Renaissance Specialty Surgery
Renaissance Specialty Surgery was paid $80K by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
EDINBURG, TX 78539
Next to other Trauma Surgery Physician providers in Texas
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 359 | $921.12 | |
| 2019 | 512 | $2K | |
| 2020 | 421 | $5K | |
| 2021 | 1,118 | $26K | |
| 2022 | 989 | $26K | |
| 2023 | 439 | $14K | |
| 2024incomplete | 208 | $6K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 33% | 2,195 | 1,948 | $26K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 1,211 | 1,074 | $17K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 15% | 76 | 67 | $12K |
| 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 | 6.9% | 119 | 109 | $6K |
| 99205 | Prolong outpt/office vis | 6.8% | 86 | 82 | $5K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 5.5% | 39 | 38 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.3% | 96 | 94 | $3K |
| 99243 | 3.0% | 30 | 29 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.5% | 113 | 65 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | 12 | $786.14 |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 13 | 12 | $258.25 |
| 76604 | <1% | 13 | 12 | $252.12 |
2 more codes
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Renaissance Medical Foundation | Edinburg, TX | $8.15M |
| Renaissance Hospitalists | Edinburg, TX | $1.50M |
| Renaissance Endocrinology | Edinburg, TX | $1.32M |
| Renaissance Cardiology Group | Edinburg, TX | $902K |
| Renaissance Surgery Group | Edinburg, TX | $425K |
| Renaissance Providers | Edinburg, TX | $289K |
| Multi-Specialty at Renaissance | Mcallen, TX | $203K |
| Renaissance Icu Group | Edinburg, TX | $185K |
| Renaissance Gastroenterology | Edinburg, TX | $160K |
| Renaissance Bmi | Edinburg, TX | $61K |
| Concepto De Salud INC | Hatillo, PR | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.