Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

RGV Urgent Care Clinic Mcallen LLC

RGV Urgent Care Clinic Mcallen LLC was paid $301K by Medicaid between Jul 2021 and Dec 2024, across 14 billing codes. Its largest line is 87428, — 30% of everything it billed.

33Billing provider infoRGV URGENT CARE CLINIC MCALLEN LLC
MCALLEN, TX 78504
33aNPI1225652779assigned 06/01/2020
28Total paid$301K
24GClaims9,453
24DCodes billed14
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers

Next to other Emergency Medical Services (Emergency Medicine) Physician providers in Texas

Rank by total paid#11 of 21
Median peer was paid$301K
This provider vs. median1.0×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2021627$23K
20223,214$125K
20233,415$102K
2024incomplete2,197$52K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87428 30% 1,964 1,810 $89K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30% 2,799 2,360 $89K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 24% 1,414 1,368 $71K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 8.8% 718 665 $27K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6.5% 1,899 1,755 $20K
99000 <1% 255 246 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 87 85 $1K
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 <1% 15 15 $611.61
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 44 42 $441.55
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 74 71 $373.26
80053 Comprehensive metabolic panel <1% 43 40 $288.87
87807 <1% 28 27 $232.65
2 more codes
87420 <1% 27 $224.24
81002 <1% 86 $208.51

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 officialCARDENAS, JESSICA (ADMINISTRATOR)