Physician
South Texas Infectious Diseases Consultants, P.A.
South Texas Infectious Diseases Consultants, P.A. was paid $981K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 59% of everything it billed.
33Billing provider infoSOUTH TEXAS INFECTIOUS DISEASES CONSULTANTS, P.A.
MCALLEN, TX 78503
MCALLEN, TX 78503
33aNPI1558314138assigned 05/18/2006
33bProvider typeInfectious Disease Physician
28Total paid$981K
24GClaims54,302
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Infectious Disease Physician providers in Texas
Rank by total paid#2 of 110
Median peer was paid$33K
This provider vs. median30×
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 | 9,672 | $67K | |
| 2019 | 8,625 | $75K | |
| 2020 | 8,669 | $90K | |
| 2021 | 9,774 | $228K | |
| 2022 | 7,503 | $210K | |
| 2023 | 5,588 | $170K | |
| 2024incomplete | 4,471 | $141K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 59% | 41,421 | 13,365 | $575K |
| 99223 | Prolong inpt eval add15 m | 28% | 5,920 | 5,866 | $271K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 13% | 6,119 | 3,797 | $124K |
| 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 | <1% | 634 | 592 | $7K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 106 | 106 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 87 | 77 | $2K |
| 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% | 15 | 13 | $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 officialGARCIA, RICARDO (PRESIDENT)