RGV Pediatric Critical Care PA

RGV Pediatric Critical Care PA was paid $2.05M by Medicaid between Mar 2018 and Dec 2024, across 11 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 26% of everything it billed.

33Billing provider infoRGV PEDIATRIC CRITICAL CARE PA
HARLINGEN, TX 78552

33aNPI1215112131assigned 01/09/2008

33bProvider typePediatric Critical Care Medicine Physician

28Total paid$2.05M

24GClaims15,497

24DCodes billed11

24AFirst – last monthMar 2018 – Dec 2024

Compared with peers

Next to other Pediatric Critical Care Medicine Physician providers in Texas

Rank by total paid#3 of 11

Median peer was paid$190K

This provider vs. median11×

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	25	$2K
2020	403	$54K
2021	3,252	$346K
2022	4,347	$662K
2023	4,366	$562K
2024incomplete	3,104	$425K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	26%	2,948	1,386	$538K
99472	Subsequent inpatient pediatric critical care, per day, 2-5 years	23%	1,325	600	$469K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	15%	4,884	2,962	$307K
99239	Hospital discharge day management, more than 30 minutes	12%	3,349	3,225	$247K
99223	Prolong inpt eval add15 m	12%	2,007	1,959	$246K
99471		9.1%	265	254	$186K
99220		1.2%	238	228	$25K
99226		<1%	321	230	$17K
99476		<1%	37	12	$9K
99238	Hospital discharge day management, 30 minutes or less	<1%	82	82	$5K
99156		<1%	41	40	$2K

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 officialCAMACHO, MARIA (PRESIDENT)

Same official

Other billing entities under CAMACHO, MARIA

Full network →

Provider	Location	Paid
RGV Pediatric Special Care PA	Edinburg, TX	$659.59

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