NP / PA
Ricardo A. Adames, M.D.,P.A.
Ricardo A. Adames, M.D.,P.A. was paid $135K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.
33Billing provider infoRICARDO A. ADAMES, M.D.,P.A.
BROWNSVILLE, TX 78526
BROWNSVILLE, TX 78526
33aNPI1316235617assigned 07/20/2011
33bProvider typeFamily Nurse Practitioner
28Total paid$135K
24GClaims14,310
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Texas
Rank by total paid#67 of 344
Median peer was paid$14K
This provider vs. median9.7×
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 | 3,098 | $37K | |
| 2019 | 3,169 | $16K | |
| 2020 | 2,586 | $17K | |
| 2021 | 2,310 | $20K | |
| 2022 | 1,616 | $16K | |
| 2023 | 969 | $17K | |
| 2024incomplete | 562 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 74% | 5,613 | 4,633 | $100K |
| 99444 | 13% | 320 | 104 | $18K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.6% | 1,355 | 1,176 | $10K |
| 94060 | 3.0% | 225 | 221 | $4K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 487 | 228 | $1K |
| 99307 | <1% | 21 | 12 | $625.57 | |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | <1% | 224 | 224 | $616.57 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 228 | 228 | $246.54 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 23 | 21 | $141.94 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | 13 | $5.19 |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,505 | 1,440 | $0.00 |
| 3074F | 0% | 150 | 119 | $0.00 |
12 more codes
| 1170F | 0% | 495 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 438 | $0.00 |
| 1126F | 0% | 147 | $0.00 | |
| 1036F | 0% | 331 | $0.00 | |
| 1125F | 0% | 247 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 240 | $0.00 |
| 3078F | 0% | 484 | $0.00 | |
| 1090F | 0% | 357 | $0.00 | |
| 3725F | 0% | 795 | $0.00 | |
| 3288F | 0% | 358 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 103 | $0.00 |
| G8404 | Lower extremity neurological exam performed and documented | 0% | 151 | $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 officialADAMES, RICARDO (PRESIDENT)