Heriberto Rodriguez-Ayala MD PA
Heriberto Rodriguez-Ayala MD PA was paid $282K by Medicaid between May 2020 and Dec 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoHERIBERTO RODRIGUEZ-AYALA MD PA
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1538490206assigned 01/20/2010
33bProvider typeSpecialist
28Total paid$282K
24GClaims12,179
24DCodes billed12
24AFirst – last monthMay 2020 – Dec 2024
Compared with peers
Next to other Specialist providers in Texas
Rank by total paid#92 of 382
Median peer was paid$29K
This provider vs. median9.8×
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 | 542 | $10K | |
| 2021 | 3,741 | $83K | |
| 2022 | 3,125 | $76K | |
| 2023 | 2,597 | $60K | |
| 2024incomplete | 2,174 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 44% | 2,758 | 1,982 | $124K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 3,163 | 2,239 | $101K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 7.3% | 254 | 245 | $21K |
| 81002 | 4.4% | 5,173 | 3,074 | $12K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 4.1% | 119 | 112 | $12K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 2.1% | 86 | 70 | $6K |
| 81025 | 1.1% | 544 | 515 | $3K | |
| 59430 | <1% | 24 | 24 | $2K | |
| 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% | 16 | 16 | $862.29 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | 12 | $824.76 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | 15 | $120.72 |
| 90688 | <1% | 15 | 15 | $50.40 |
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 officialRODRIGUEZ-AYALA, HERIBERTO (OWNER)