Physician
Renaissance Gastroenterology
Renaissance Gastroenterology was paid $160K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoRENAISSANCE GASTROENTEROLOGY
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1568890556assigned 10/29/2013
33bProvider typeInternal Medicine Physician
28Total paid$160K
24GClaims8,854
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#169 of 1,028
Median peer was paid$10K
This provider vs. median15×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GONZALEZ, ADA controls 11+ related entities in our dataset. Read more
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 | 1,720 | $8K | |
| 2019 | 1,127 | $7K | |
| 2020 | 783 | $6K | |
| 2021 | 1,998 | $48K | |
| 2022 | 1,853 | $53K | |
| 2023 | 1,021 | $29K | |
| 2024incomplete | 352 | $7K |
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 | 38% | 5,302 | 5,118 | $60K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 37% | 1,296 | 1,263 | $60K |
| 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 | 9.0% | 670 | 654 | $14K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 7.8% | 193 | 183 | $12K |
| 99442 | 1.9% | 399 | 379 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 226 | 221 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.4% | 96 | 96 | $2K |
| 99243 | 1.2% | 26 | 26 | $2K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 12 | 12 | $1K |
| 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% | 79 | 78 | $797.69 |
| 99441 | <1% | 103 | 102 | $600.42 | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 12 | 12 | $519.11 |
2 more codes
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 417 | $67.24 |
| 99153 | Mod sedat endo service >5yrs | 0% | 23 | $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 officialGONZALEZ, ADA (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Renaissance Medical Foundation | Edinburg, TX | $8.15M |
| Renaissance Hospitalists | Edinburg, TX | $1.50M |
| Renaissance Endocrinology | Edinburg, TX | $1.32M |
| Renaissance Cardiology Group | Edinburg, TX | $902K |
| Renaissance Surgery Group | Edinburg, TX | $425K |
| Renaissance Providers | Edinburg, TX | $289K |
| Multi-Specialty at Renaissance | Mcallen, TX | $203K |
| Renaissance Icu Group | Edinburg, TX | $185K |
| Renaissance Specialty Surgery | Edinburg, TX | $80K |
| Renaissance Bmi | Edinburg, TX | $61K |
| Concepto De Salud INC | Hatillo, PR | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.