Clinic
Mcallen Surgical Specialty Center LTD
Mcallen Surgical Specialty Center LTD was paid $58K by Medicaid between Jan 2018 and Dec 2021, across 4 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 99% of everything it billed.
33Billing provider infoMCALLEN SURGICAL SPECIALTY CENTER LTD
MCALLEN, TX 78503
MCALLEN, TX 78503
33aNPI1124197165assigned 11/06/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$58K
24GClaims3,530
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Texas
Rank by total paid#194 of 320
Median peer was paid$205K
This provider vs. median0.3×
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 | 1,145 | $21K | |
| 2019 | 1,117 | $17K | |
| 2020 | 616 | $7K | |
| 2021 | 652 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 99% | 381 | 363 | $57K |
| 66821 | 1.2% | 15 | 13 | $694.20 | |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 1,567 | 1,402 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 1,567 | 1,402 | $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 officialGONZALEZ, VICTOR (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Ophthalmic Consultants of Texas P.A. | Harlingen, TX | $2.22M |
| Valley Retina Institute P.A. | Mcallen, TX | $1.22M |
| RGV Optical Images, LLC | Weslaco, TX | $487K |
| RGV Optical Images LLC | Harlingen, TX | $143K |
| RGV Optical Images LLC | Harlingen, TX | $73K |
| Harlingen Surgical Center, LLC | Harlingen, TX | $47K |
| Rio Grande Valley Home Health, LLC | Edinburg, TX | $44K |
| Laredo Retina Associates, PLLC | Laredo, TX | $36K |
| RGV Optical Images LLC | La Joya, TX | $1K |
| RGV Optical Images LLC | Falfurrias, TX | $272.50 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.