Physician
Rio Grande Valley Pediatric Gastroenterology, P.A.
Rio Grande Valley Pediatric Gastroenterology, P.A. was paid $1.74M by Medicaid between Apr 2020 and Dec 2024, across 11 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 35% of everything it billed.
33Billing provider infoRIO GRANDE VALLEY PEDIATRIC GASTROENTEROLOGY, P.A.
MCALLEN, TX 78503
MCALLEN, TX 78503
33aNPI1477629285assigned 11/27/2006
33bProvider typePediatric Gastroenterology Physician
28Total paid$1.74M
24GClaims24,858
24DCodes billed11
24AFirst – last monthApr 2020 – Dec 2024
Compared with peers
Next to other Pediatric Gastroenterology Physician providers in Texas
Rank by total paid#3 of 13
Median peer was paid$260K
This provider vs. median6.7×
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 | |
|---|---|---|---|
| 2020 | 780 | $49K | |
| 2021 | 5,954 | $386K | |
| 2022 | 6,334 | $440K | |
| 2023 | 6,321 | $460K | |
| 2024incomplete | 5,469 | $403K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99244 | Office or other outpatient consultation, moderate to high complexity | 35% | 5,102 | 4,965 | $617K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 8,475 | 8,198 | $309K |
| 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 | 17% | 5,672 | 5,361 | $291K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 12% | 2,175 | 2,137 | $208K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 10.0% | 1,646 | 1,625 | $173K |
| 91065 | 4.3% | 1,060 | 1,043 | $74K | |
| 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 | 2.1% | 438 | 422 | $37K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.1% | 111 | 110 | $18K |
| 99243 | <1% | 117 | 115 | $10K | |
| 99152 | <1% | 50 | 50 | $164.24 | |
| 81003 | <1% | 12 | 12 | $22.68 |
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 officialREINOSO, MANUEL (PRESIDENT)