16.59 |
| 83550 | <1% | 20 | $16.32 | |
| 80061 | Lipid panel | <1% | 858 | $12.50 |
| 84439 | <1% | 168 | $8.42 | |
| 86850 | <1% | 1,905 | $8.27 | |
| 84157 | <1% | 26 | $6.72 | |
| 84030 | <1% | 27 | $4.62 | |
| 84550 | <1% | 43 | $3.80 | |
| 85014 | <1% | 551 | $3.78 | |
| 84132 | 0% | 822 | $0.00 | |
| 86317 | 0% | 15 | $0.00 | |
| 87483 | 0% | 13 | $0.00 | |
| 87154 | 0% | 16 | $0.00 | |
| 84436 | 0% | 89 | $0.00 | |
| 83050 | 0% | 145 | $0.00 | |
| 85576 | 0% | 12 | $0.00 | |
| 82945 | 0% | 26 | $0.00 | |
| 86880 | 0% | 39 | $0.00 | |
| 82746 | 0% | 12 | $0.00 | |
| 84479 | 0% | 12 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 13 | $0.00 |
| 82330 | 0% | 15 | $0.00 | |
| 82607 | 0% | 13 | $0.00 | |
| 80202 | 0% | 29 | $0.00 | |
| 82947 | 0% | 25 | $0.00 | |
| 86677 | 0% | 13 | $0.00 | |
| 82247 | 0% | 85 | $0.00 | |
| 82010 | 0% | 72 | $0.00 | |
| 83540 | 0% | 33 | $0.00 | |
| 82248 | 0% | 114 | $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 officialALVAREZ, RUDY (CEO)