Clinic
Roberto Prieto Harris MD PA
Roberto Prieto Harris MD PA was paid $444K by Medicaid between Dec 2018 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoROBERTO PRIETO HARRIS MD PA
MCALLEN, TX 78504
MCALLEN, TX 78504
33aNPI1548632946assigned 10/24/2015
33bProvider typeClinic/Center
28Total paid$444K
24GClaims18,634
24DCodes billed22
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Texas
Rank by total paid#46 of 176
Median peer was paid$26K
This provider vs. median17×
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 | 32 | $526.98 | |
| 2020 | 782 | $17K | |
| 2021 | 5,531 | $133K | |
| 2022 | 6,081 | $143K | |
| 2023 | 4,448 | $109K | |
| 2024incomplete | 1,760 | $41K |
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 | 49% | 6,860 | 5,101 | $218K |
| 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 | 28% | 2,664 | 1,723 | $122K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 4.4% | 334 | 318 | $19K |
| 81002 | 3.2% | 6,068 | 3,596 | $14K | |
| 76830 | Ultrasound, transvaginal | 3.1% | 154 | 151 | $14K |
| 59430 | 2.6% | 136 | 119 | $12K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.4% | 142 | 130 | $11K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.0% | 137 | 134 | $9K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.8% | 62 | 60 | $8K |
| 76819 | Fetal biophysical profile; without non-stress testing | 1.6% | 124 | 82 | $7K |
| 81025 | <1% | 387 | 368 | $2K | |
| 59025 | Fetal non-stress test | <1% | 53 | 27 | $1K |
10 more codes
| 76813 | <1% | 13 | $1K | |
| 76801 | <1% | 13 | $994.44 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 13 | $962.90 |
| 81003 | <1% | 590 | $890.82 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $708.15 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 75 | $658.04 |
| 90674 | <1% | 26 | $596.64 | |
| 90686 | <1% | 14 | $198.40 | |
| 99051 | <1% | 35 | $180.73 | |
| 0502F | 0% | 722 | $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 officialPRIETO-HARRIS, ROBERTO (DOCTOR)