Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Raul Ernesto Loaisiga MD PA

Raul Ernesto Loaisiga MD PA was paid $257K by Medicaid between Sep 2019 and Jul 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.

33Billing provider infoRAUL ERNESTO LOAISIGA MD PA
BROWNSVILLE, TX 78526
33aNPI1114162492assigned 12/15/2008
33bProvider typePediatrics Physician
28Total paid$257K
24GClaims27,993
24DCodes billed33
24AFirst – last monthSep 2019 – Jul 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#606 of 1,136
Median peer was paid$329K
This provider vs. median0.8×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
201915$442.68
2020722$14K
20218,926$90K
20229,475$78K
20237,298$63K
2024incomplete1,557$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 5,481 4,718 $67K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 16% 854 835 $41K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12% 705 680 $32K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12% 727 708 $31K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12% 6,564 5,036 $30K
90460 Immunization administration through 18 years of age via any route, first or only component 8.1% 3,365 1,564 $21K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7.3% 363 356 $19K
92588 1.8% 1,675 1,632 $5K
90461 1.3% 2,868 798 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 656 320 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 399 273 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 283 280 $888.96
21 more codes
96160 <1% 823 $845.04
99000 <1% 246 $820.80
99050 <1% 57 $582.69
0071A <1% 14 $320.00
0072A <1% 14 $320.00
99214 Doctor's office visit, returning patient (more involved) <1% 14 $264.30
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 30 $118.78
86580 <1% 17 $64.60
81002 <1% 37 $46.72
90670 <1% 293 $0.13
90680 <1% 39 $0.09
90648 <1% 65 $0.02
99173 0% 1,821 $0.00
90633 0% 14 $0.00
90734 0% 14 $0.00
90710 0% 13 $0.00
91307 0% 36 $0.00
90686 0% 467 $0.00
90650 0% 13 $0.00
90677 0% 13 $0.00
90651 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.

From NPPES

Who's on the registration

Authorized officialLOAISIGA, RAUL (PRESIDENT)