Physician
Ruben D Bocanegra MD PA
Ruben D Bocanegra MD PA was paid $311K by Medicaid between Jan 2018 and Nov 2024, across 61 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoRUBEN D BOCANEGRA MD PA
LAREDO, TX 78043
LAREDO, TX 78043
33aNPI1164581609assigned 12/08/2006
33bProvider typeFamily Medicine Physician
28Total paid$311K
24GClaims26,199
24DCodes billed61
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#231 of 1,204
Median peer was paid$31K
This provider vs. median10×
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 | 897 | $15K | |
| 2019 | 1,010 | $25K | |
| 2020 | 2,713 | $28K | |
| 2021 | 7,420 | $81K | |
| 2022 | 6,315 | $76K | |
| 2023 | 4,590 | $55K | |
| 2024incomplete | 3,254 | $33K |
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 | 33% | 6,124 | 4,860 | $103K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 17% | 574 | 570 | $53K |
| 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 | 11% | 1,356 | 1,295 | $35K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 412 | 409 | $34K |
| 99444 | 8.6% | 470 | 125 | $27K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.2% | 1,913 | 1,134 | $19K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.5% | 100 | 99 | $8K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.3% | 1,540 | 1,495 | $7K |
| H0049 | Alcohol and/or drug screening | 1.9% | 448 | 437 | $6K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.5% | 56 | 56 | $5K |
| S8301 | Infection control supplies, not otherwise specified | 1.2% | 1,073 | 1,029 | $4K |
| 99051 | 1.2% | 306 | 290 | $4K |
49 more codes
| 96160 | <1% | 1,165 | $2K | |
| 99422 | <1% | 86 | $1K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 28 | $1K |
| 90461 | <1% | 107 | $754.68 | |
| 99091 | <1% | 36 | $562.51 | |
| 92551 | <1% | 398 | $531.45 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 52 | $415.14 |
| 90480 | <1% | 13 | $390.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 73 | $137.59 |
| 99497 | <1% | 12 | $94.58 | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 17 | $61.96 |
| 90688 | <1% | 185 | $58.48 | |
| 90686 | <1% | 291 | $18.62 | |
| 99173 | <1% | 901 | $17.50 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 130 | $11.90 |
| G8482 | Influenza immunization administered or previously received | 0% | 159 | $0.00 |
| 4035F | 0% | 1,209 | $0.00 | |
| 3288F | 0% | 90 | $0.00 | |
| G8506 | Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 126 | $0.00 |
| 3725F | 0% | 591 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 76 | $0.00 |
| 1090F | 0% | 29 | $0.00 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 39 | $0.00 |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | 0% | 102 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 151 | $0.00 |
| 90662 | 0% | 91 | $0.00 | |
| G2102 | Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed | 0% | 13 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 29 | $0.00 |
| G9991 | Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | 0% | 21 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 67 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 12 | $0.00 |
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | 0% | 14 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 107 | $0.00 |
| 3008F | 0% | 1,432 | $0.00 | |
| 2001F | 0% | 1,327 | $0.00 | |
| 4037F | 0% | 85 | $0.00 | |
| 3351F | 0% | 641 | $0.00 | |
| 7010F | 0% | 1,320 | $0.00 | |
| 1101F | 0% | 88 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 109 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 96 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 113 | $0.00 |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 12 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 111 | $0.00 |
| 90651 | 0% | 13 | $0.00 | |
| 1036F | 0% | 20 | $0.00 | |
| 3072F | 0% | 14 | $0.00 | |
| 90656 | 0% | 14 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | $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 officialBOCANEGRA, RUBEN (OWNER)