Physician
Ricardo Abreu, M.D., PA
Ricardo Abreu, M.D., PA was paid $3.14M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 67% of everything it billed.
33Billing provider infoRICARDO ABREU, M.D., PA
WESLACO, TX 78596
WESLACO, TX 78596
33aNPI1366475923assigned 07/08/2006
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$3.14M
24GClaims69,975
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Texas
Rank by total paid#1 of 64
Median peer was paid$18K
This provider vs. median178×
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 | 8,574 | $239K | |
| 2019 | 7,473 | $218K | |
| 2020 | 8,367 | $264K | |
| 2021 | 11,601 | $617K | |
| 2022 | 13,594 | $791K | |
| 2023 | 12,181 | $596K | |
| 2024incomplete | 8,185 | $420K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 67% | 23,979 | 9,833 | $2.10M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 16% | 18,194 | 8,979 | $504K |
| 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 | 6.0% | 10,248 | 9,857 | $188K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.5% | 5,351 | 5,224 | $110K |
| 99310 | Prolong nursin fac eval 15m | 1.8% | 2,623 | 1,094 | $57K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.4% | 359 | 356 | $45K |
| 94060 | 1.3% | 1,888 | 1,862 | $41K | |
| 99243 | <1% | 240 | 238 | $22K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 1,029 | 708 | $20K |
| 94729 | <1% | 564 | 554 | $16K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 38 | 38 | $15K |
| 94726 | <1% | 464 | 458 | $13K |
16 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 76 | $5K |
| A4617 | Mouth piece | <1% | 2,025 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 83 | $3K |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | <1% | 27 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 74 | $1K |
| 99223 | Prolong inpt eval add15 m | <1% | 33 | $1K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 76 | $1K |
| 0011A | <1% | 19 | $273.88 | |
| 99441 | <1% | 51 | $216.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 2,373 | $200.02 |
| 0012A | <1% | 14 | $160.00 | |
| 90674 | <1% | 45 | $159.36 | |
| 94664 | 0% | 27 | $0.00 | |
| 95811 | 0% | 12 | $0.00 | |
| 99490 | Ccm add 20min | 0% | 34 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 29 | $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 officialABREU, RICARDO (OWNER)