Physician
R. Sergio Ramirez M.D., P.A.
R. Sergio Ramirez M.D., P.A. was paid $3.27M by Medicaid between Apr 2018 and Dec 2024, across 67 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoR. SERGIO RAMIREZ M.D., P.A.
MISSION, TX 78572
MISSION, TX 78572
33aNPI1265512370assigned 10/16/2006
33bProvider typePediatrics Physician
28Total paid$3.27M
24GClaims124,987
24DCodes billed67
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#143 of 1,136
Median peer was paid$329K
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 | 100 | $3K | |
| 2019 | 128 | $3K | |
| 2020 | 3,081 | $72K | |
| 2021 | 28,081 | $722K | |
| 2022 | 34,877 | $1.02M | |
| 2023 | 29,504 | $763K | |
| 2024incomplete | 29,216 | $687K |
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 | 26% | 24,820 | 18,958 | $842K |
| S8301 | Infection control supplies, not otherwise specified | 15% | 21,042 | 14,988 | $485K |
| 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 | 12% | 8,265 | 6,922 | $389K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.4% | 2,818 | 2,656 | $210K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.4% | 2,333 | 2,175 | $175K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.9% | 2,239 | 2,095 | $160K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 4.7% | 1,506 | 1,037 | $155K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.9% | 3,736 | 3,058 | $128K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.1% | 9,868 | 5,061 | $100K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.7% | 1,815 | 1,603 | $89K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 1,237 | 1,152 | $83K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.1% | 5,527 | 2,496 | $69K |
55 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.9% | 5,090 | $63K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 2,341 | $53K |
| 92588 | 1.6% | 2,289 | $52K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.4% | 7,607 | $45K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 799 | $32K |
| 99429 | <1% | 678 | $22K | |
| 87428 | <1% | 458 | $19K | |
| 87807 | <1% | 1,731 | $17K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 198 | $14K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,156 | $9K |
| 90461 | <1% | 1,435 | $8K | |
| 99050 | <1% | 1,187 | $8K | |
| 92567 | <1% | 729 | $8K | |
| 0071A | <1% | 185 | $7K | |
| 0001A | <1% | 157 | $6K | |
| 0072A | <1% | 128 | $5K | |
| 0002A | <1% | 130 | $5K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 333 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 40 | $2K |
| 0003A | <1% | 53 | $2K | |
| 81002 | <1% | 670 | $2K | |
| 0073A | <1% | 45 | $1K | |
| 0124A | <1% | 34 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $947.51 |
| 96160 | <1% | 560 | $893.99 | |
| 99381 | <1% | 13 | $874.29 | |
| 99051 | <1% | 1,428 | $791.82 | |
| 0154A | <1% | 12 | $370.00 | |
| 97169 | <1% | 14 | $255.00 | |
| G0315 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) | <1% | 14 | $233.82 |
| 97802 | <1% | 1,759 | $180.31 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $44.88 |
| 91300 | <1% | 168 | $40.10 | |
| 96161 | <1% | 121 | $7.59 | |
| 90686 | <1% | 2,368 | $1.30 | |
| 90671 | <1% | 440 | $0.60 | |
| 90651 | <1% | 303 | $0.22 | |
| 90620 | <1% | 166 | $0.06 | |
| 90715 | <1% | 120 | $0.02 | |
| 90734 | <1% | 428 | $0.01 | |
| 90670 | 0% | 678 | $0.00 | |
| 90633 | 0% | 438 | $0.00 | |
| 90648 | 0% | 370 | $0.00 | |
| 90710 | 0% | 228 | $0.00 | |
| 90681 | 0% | 98 | $0.00 | |
| 90700 | 0% | 37 | $0.00 | |
| 91312 | 0% | 31 | $0.00 | |
| 90696 | 0% | 60 | $0.00 | |
| 90697 | 0% | 254 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 1,748 | $0.00 |
| 90680 | 0% | 251 | $0.00 | |
| 90656 | 0% | 23 | $0.00 | |
| 90723 | 0% | 126 | $0.00 | |
| 90698 | 0% | 12 | $0.00 | |
| 91315 | 0% | 15 | $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.
From NPPES
Who's on the registration
Authorized officialRAMIREZ, ROGELIO (CEO/PRESIDENT)