Renaissance Bmi

Renaissance Bmi was paid $61K by Medicaid between Jan 2018 and Aug 2024, across 6 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 35% of everything it billed.

33Billing provider infoRENAISSANCE BMI
EDINBURG, TX 78539

33aNPI1295163327assigned 10/29/2013

33bProvider typeSurgery Physician

28Total paid$61K

24GClaims1,995

24DCodes billed6

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Surgery Physician providers in Texas

Rank by total paid#19 of 98

Median peer was paid$8K

This provider vs. median7.3×

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	56	$578.34
2020	74	$2K
2021	483	$17K
2022	551	$22K
2023	597	$14K
2024incomplete	234	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	35%	443	419	$21K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	33%	1,126	1,070	$20K
99244	Office or other outpatient consultation, moderate to high complexity	17%	114	100	$10K
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	13%	285	271	$8K
99243		1.6%	14	12	$983.43
97803		<1%	13	12	$313.20

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 Surgery Group	Edinburg, TX	$425K
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
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.