Physician
Renaissance Cardiology Group
Renaissance Cardiology Group was paid $902K by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoRENAISSANCE CARDIOLOGY GROUP
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1588008247assigned 04/24/2013
33bProvider typeThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
28Total paid$902K
24GClaims143,670
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers in Texas
Rank by total paid#1 of 9
Median peer was paid$36K
This provider vs. median25×
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 | 48,298 | $84K | |
| 2019 | 37,864 | $83K | |
| 2020 | 23,159 | $96K | |
| 2021 | 15,662 | $254K | |
| 2022 | 10,045 | $232K | |
| 2023 | 5,836 | $108K | |
| 2024incomplete | 2,806 | $45K |
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 | 36% | 23,303 | 21,834 | $327K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 21% | 7,476 | 7,115 | $189K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 16,026 | 15,035 | $177K |
| 93000 | 6.6% | 19,819 | 18,257 | $59K | |
| 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 | 4.5% | 1,043 | 970 | $40K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 763 | 704 | $17K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 1.7% | 532 | 447 | $16K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.5% | 138 | 122 | $13K |
| J2785 | Injection, regadenoson, 0.1 mg | 1.1% | 264 | 236 | $10K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.0% | 4,494 | 3,790 | $9K |
| 93015 | <1% | 574 | 480 | $9K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 403 | 319 | $7K |
45 more codes
| 93224 | <1% | 160 | $6K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,375 | $3K |
| 93016 | <1% | 745 | $3K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 276 | $3K |
| 93925 | <1% | 79 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 433 | $2K |
| 93018 | <1% | 601 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 70 | $2K |
| 78492 | <1% | 258 | $1K | |
| 99442 | <1% | 172 | $625.78 | |
| 93880 | <1% | 100 | $595.94 | |
| 80061 | Lipid panel | <1% | 493 | $562.16 |
| 93280 | <1% | 53 | $488.12 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 257 | $461.47 |
| 93017 | <1% | 63 | $369.91 | |
| 93227 | <1% | 26 | $361.48 | |
| 99152 | <1% | 491 | $282.70 | |
| 93288 | <1% | 118 | $251.82 | |
| 99443 | <1% | 167 | $140.19 | |
| 93923 | <1% | 14 | $50.52 | |
| 99153 | Mod sedat endo service >5yrs | <1% | 163 | $16.58 |
| 1036F | 0% | 7,107 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 7,637 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,983 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 296 | $0.00 |
| 4086F | 0% | 977 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 24 | $0.00 |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 18 | $0.00 |
| 99441 | 0% | 14 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 40 | $0.00 |
| 4040F | 0% | 2,678 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 4,228 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 775 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 8,662 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 10,717 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 1,756 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 8,075 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 4,128 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 393 | $0.00 |
| G9724 | Patients who had documentation of use of anticoagulant medications overlapping the measurement year | 0% | 316 | $0.00 |
| J1245 | Injection, dipyridamole, per 10 mg | 0% | 102 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 556 | $0.00 |
| 3288F | 0% | 1,067 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 151 | $0.00 |
| G9928 | Fda-approved anticoagulant not prescribed, reason not given | 0% | 21 | $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 Surgery Group | Edinburg, TX | $425K |
| Renaissance Providers | Edinburg, TX | $289K |
| Multi-Specialty at Renaissance | Mcallen, TX | $203K |
| Renaissance Icu Group | Edinburg, TX | $185K |
| Renaissance Gastroenterology | Edinburg, TX | $160K |
| 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.