Physician
Rio Grande Valley Adult & Internal Medicine Specialists PLLC
Rio Grande Valley Adult & Internal Medicine Specialists PLLC was paid $15.79M by Medicaid between Jan 2018 and Dec 2024, across 170 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoRIO GRANDE VALLEY ADULT & INTERNAL MEDICINE SPECIALISTS PLLC
WESLACO, TX 78596
WESLACO, TX 78596
33aNPI1528039120assigned 01/31/2006
33bProvider typeInternal Medicine Physician
28Total paid$15.79M
24GClaims959,604
24DCodes billed170
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#2 of 1,028
Median peer was paid$10K
This provider vs. median1,517×
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 | |
|---|---|---|---|
| 2018 | 30,279 | $192K | |
| 2019 | 26,694 | $181K | |
| 2020 | 57,169 | $626K | |
| 2021 | 195,432 | $3.24M | |
| 2022 | 241,565 | $4.10M | |
| 2023 | 227,123 | $3.98M | |
| 2024incomplete | 181,342 | $3.48M |
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 | 23% | 105,996 | 82,236 | $3.64M |
| 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 | 18% | 67,695 | 57,621 | $2.80M |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 12% | 40,594 | 35,391 | $1.87M |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.6% | 67,859 | 58,303 | $877K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.2% | 65,105 | 29,161 | $822K |
| 99000 | 4.5% | 71,457 | 57,441 | $710K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.1% | 8,477 | 8,261 | $650K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.7% | 7,350 | 7,176 | $588K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.2% | 6,089 | 5,869 | $511K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.2% | 47,047 | 23,633 | $504K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 6,581 | 6,251 | $486K |
| 87807 | 1.9% | 29,245 | 24,562 | $306K |
158 more codes
| S9470 | Nutritional counseling, dietitian visit | 1.3% | 5,173 | $198K |
| 99203 | Doctor's office visit, new patient (routine) | 1.1% | 3,264 | $181K |
| 99444 | <1% | 2,056 | $118K | |
| 99381 | <1% | 1,428 | $108K | |
| 99350 | Prolong home eval add 15m | <1% | 4,116 | $101K |
| 99429 | <1% | 3,144 | $99K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,748 | $99K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,214 | $94K |
| 99490 | Ccm add 20min | <1% | 20,972 | $80K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 9,407 | $62K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 8,188 | $61K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 941 | $55K |
| 99383 | <1% | 620 | $53K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,989 | $45K |
| H0049 | Alcohol and/or drug screening | <1% | 6,382 | $43K |
| 81002 | <1% | 14,626 | $38K | |
| 99382 | <1% | 407 | $36K | |
| 90461 | <1% | 6,041 | $31K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 2,549 | $31K |
| 0001A | <1% | 945 | $30K | |
| 0071A | <1% | 815 | $28K | |
| 93000 | <1% | 2,157 | $24K | |
| 0072A | <1% | 599 | $22K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 690 | $21K |
| 0002A | <1% | 545 | $20K | |
| 90480 | <1% | 730 | $19K | |
| 99487 | Ccm add 20min | <1% | 2,431 | $19K |
| 99483 | Prolong outpt/office vis | <1% | 766 | $19K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 189 | $19K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,801 | $17K |
| 0003A | <1% | 506 | $17K | |
| 97750 | <1% | 3,880 | $17K | |
| 90688 | <1% | 1,596 | $15K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,426 | $14K |
| 99384 | <1% | 136 | $13K | |
| 0081A | <1% | 326 | $12K | |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | <1% | 253 | $12K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,988 | $10K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,810 | $9K |
| 99358 | Prolong nursin fac eval 15m | <1% | 464 | $9K |
| 69210 | <1% | 326 | $9K | |
| 96160 | <1% | 5,850 | $9K | |
| 99349 | <1% | 458 | $8K | |
| 99051 | <1% | 1,263 | $8K | |
| 0073A | <1% | 276 | $8K | |
| 90623 | <1% | 106 | $7K | |
| 0082A | <1% | 185 | $7K | |
| 0124A | <1% | 146 | $6K | |
| 80061 | Lipid panel | <1% | 1,454 | $6K |
| 0011A | <1% | 303 | $4K | |
| 0012A | <1% | 292 | $4K | |
| 0013A | <1% | 331 | $3K | |
| 82271 | <1% | 729 | $3K | |
| 0154A | <1% | 77 | $3K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 2,295 | $3K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 110 | $3K |
| 86580 | <1% | 344 | $3K | |
| 81025 | <1% | 369 | $2K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 3,441 | $2K |
| 0111A | <1% | 61 | $2K | |
| 0064A | <1% | 180 | $2K | |
| 84030 | <1% | 746 | $2K | |
| 99484 | <1% | 447 | $2K | |
| 90662 | <1% | 2,240 | $2K | |
| 96380 | <1% | 70 | $1K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 3,572 | $1K |
| 99497 | <1% | 352 | $1K | |
| 99385 | <1% | 23 | $1K | |
| 17250 | <1% | 13 | $977.86 | |
| 96381 | <1% | 62 | $977.04 | |
| 87420 | <1% | 132 | $944.04 | |
| 87081 | <1% | 294 | $919.05 | |
| 99318 | <1% | 15 | $889.01 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 4,996 | $845.92 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 199 | $703.56 |
| 99050 | <1% | 187 | $687.24 | |
| 99496 | <1% | 341 | $676.42 | |
| 90732 | <1% | 33 | $655.66 | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 4,965 | $609.10 |
| 0112A | <1% | 18 | $600.00 | |
| 0134A | <1% | 37 | $390.00 | |
| 99439 | <1% | 1,159 | $368.12 | |
| 99491 | Ccm add 20min | <1% | 107 | $364.53 |
| 92567 | <1% | 33 | $356.81 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 3,232 | $308.34 |
| 95251 | <1% | 42 | $213.36 | |
| 82270 | <1% | 251 | $187.68 | |
| 99347 | <1% | 14 | $167.01 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 726 | $159.48 |
| 77080 | <1% | 72 | $156.23 | |
| 90658 | <1% | 7,944 | $149.66 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 10,259 | $134.80 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 1,841 | $116.63 |
| 95250 | <1% | 28 | $75.82 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 31 | $59.17 |
| 90734 | <1% | 1,902 | $50.02 | |
| 90715 | <1% | 1,158 | $45.50 | |
| 99442 | <1% | 13 | $34.27 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 177 | $20.15 |
| 90656 | <1% | 334 | $17.47 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 13 | $9.06 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 57 | $8.87 |
| 90677 | <1% | 1,708 | $2.07 | |
| 90651 | <1% | 1,984 | $1.04 | |
| 90620 | <1% | 1,225 | $0.74 | |
| 90672 | <1% | 840 | $0.47 | |
| 91322 | <1% | 139 | $0.05 | |
| 91320 | <1% | 47 | $0.01 | |
| 91321 | 0% | 235 | $0.00 | |
| 90670 | 0% | 3,902 | $0.00 | |
| 1160F | 0% | 97,164 | $0.00 | |
| 1159F | 0% | 97,163 | $0.00 | |
| 90655 | 0% | 136 | $0.00 | |
| 90700 | 0% | 1,356 | $0.00 | |
| 1100F | 0% | 408 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 1,485 | $0.00 |
| 2028F | 0% | 213 | $0.00 | |
| 3078F | 0% | 239 | $0.00 | |
| 90707 | 0% | 1,394 | $0.00 | |
| 90633 | 0% | 2,796 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 101 | $0.00 |
| 90648 | 0% | 2,297 | $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% | 494 | $0.00 |
| 90710 | 0% | 1,180 | $0.00 | |
| 99310 | Prolong nursin fac eval 15m | 0% | 91 | $0.00 |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 0% | 435 | $0.00 |
| 3045F | 0% | 83 | $0.00 | |
| 90380 | 0% | 196 | $0.00 | |
| 3046F | 0% | 24 | $0.00 | |
| 1170F | 0% | 4,143 | $0.00 | |
| 1101F | 0% | 1,715 | $0.00 | |
| 90696 | 0% | 1,098 | $0.00 | |
| 90744 | 0% | 499 | $0.00 | |
| G8410 | Footwear evaluation performed and documented | 0% | 1,796 | $0.00 |
| 90698 | 0% | 2,033 | $0.00 | |
| 90716 | 0% | 1,432 | $0.00 | |
| 90697 | 0% | 1,264 | $0.00 | |
| 1126F | 0% | 205 | $0.00 | |
| 3044F | 0% | 1,037 | $0.00 | |
| 82962 | 0% | 815 | $0.00 | |
| 90657 | 0% | 2,946 | $0.00 | |
| 1111F | 0% | 1,169 | $0.00 | |
| 90723 | 0% | 928 | $0.00 | |
| 90680 | 0% | 3,836 | $0.00 | |
| 91319 | 0% | 119 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 2,843 | $0.00 |
| 1123F | 0% | 231 | $0.00 | |
| 90381 | 0% | 143 | $0.00 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 37 | $0.00 |
| 91318 | 0% | 131 | $0.00 | |
| 3074F | 0% | 137 | $0.00 | |
| G0443 | Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes | 0% | 30 | $0.00 |
| 1125F | 0% | 51 | $0.00 | |
| 3075F | 0% | 15 | $0.00 | |
| 3079F | 0% | 14 | $0.00 | |
| 97802 | 0% | 13 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 25 | $0.00 |
| 90686 | 0% | 20 | $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 officialMCDOUGAL, PEDRO (PRESIDENT)