Physician
Luna, Rene
Luna, Rene was paid $1.03M by Medicaid between Sep 2018 and Nov 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoLUNA, RENE
MCALLEN, TX 78503
MCALLEN, TX 78503
33aNPI1225300726assigned 01/31/2012
33bProvider typeObstetrics & Gynecology Physician
28Total paid$1.03M
24GClaims29,923
24DCodes billed23
24AFirst – last monthSep 2018 – Nov 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Texas
Rank by total paid#61 of 432
Median peer was paid$103K
This provider vs. median10.0×
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 | 615 | $22K | |
| 2020 | 1,953 | $64K | |
| 2021 | 10,605 | $409K | |
| 2022 | 9,127 | $348K | |
| 2023 | 5,049 | $128K | |
| 2024incomplete | 2,574 | $57K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 11,753 | 7,940 | $390K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 17% | 299 | 298 | $171K |
| 59430 | 8.0% | 1,055 | 967 | $82K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 8.0% | 1,025 | 988 | $82K |
| 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 | 6.4% | 1,395 | 1,161 | $66K |
| 76830 | Ultrasound, transvaginal | 5.9% | 686 | 632 | $60K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 4.1% | 402 | 396 | $42K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 3.1% | 440 | 421 | $32K |
| 81002 | 2.4% | 10,848 | 6,820 | $25K | |
| 59410 | 2.0% | 27 | 27 | $21K | |
| 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 | 1.4% | 186 | 180 | $14K |
| 59515 | <1% | 13 | 13 | $10K |
11 more codes
| 59514 | <1% | 14 | $9K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 73 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 280 | $5K |
| 99000 | <1% | 388 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 247 | $3K |
| 76818 | <1% | 23 | $2K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 13 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 32 | $2K |
| 59025 | Fetal non-stress test | <1% | 31 | $515.17 |
| 81025 | <1% | 69 | $379.48 | |
| 0502F | 0% | 624 | $0.00 |
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.