Physician
Mcallen Hospitalist Group, PLLC
Mcallen Hospitalist Group, PLLC was paid $7.40M by Medicaid between Jan 2018 and Dec 2024, across 81 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 41% of everything it billed.
33Billing provider infoMCALLEN HOSPITALIST GROUP, PLLC
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1356361976assigned 07/19/2006
33bProvider typeFamily Medicine Physician
28Total paid$7.40M
24GClaims172,832
24DCodes billed81
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#9 of 1,204
Median peer was paid$31K
This provider vs. median240×
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 EVANS, TODD controls 20+ 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 | 12,683 | $206K | |
| 2019 | 7,994 | $134K | |
| 2020 | 9,376 | $281K | |
| 2021 | 38,917 | $1.62M | |
| 2022 | 37,190 | $1.61M | |
| 2023 | 39,210 | $1.99M | |
| 2024incomplete | 27,462 | $1.56M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 41% | 81,216 | 35,153 | $3.02M |
| 99238 | Hospital discharge day management, 30 minutes or less | 9.1% | 13,670 | 13,306 | $671K |
| 99223 | Prolong inpt eval add15 m | 7.9% | 5,417 | 5,141 | $585K |
| 99239 | Hospital discharge day management, more than 30 minutes | 5.3% | 6,439 | 6,047 | $394K |
| 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 | 5.2% | 7,153 | 6,507 | $387K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.2% | 3,930 | 3,847 | $308K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.9% | 9,391 | 8,054 | $285K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 3.6% | 10,452 | 4,552 | $263K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.5% | 7,416 | 2,956 | $259K |
| 99217 | 2.5% | 3,499 | 3,479 | $188K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.1% | 1,545 | 1,466 | $156K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.7% | 1,109 | 1,097 | $129K |
69 more codes
| 99221 | 1.5% | 2,549 | $113K | |
| 99219 | 1.5% | 1,259 | $109K | |
| 44970 | 1.1% | 187 | $82K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 728 | $70K |
| 99225 | <1% | 1,658 | $65K | |
| 90837 | Psychotherapy session, about an hour | <1% | 720 | $60K |
| 99253 | <1% | 613 | $47K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 280 | $33K |
| 99252 | <1% | 452 | $28K | |
| 99218 | <1% | 402 | $21K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 352 | $21K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 274 | $15K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 104 | $15K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 175 | $8K |
| 99243 | <1% | 105 | $8K | |
| 99254 | <1% | 56 | $7K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 94 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 301 | $5K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 44 | $5K |
| 99255 | <1% | 26 | $4K | |
| 99245 | <1% | 27 | $4K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 91 | $4K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 85 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 70 | $3K |
| 99205 | Prolong outpt/office vis | <1% | 49 | $3K |
| 99442 | <1% | 179 | $3K | |
| 90674 | <1% | 159 | $2K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 15 | $2K |
| 99224 | <1% | 72 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 529 | $1K |
| 99220 | <1% | 12 | $1K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 12 | $987.61 |
| 90870 | <1% | 22 | $985.44 | |
| 81003 | <1% | 1,044 | $698.59 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 85 | $590.17 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 58 | $307.33 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 94 | $299.40 |
| 73562 | <1% | 14 | $261.80 | |
| 99443 | <1% | 34 | $198.00 | |
| 82043 | <1% | 41 | $94.34 | |
| 90756 | <1% | 47 | $52.47 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 46 | $36.42 |
| G0008 | Administration of influenza virus vaccine | <1% | 157 | $33.67 |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,506 | $8.10 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 60 | $0.04 |
| 1159F | 0% | 205 | $0.00 | |
| 1160F | 0% | 217 | $0.00 | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | 0% | 111 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 217 | $0.00 |
| 3725F | 0% | 239 | $0.00 | |
| 3078F | 0% | 71 | $0.00 | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | 0% | 12 | $0.00 |
| 98968 | 0% | 73 | $0.00 | |
| 82947 | 0% | 27 | $0.00 | |
| 43246 | 0% | 13 | $0.00 | |
| 80061 | Lipid panel | 0% | 75 | $0.00 |
| 3288F | 0% | 30 | $0.00 | |
| 1036F | 0% | 181 | $0.00 | |
| 3008F | 0% | 198 | $0.00 | |
| 99024 | 0% | 1,305 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 16 | $0.00 |
| 2000F | 0% | 395 | $0.00 | |
| 1000F | 0% | 188 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 28 | $0.00 |
| 0503F | 0% | 19 | $0.00 | |
| 82044 | 0% | 12 | $0.00 | |
| 3074F | 0% | 45 | $0.00 | |
| 1101F | 0% | 15 | $0.00 | |
| 1170F | 0% | 16 | $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 officialEVANS, TODD (VP)
| Provider | Location | Paid |
|---|---|---|
| Texomacare | Denison, TX | $5.95M |
| Northwest Texas Wyatt Clinic PLLC | Amarillo, TX | $4.39M |
| Northern Nevada Medical Group, LLC | Sparks, NV | $2.60M |
| Texomacare | Madill, OK | $2.35M |
| Mid Atlantic Medicine LLC | Washington, DC | $1.84M |
| ST. Mary's Physician Associates, LLC | Enid, OK | $1.76M |
| Las Vegas Medical Group LLC | Las Vegas, NV | $1.36M |
| Aiken Professional Association, LLC | Aiken, SC | $1.35M |
| Northwest Urgent Care, PLLC | Amarillo, TX | $1.02M |
| Texomacare Specialty Physicians | Denison, TX | $644K |
| Eastern Pennsylvania Physician Alliance LLC | Clarion, PA | $636K |
| NWTX Physician Network, PLLC | Amarillo, TX | $475K |
| Heart Clinic, PLLC | Mcallen, TX | $385K |
| Laredo Physicians Group | Laredo, TX | $365K |
| Nevada Urgent Care Network LLC | Sparks, NV | $211K |
| Uhs of Desert Springs, INC. | Henderson, NV | $151K |
| Manatee Cardiology Associates, LLC | Bradenton, FL | $23K |
| Wellington Physician Alliances INC | Wellington, FL | $14K |
| Manatee Physician Alliance, LLC | Bradenton, FL | $14K |
| Mary Alice Cowan, MD, PLLC | Houston, TX | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.