Renaissance Surgery Group

Renaissance Surgery Group was paid $425K by Medicaid between Jan 2018 and Jul 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.

33Billing provider infoRENAISSANCE SURGERY GROUP
EDINBURG, TX 78539

33aNPI1215289129assigned 10/03/2012

33bProvider typeInternal Medicine Physician

28Total paid$425K

24GClaims16,839

24DCodes billed11

24AFirst – last monthJan 2018 – Jul 2024

Compared with peers

Next to other Internal Medicine Physician providers in Texas

Rank by total paid#75 of 1,028

Median peer was paid$10K

This provider vs. median41×

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.

Entity ProliferationAuthorized official GONZALEZ, ADA controls 11+ related entities in our dataset. Read more

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	3,013	$20K
2019	2,688	$21K
2020	1,643	$28K
2021	3,926	$123K
2022	2,787	$106K
2023	2,082	$95K
2024incomplete	700	$32K

Box 24 · Service lines

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	50%	11,278	10,812	$214K
99243		26%	1,369	1,297	$109K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	3,165	3,057	$58K
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	7.0%	625	573	$30K
99244	Office or other outpatient consultation, moderate to high complexity	3.4%	136	125	$14K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	25	25	$435.30
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	69	66	$283.82
52000		<1%	38	38	$195.97
99442		<1%	77	76	$43.07
81003		<1%	45	41	$32.80
99441		<1%	12	12	$11.92

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 officialGONZALEZ, ADA (ADMINISTRATOR)

Same official

Other billing entities under GONZALEZ, ADA

Full network →

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 Providers	Edinburg, TX	$289K
Multi-Specialty at Renaissance	Mcallen, TX	$203K
Renaissance Icu Group	Edinburg, TX	$185K
Renaissance Gastroenterology	Edinburg, TX	$160K
Renaissance Specialty Surgery	Edinburg, TX	$80K
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.