Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Nirp Rio Grande Valley PLLC

Nirp Rio Grande Valley PLLC was paid $130K by Medicaid between Jul 2019 and Oct 2024, across 10 billing codes. Its largest line is 37229, — 61% of everything it billed.

33Billing provider infoNIRP RIO GRANDE VALLEY PLLC
EDINBURG, TX 78539
33aNPI1164920211assigned 01/24/2018
28Total paid$130K
24GClaims1,630
24DCodes billed10
24AFirst – last monthJul 2019 – Oct 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in Texas

Rank by total paid#24 of 225
Median peer was paid$6K
This provider vs. median23×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
201937$73.25
2020284$6K
2021271$671.75
2022504$47K
2023334$1K
2024incomplete200$75K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
37229 61% 46 40 $80K
37225 23% 14 13 $30K
37252 9.7% 29 28 $13K
37253 2.4% 29 28 $3K
76937 1.5% 356 289 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.3% 354 337 $2K
75625 <1% 44 40 $1K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 100 94 $478.65
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 <1% 107 99 $279.49
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 551 351 $23.78

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 officialGOMES, ANDREW (AUTHORIZED OFFICIAL)
Same official

Other billing entities under GOMES, ANDREW

Full network →
ProviderLocationPaid
Nirp Laredo PLLCLaredo, TX$27K
Nirp South Central Texas PLLCEl Paso, TX$4K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.