Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Calixto J Ruibal MD PA

Calixto J Ruibal MD PA was paid $1.73M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.

33Billing provider infoCALIXTO J RUIBAL MD PA
HOUSTON, TX 77023
33aNPI1518012558assigned 01/23/2007
28Total paid$1.73M
24GClaims69,675
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#65 of 1,204
Median peer was paid$31K
This provider vs. median56×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
2018121$3K
20191,040$19K
20207,920$180K
202114,933$365K
202217,642$439K
202316,880$422K
2024incomplete11,139$304K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 47% 21,125 18,297 $809K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13% 2,347 2,337 $231K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 10% 1,957 1,941 $176K
90460 Immunization administration through 18 years of age via any route, first or only component 7.8% 12,264 6,192 $134K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.4% 1,102 1,100 $94K
99000 4.8% 8,228 7,821 $84K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3.5% 4,235 2,047 $61K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 2.3% 952 920 $39K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.6% 1,914 1,865 $28K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.3% 268 266 $22K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.1% 2,988 2,910 $19K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 153 150 $10K
21 more codes
90461 <1% 1,844 $9K
81000 <1% 2,757 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 42 $4K
90688 <1% 1,847 $2K
97169 <1% 40 $1K
90686 <1% 1,779 $136.97
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 16 $125.34
90677 <1% 170 $0.25
90671 <1% 83 $0.19
90651 <1% 980 $0.10
90620 <1% 698 $0.07
90697 <1% 36 $0.05
90734 <1% 823 $0.01
90670 0% 414 $0.00
90648 0% 130 $0.00
90715 0% 146 $0.00
90633 0% 147 $0.00
90710 0% 30 $0.00
90680 0% 109 $0.00
90723 0% 24 $0.00
90696 0% 27 $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 officialRUIBAL, CALIXTO (MEDICAL DIRECTOR)