Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

RIO GRANDE VALLEY PHYSICIANS, PLLC

NPI: 1134422611 · MCALLEN, TX 78501 · Family Medicine Physician · NPI assigned 12/06/2010

$245K
Total Medicaid Paid
30,988
Total Claims
24,076
Beneficiaries
45
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMUNOZ, WILFREDO (OWNER)
NPI Enumeration Date12/06/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 2,625 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,364 4,388 $114K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,268 2,255 $46K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,520 2,643 $25K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 319 283 $9K
99309 Subsequent nursing facility care, per day, low to moderate complexity 289 157 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,925 2,379 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 467 207 $4K
80061 Lipid panel 1,344 1,309 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 133 120 $4K
86328 286 135 $4K
99354 102 60 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 992 929 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 87 82 $3K
99215 Prolong outpt/office vis 30 23 $2K
80048 Basic metabolic panel (calcium, ionized) 1,732 1,515 $2K
99000 132 127 $1K
80076 1,018 997 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 149 142 $1K
G0407 Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth 47 27 $763.98
80053 Comprehensive metabolic panel 177 173 $666.55
81002 938 744 $660.06
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 51 49 $643.76
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 73 67 $529.64
J1885 Injection, ketorolac tromethamine, per 15 mg 1,226 956 $525.75
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 170 140 $435.86
95923 25 25 $283.30
J0696 Injection, ceftriaxone sodium, per 250 mg 385 296 $239.84
90756 63 63 $177.77
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 662 587 $174.38
0012A 13 13 $160.00
0011A 14 14 $160.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 15 12 $155.22
83036 Hemoglobin; glycosylated (A1C) 177 174 $151.75
90656 16 15 $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 86 86 $120.21
93000 26 26 $49.99
J1100 Injection, dexamethasone sodium phosphate, 1 mg 670 555 $49.90
84443 Thyroid stimulating hormone (TSH) 62 60 $31.77
84439 25 24 $9.35
93701 19 17 $3.59
36415 Collection of venous blood by venipuncture 2,772 2,089 $0.00
G0008 Administration of influenza virus vaccine 63 60 $0.00
82043 28 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 12 12 $0.00
90662 16 13 $0.00