Physician
Rio Grande Valley Physicians, PLLC
Rio Grande Valley Physicians, PLLC was paid $245K by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoRIO GRANDE VALLEY PHYSICIANS, PLLC
MCALLEN, TX 78501
MCALLEN, TX 78501
33aNPI1134422611assigned 12/06/2010
33bProvider typeFamily Medicine Physician
28Total paid$245K
24GClaims30,988
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#266 of 1,204
Median peer was paid$31K
This provider vs. median7.9×
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 | 4,296 | $13K | |
| 2019 | 3,843 | $11K | |
| 2020 | 5,100 | $24K | |
| 2021 | 5,984 | $53K | |
| 2022 | 4,827 | $64K | |
| 2023 | 4,313 | $51K | |
| 2024incomplete | 2,625 | $29K |
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 | 47% | 6,364 | 4,388 | $114K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 19% | 3,268 | 2,255 | $46K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 10% | 3,520 | 2,643 | $25K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.5% | 319 | 283 | $9K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.9% | 289 | 157 | $7K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.3% | 2,925 | 2,379 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 467 | 207 | $4K |
| 80061 | Lipid panel | 1.6% | 1,344 | 1,309 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.5% | 133 | 120 | $4K |
| 86328 | 1.5% | 286 | 135 | $4K | |
| 99354 | 1.3% | 102 | 60 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.2% | 992 | 929 | $3K |
33 more codes
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.1% | 87 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 30 | $2K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,732 | $2K |
| 99000 | <1% | 132 | $1K | |
| 80076 | <1% | 1,018 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 149 | $1K |
| G0407 | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | <1% | 47 | $763.98 |
| 80053 | Comprehensive metabolic panel | <1% | 177 | $666.55 |
| 81002 | <1% | 938 | $660.06 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 51 | $643.76 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 73 | $529.64 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,226 | $525.75 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 170 | $435.86 |
| 95923 | <1% | 25 | $283.30 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 385 | $239.84 |
| 90756 | <1% | 63 | $177.77 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 662 | $174.38 |
| 0012A | <1% | 13 | $160.00 | |
| 0011A | <1% | 14 | $160.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 15 | $155.22 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 177 | $151.75 |
| 90656 | <1% | 16 | $123.82 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 86 | $120.21 |
| 93000 | <1% | 26 | $49.99 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 670 | $49.90 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 62 | $31.77 |
| 84439 | <1% | 25 | $9.35 | |
| 93701 | <1% | 19 | $3.59 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 2,772 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 63 | $0.00 |
| 82043 | 0% | 28 | $0.00 | |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | 0% | 12 | $0.00 |
| 90662 | 0% | 16 | $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 officialMUNOZ, WILFREDO (OWNER)