Physician
Ricardo Reyna III MD PLLC
Ricardo Reyna III MD PLLC was paid $854K by Medicaid between Oct 2020 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoRICARDO REYNA III MD PLLC
EL PASO, TX 79902
EL PASO, TX 79902
33aNPI1508415837assigned 09/09/2019
33bProvider typePediatrics Physician
28Total paid$854K
24GClaims35,072
24DCodes billed38
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#402 of 1,136
Median peer was paid$329K
This provider vs. median2.6×
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 | 725 | $13K | |
| 2021 | 5,776 | $122K | |
| 2022 | 8,523 | $197K | |
| 2023 | 10,596 | $263K | |
| 2024incomplete | 9,452 | $259K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 7,310 | 6,302 | $270K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 1,548 | 1,503 | $117K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 1,496 | 1,480 | $115K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.6% | 6,860 | 3,092 | $82K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.0% | 882 | 875 | $68K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.9% | 865 | 836 | $67K |
| 99429 | 2.9% | 743 | 734 | $25K | |
| 92553 | 2.8% | 2,429 | 2,381 | $24K | |
| 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 | 1.5% | 231 | 222 | $12K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 1,243 | 890 | $11K |
| 90671 | 1.2% | 444 | 438 | $11K | |
| 90461 | 1.2% | 1,942 | 1,747 | $11K |
26 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.1% | 212 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 259 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 509 | $6K |
| 90670 | <1% | 701 | $4K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 99 | $3K |
| 90681 | <1% | 368 | $2K | |
| 96160 | <1% | 914 | $1K | |
| 90710 | <1% | 150 | $1K | |
| 99384 | <1% | 13 | $1K | |
| 99173 | <1% | 2,720 | $1K | |
| 90647 | <1% | 784 | $781.26 | |
| 90633 | <1% | 339 | $754.95 | |
| 83655 | <1% | 90 | $739.51 | |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | <1% | 30 | $675.00 |
| 90723 | <1% | 797 | $574.62 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $554.04 |
| 90686 | <1% | 617 | $352.79 | |
| 92551 | <1% | 209 | $324.51 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $318.48 |
| 90656 | <1% | 144 | $240.90 | |
| 87807 | <1% | 12 | $110.00 | |
| 85018 | <1% | 13 | $4.83 | |
| 90651 | 0% | 13 | $0.00 | |
| 90620 | 0% | 14 | $0.00 | |
| 90734 | 0% | 33 | $0.00 | |
| 90700 | 0% | 12 | $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 officialREYNA, RICARDO (OWNER/PHYSICIAN)