NP / PA
Mcallen Emergency Medicine Associates PA
Mcallen Emergency Medicine Associates PA was paid $750K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 72% of everything it billed.
33Billing provider infoMCALLEN EMERGENCY MEDICINE ASSOCIATES PA
MCALLEN, TX 78503
MCALLEN, TX 78503
33aNPI1336543636assigned 10/15/2014
33bProvider typePhysician Assistant
28Total paid$750K
24GClaims23,420
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Physician Assistant providers in Texas
Rank by total paid#41 of 161
Median peer was paid$43K
This provider vs. median17×
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 | 3,415 | $54K | |
| 2019 | 3,447 | $60K | |
| 2020 | 2,629 | $64K | |
| 2021 | 4,739 | $153K | |
| 2022 | 6,893 | $292K | |
| 2023 | 2,021 | $108K | |
| 2024incomplete | 276 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 72% | 10,772 | 10,446 | $540K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 21% | 2,354 | 2,225 | $155K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.5% | 596 | 582 | $26K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.2% | 9,645 | 9,004 | $24K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 53 | 53 | $5K |
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, CARLOS (OWNER/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Edinburg Emergency Medicine Associates PA | Edinburg, TX | $11.01M |
| Gulf Coast Emergency Physicians, PLLC | Alice, TX | $1.83M |
| Canyon Springs Emergency Medicine Associates, PA | Alamo, TX | $1.44M |
| Navarro Emergency Physicians PLLC | Corsicana, TX | $1.28M |
| Oak Creek Emergency Medicine Associates, PA | Mcallen, TX | $872K |
| Shavano Emergency Medicine Associates, PA | Edinburg, TX | $415K |
| Carlos Ramirez, M.D. a Professional Medical Corporation | Monterey, CA | $14K |
| Jefferson Physician Services, PLLC | Beaumont, TX | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.