Physician
Raul A. Marquez, MD PA
Raul A. Marquez, MD PA was paid $305K by Medicaid between Jan 2018 and Oct 2024, across 26 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 39% of everything it billed.
33Billing provider infoRAUL A. MARQUEZ, MD PA
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1366557548assigned 08/20/2006
33bProvider typeAdult Reconstructive Orthopaedic Surgery Physician
28Total paid$305K
24GClaims10,862
24DCodes billed26
24AFirst – last monthJan 2018 – Oct 2024
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 | 1,269 | $7K | |
| 2019 | 1,024 | $7K | |
| 2020 | 314 | $4K | |
| 2021 | 1,134 | $26K | |
| 2022 | 2,148 | $64K | |
| 2023 | 3,615 | $141K | |
| 2024incomplete | 1,358 | $56K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 39% | 2,276 | 2,212 | $120K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 3,164 | 3,019 | $71K |
| 72081 | 6.3% | 573 | 564 | $19K | |
| 20610 | 4.8% | 1,069 | 841 | $15K | |
| 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 | 4.1% | 182 | 179 | $13K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 3.8% | 183 | 39 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.4% | 720 | 695 | $11K |
| 73564 | 2.8% | 468 | 352 | $8K | |
| 73502 | 2.1% | 228 | 197 | $7K | |
| 73100 | 1.5% | 175 | 163 | $5K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 1.4% | 969 | 852 | $4K |
| 73070 | 1.0% | 134 | 124 | $3K |
14 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 39 | $3K |
| 29075 | <1% | 41 | $3K | |
| 73110 | <1% | 85 | $3K | |
| 73090 | <1% | 116 | $3K | |
| 73080 | <1% | 61 | $2K | |
| 73562 | <1% | 162 | $2K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 29 | $1K |
| 73610 | <1% | 42 | $1K | |
| 73560 | <1% | 40 | $1K | |
| 29065 | <1% | 13 | $1K | |
| 73000 | <1% | 12 | $316.56 | |
| 73030 | <1% | 14 | $36.28 | |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | 0% | 54 | $0.00 |
| Q4008 | Cast supplies, long arm cast, pediatric (0-10 years), fiberglass | 0% | 13 | $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 officialMARQUEZ, RAUL (ORTHOPEDIC SURGEON)