Physician
RGV Wound Care Hyperbaricmedicine and Lymphedema Management Group PLLC
RGV Wound Care Hyperbaricmedicine and Lymphedema Management Group PLLC was paid $281K by Medicaid between Feb 2021 and Nov 2024, across 16 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 18% of everything it billed.
33Billing provider infoRGV WOUND CARE HYPERBARICMEDICINE AND LYMPHEDEMA MANAGEMENT GROUP PLLC
MCALLEN, TX 78503
MCALLEN, TX 78503
33aNPI1164028155assigned 12/07/2020
33bProvider typeUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
28Total paid$281K
24GClaims21,401
24DCodes billed16
24AFirst – last monthFeb 2021 – Nov 2024
Compared with peers
Next to other Undersea and Hyperbaric Medicine (Preventive Medicine) Physician providers in Texas
Rank by total paid#2 of 8
Median peer was paid$3K
This provider vs. median85×
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 | |
|---|---|---|---|
| 2021 | 2,748 | $32K | |
| 2022 | 5,316 | $65K | |
| 2023 | 7,245 | $105K | |
| 2024incomplete | 6,092 | $79K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 18% | 2,535 | 767 | $51K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 4,502 | 2,532 | $51K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 15% | 5,725 | 2,223 | $42K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 14% | 2,190 | 877 | $38K |
| 99223 | Prolong inpt eval add15 m | 13% | 729 | 694 | $35K |
| 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 | 7.1% | 1,114 | 700 | $20K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 6.5% | 1,100 | 665 | $18K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 5.1% | 1,257 | 565 | $14K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.4% | 214 | 201 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 604 | 384 | $3K |
| 99307 | <1% | 305 | 161 | $2K | |
| 99304 | <1% | 33 | 31 | $302.70 |
4 more codes
| 1036F | 0% | 284 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 29 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 613 | $0.00 |
| G8404 | Lower extremity neurological exam performed and documented | 0% | 167 | $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 officialHERNANDEZ HERNANDEZ, ALEJANDRO (MS)