Renaissance Hospitalists

Renaissance Hospitalists was paid $1.50M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 25% of everything it billed.

33Billing provider infoRENAISSANCE HOSPITALISTS
EDINBURG, TX 78539

33aNPI1386073203assigned 11/01/2013

33bProvider typeInternal Medicine Physician

28Total paid$1.50M

24GClaims26,577

24DCodes billed16

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in Texas

Rank by total paid#26 of 1,028

Median peer was paid$10K

This provider vs. median144×

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 GONZALEZ, ADA controls 11+ 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	2,203	$15K
2019	1,849	$14K
2020	1,564	$26K
2021	5,547	$346K
2022	6,657	$506K
2023	4,653	$334K
2024incomplete	4,104	$259K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	25%	13,643	6,421	$379K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	19%	2,502	1,132	$284K
99222	Initial hospital care, per day, moderate complexity	19%	3,417	3,095	$283K
99254		13%	1,691	1,570	$201K
99253		8.6%	1,500	1,413	$129K
99223	Prolong inpt eval add15 m	8.3%	1,554	1,418	$125K
99239	Hospital discharge day management, more than 30 minutes	2.5%	975	924	$38K
99255		2.2%	214	201	$33K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	731	412	$10K
99217		<1%	208	190	$10K
99219		<1%	44	43	$4K
99292		<1%	41	27	$2K

4 more codes

99220		<1%	15	$2K
99238	Hospital discharge day management, 30 minutes or less	<1%	13	$816.69
99497		0%	16	$0.00
1123F		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 officialGONZALEZ, ADA (ADMINISTRATOR)

Same official

Other billing entities under GONZALEZ, ADA

Full network →

Provider	Location	Paid
Renaissance Medical Foundation	Edinburg, TX	$8.15M
Renaissance Endocrinology	Edinburg, TX	$1.32M
Renaissance Cardiology Group	Edinburg, TX	$902K
Renaissance Surgery Group	Edinburg, TX	$425K
Renaissance Providers	Edinburg, TX	$289K
Multi-Specialty at Renaissance	Mcallen, TX	$203K
Renaissance Icu Group	Edinburg, TX	$185K
Renaissance Gastroenterology	Edinburg, TX	$160K
Renaissance Specialty Surgery	Edinburg, TX	$80K
Renaissance Bmi	Edinburg, TX	$61K
Concepto De Salud INC	Hatillo, PR	$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.