Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HMC RGV PHYSICIANS GROUP

NPI: 1447639265 · HARLINGEN, TX 78550 · Orthopaedic Surgery Physician · NPI assigned 05/26/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DOAN, CHRISTOPHER controls 20+ related entities in our dataset. Read more

$575K
Total Medicaid Paid
37,056
Total Claims
31,205
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDOAN, CHRISTOPHER (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date05/26/2015

Related Entities

Other providers sharing the same authorized official: DOAN, CHRISTOPHER

ProviderCityStateTotal Paid
DESERT VALLEY HOSPITAL, LLC VICTORVILLE CA $92.81M
PRIME HEALTHCARE SERVICES - ST MICHAELS LLC NEWARK NJ $67.67M
PRIME HEALTHCARE CENTINELA, LLC INGLEWOOD CA $50.16M
NORTH VISTA HOSPITAL LLC NORTH LAS VEGAS NV $31.56M
PRIME HEALTHCARE SERVICES - ST FRANCIS LLC LYNWOOD CA $27.65M
PRIME HEALTHCARE SERVICES LANDMARK LLC WOONSOCKET RI $26.18M
PRIME HEALTHCARE FOUNDATION - SOUTHERN REGIONAL, LLC RIVERDALE GA $25.96M
PRIME HEALTHCARE SERVICES - SHASTA LLC REDDING CA $22.75M
THE CITY HOSPITAL ASSOCIATION EAST LIVERPOOL OH $16.46M
PRIME HEALTHCARE SERVICES - RENO LLC RENO NV $15.09M
VERITAS HEALTH SERVICES, LLC CHINO CA $14.93M
PRIME HEALTHCARE PARADISE VALLEY LLC CHULA VISTA CA $13.85M
PRIME HEALTHCARE FOUNDATION - COSHOCTON, LLC COSHOCTON OH $13.32M
PRIME HEALTHCARE PARADISE VALLEY LLC NATIONAL CITY CA $12.56M
ALVARADO HOSPITAL, LLC SAN DIEGO CA $11.46M
PRIME HEALTHCARE SERVICES - MONTCLAIR, LLC MONTCLAIR CA $11.26M
PRIME HEALTHCARE SERVICES BLUE SPRINGS, LLC BLUE SPRINGS MO $10.51M
PRIME HEALTHCARE SERVICES LOWER BUCKS LLC BRISTOL PA $8.71M
PRIME HEALTHCARE SERVICES - GARDEN GROVE LLC GARDEN GROVE CA $6.67M
PRIME HEALTHCARE SERVICES-LEHIGH ACRES LLC LEHIGH ACRES FL $5.64M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,363 $136K
2019 7,572 $136K
2020 5,532 $60K
2021 4,879 $63K
2022 5,596 $91K
2023 3,893 $68K
2024 1,221 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99444 3,652 942 $208K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,247 6,952 $132K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,543 4,483 $89K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,356 6,161 $80K
99421 1,763 500 $31K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 12,104 11,021 $19K
99232 Subsequent hospital care, per day, moderate complexity 364 194 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 50 50 $2K
99422 79 61 $2K
93000 343 316 $2K
99460 29 29 $1K
99238 Hospital discharge day management, 30 minutes or less 30 30 $1K
93297 220 211 $988.01
75574 12 12 $637.40
20610 47 36 $201.01
73562 17 14 $110.84
99222 Initial hospital care, per day, moderate complexity 71 70 $93.15
93970 15 12 $77.08
93296 13 13 $62.03
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 14 14 $49.44
J1030 Injection, methylprednisolone acetate, 40 mg 12 12 $22.44
93294 42 41 $14.76
99443 15 14 $0.00
99442 18 17 $0.00