Physician
Arguello, Roberto
Arguello, Roberto was paid $93K by Medicaid between Jan 2018 and May 2023, across 13 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 59% of everything it billed.
33Billing provider infoARGUELLO, ROBERTO
MCALLEN, TX 78503
MCALLEN, TX 78503
33aNPI1538130521assigned 01/30/2006
33bProvider typeOphthalmology Physician
28Total paid$93K
24GClaims12,197
24DCodes billed13
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Ophthalmology Physician providers in Texas
Rank by total paid#57 of 231
Median peer was paid$16K
This provider vs. median6.0×
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 | 4,191 | $23K | |
| 2019 | 4,147 | $18K | |
| 2020 | 1,950 | $13K | |
| 2021 | 1,229 | $21K | |
| 2022 | 568 | $14K | |
| 2023 | 112 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 59% | 2,859 | 2,456 | $55K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 35% | 1,986 | 1,968 | $33K |
| 92133 | 3.2% | 340 | 337 | $3K | |
| 92083 | 1.3% | 169 | 169 | $1K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.0% | 37 | 37 | $949.68 |
| 1036F | 0% | 2,217 | 1,481 | $0.00 | |
| 3284F | 0% | 803 | 779 | $0.00 | |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 13 | 13 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,792 | 2,661 | $0.00 |
| 2022F | 0% | 86 | 83 | $0.00 | |
| 2027F | 0% | 867 | 838 | $0.00 | |
| 5010F | 0% | 13 | 13 | $0.00 |
1 more codes
| 4004F | 0% | 15 | $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.