Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

RENAISSANCE SURGERY GROUP

NPI: 1215289129 · EDINBURG, TX 78539 · Internal Medicine Physician · NPI assigned 10/03/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$425K
Total Medicaid Paid
16,839
Total Claims
16,122
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialGONZALEZ, ADA (ADMINISTRATOR)
NPI Enumeration Date10/03/2012

Related Entities

Other providers sharing the same authorized official: GONZALEZ, ADA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 700 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,278 10,812 $214K
99243 1,369 1,297 $109K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,165 3,057 $58K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 625 573 $30K
99244 Office or other outpatient consultation, moderate to high complexity 136 125 $14K
99215 Prolong outpt/office vis 25 25 $435.30
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 69 66 $283.82
52000 38 38 $195.97
99442 77 76 $43.07
81003 45 41 $32.80
99441 12 12 $11.92