Physician
Renaissance Medical Foundation
Renaissance Medical Foundation was paid $8.15M by Medicaid between Jan 2018 and Dec 2024, across 137 billing codes. Its largest line is 99243, — 11% of everything it billed.
33Billing provider infoRENAISSANCE MEDICAL FOUNDATION
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1467633867assigned 11/14/2007
33bProvider typeChild & Adolescent Psychiatry Physician
28Total paid$8.15M
24GClaims205,154
24DCodes billed137
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Child & Adolescent Psychiatry Physician providers in Texas
Rank by total paid#2 of 61
Median peer was paid$184K
This provider vs. median44×
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 | 2,666 | $14K | |
| 2019 | 3,833 | $28K | |
| 2020 | 8,375 | $255K | |
| 2021 | 54,261 | $2.16M | |
| 2022 | 57,860 | $2.39M | |
| 2023 | 44,510 | $1.91M | |
| 2024incomplete | 33,649 | $1.40M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99243 | 11% | 10,831 | 10,306 | $884K | |
| 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 | 11% | 25,934 | 22,944 | $859K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10.0% | 29,089 | 26,845 | $812K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 7.9% | 5,664 | 5,319 | $645K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.1% | 11,129 | 4,838 | $493K |
| 99223 | Prolong inpt eval add15 m | 6.1% | 4,117 | 3,864 | $493K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 5.0% | 7,554 | 6,974 | $406K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 4.4% | 5,617 | 5,340 | $358K |
| 76819 | Fetal biophysical profile; without non-stress testing | 4.0% | 12,697 | 9,086 | $328K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 3.9% | 11,059 | 8,565 | $317K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.0% | 5,649 | 5,237 | $246K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.7% | 3,892 | 3,700 | $222K |
125 more codes
| 76820 | 2.6% | 12,548 | $213K | |
| 99215 | Doctor's office visit, returning patient (complex) | 2.3% | 5,889 | $187K |
| 99285 | Emergency room visit (most serious) | 2.0% | 4,431 | $160K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.8% | 2,423 | $149K |
| 90832 | Psychotherapy session, about 30 minutes | 1.1% | 2,535 | $93K |
| 72082 | 1.0% | 1,733 | $84K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,681 | $81K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,753 | $80K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 603 | $70K |
| 92588 | <1% | 2,690 | $55K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 2,053 | $51K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 1,465 | $48K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 563 | $46K |
| 29065 | <1% | 791 | $44K | |
| 94729 | <1% | 912 | $42K | |
| 94375 | <1% | 1,228 | $37K | |
| 76818 | <1% | 983 | $36K | |
| 92567 | <1% | 4,047 | $36K | |
| 94727 | <1% | 919 | $32K | |
| 73090 | <1% | 1,491 | $31K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 657 | $29K |
| 92557 | <1% | 1,409 | $28K | |
| 69210 | <1% | 1,336 | $23K | |
| 94618 | <1% | 866 | $23K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 111 | $23K |
| 76821 | <1% | 937 | $22K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 1,233 | $22K |
| 73080 | <1% | 870 | $22K | |
| 73521 | <1% | 659 | $20K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 396 | $18K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 550 | $18K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 42 | $14K |
| 99205 | Prolong outpt/office vis | <1% | 231 | $12K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 803 | $11K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 550 | $10K |
| 73130 | <1% | 368 | $10K | |
| 73630 | <1% | 422 | $9K | |
| 76825 | <1% | 167 | $9K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 214 | $9K |
| 95720 | <1% | 80 | $8K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 86 | $7K |
| 30901 | <1% | 147 | $7K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 76 | $6K |
| 73565 | <1% | 210 | $6K | |
| 95724 | <1% | 57 | $6K | |
| 95886 | <1% | 201 | $6K | |
| V2020 | Frames, purchases | <1% | 364 | $6K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 140 | $6K |
| 31231 | <1% | 138 | $6K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 264 | $6K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 252 | $5K |
| 99242 | <1% | 71 | $5K | |
| 73590 | <1% | 223 | $5K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 258 | $4K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 278 | $4K |
| 73610 | <1% | 192 | $4K | |
| 73110 | <1% | 139 | $4K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 252 | $4K |
| 73562 | <1% | 152 | $4K | |
| 76775 | <1% | 85 | $4K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 77 | $4K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 70 | $4K |
| 20670 | <1% | 12 | $4K | |
| 76770 | <1% | 201 | $3K | |
| 76827 | <1% | 191 | $3K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 185 | $3K |
| 76641 | <1% | 127 | $2K | |
| 71045 | Radiologic examination, chest; single view | <1% | 537 | $2K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 113 | $2K |
| 76536 | <1% | 142 | $2K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 40 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 76 | $2K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 89 | $2K |
| 74240 | <1% | 73 | $2K | |
| 90837 | Psychotherapy session, about an hour | <1% | 32 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 148 | $2K |
| 76801 | <1% | 55 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 104 | $1K |
| 99441 | <1% | 141 | $1K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 103 | $1K |
| 99254 | <1% | 12 | $1K | |
| 99442 | <1% | 45 | $1K | |
| 92002 | <1% | 23 | $1K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 45 | $1K |
| 95911 | <1% | 12 | $1K | |
| 74270 | <1% | 40 | $1K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 24 | $902.09 |
| 76870 | <1% | 55 | $813.86 | |
| 49083 | <1% | 22 | $776.15 | |
| 29405 | <1% | 13 | $719.40 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 165 | $701.34 |
| 77066 | Tomosynthesis, mammo | <1% | 27 | $646.43 |
| 31575 | <1% | 14 | $630.09 | |
| 78815 | Positron emission tomography (PET) for limited area imaging | <1% | 13 | $551.52 |
| 74018 | <1% | 141 | $497.36 | |
| 76813 | <1% | 13 | $450.86 | |
| 95910 | <1% | 17 | $425.21 | |
| 76642 | <1% | 16 | $372.12 | |
| 95819 | <1% | 13 | $361.66 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 69 | $360.64 |
| 73000 | <1% | 14 | $342.94 | |
| 77080 | <1% | 70 | $330.26 | |
| 76830 | Ultrasound, transvaginal | <1% | 18 | $325.95 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 33 | $294.40 |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 13 | $280.57 |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 14 | $270.79 |
| 64405 | <1% | 35 | $268.75 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 30 | $188.16 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 26 | $180.57 |
| 99152 | <1% | 24 | $152.45 | |
| 74230 | <1% | 14 | $149.49 | |
| 72100 | <1% | 28 | $142.21 | |
| 93970 | <1% | 12 | $136.16 | |
| 90686 | <1% | 29 | $109.67 | |
| 73030 | <1% | 12 | $68.12 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 614 | $0.00 |
| Q4008 | Cast supplies, long arm cast, pediatric (0-10 years), fiberglass | 0% | 649 | $0.00 |
| 90378 | 0% | 206 | $0.00 | |
| 99239 | Hospital discharge day management, more than 30 minutes | 0% | 14 | $0.00 |
| 75574 | 0% | 24 | $0.00 | |
| Q4006 | Cast supplies, long arm cast, adult (11 years +), fiberglass | 0% | 29 | $0.00 |
| 99401 | 0% | 295 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 162 | $0.00 |
| 77062 | 0% | 13 | $0.00 | |
| 92568 | 0% | 25 | $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)
| Provider | Location | Paid |
|---|---|---|
| Renaissance Hospitalists | Edinburg, TX | $1.50M |
| 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.