Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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RAYMONVILLE PEDIATRICS

NPI: 1588847107 · RAYMONDVILLE, TX 78580 · Pediatric Adolescent Medicine Physician · NPI assigned 12/06/2007

$8.49M
Total Medicaid Paid
396,392
Total Claims
303,181
Beneficiaries
97
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialREY, ROBERTO (MANAGER)
NPI Enumeration Date12/06/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 326 $10K
2019 534 $16K
2020 11,756 $221K
2021 69,391 $1.45M
2022 97,272 $2.09M
2023 106,123 $2.33M
2024 110,990 $2.37M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 81,208 58,279 $2.83M
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 36,480 31,169 $1.40M
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 68,525 29,467 $913K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 45,628 38,491 $610K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,550 5,391 $400K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,149 5,007 $389K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,923 3,770 $306K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11,394 10,078 $263K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,188 3,036 $225K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,320 2,197 $113K
90460 Immunization administration through 18 years of age via any route, first or only component 11,071 4,444 $104K
S8301 Infection control supplies, not otherwise specified 4,297 3,718 $87K
96110 Developmental screening, with scoring and documentation, per standardized instrument 9,498 7,980 $75K
31000 614 496 $62K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,373 3,194 $53K
99381 721 695 $51K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,190 5,794 $39K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 891 787 $39K
99000 4,223 3,939 $39K
86580 5,044 4,868 $38K
99429 1,153 1,128 $37K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,826 2,712 $36K
99383 358 346 $30K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,200 2,080 $26K
90472 Immunization administration, each additional vaccine (list separately) 2,768 1,842 $26K
99382 291 285 $25K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 328 313 $25K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 639 617 $20K
85027 3,849 3,571 $19K
99051 4,368 3,906 $19K
90461 2,338 1,918 $17K
74018 621 597 $15K
83655 1,458 1,425 $14K
92588 513 486 $13K
71046 Radiologic examination, chest; 2 views 452 438 $12K
81002 4,136 3,703 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 192 189 $11K
99384 101 101 $9K
86318 526 518 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 699 655 $8K
96160 4,756 4,102 $7K
92567 569 544 $7K
29515 145 106 $7K
81025 704 659 $5K
73120 206 92 $5K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 299 285 $3K
0001A 78 77 $3K
87561 71 64 $3K
0071A 85 67 $3K
73600 114 55 $3K
0002A 60 60 $2K
86308 511 498 $2K
97170 55 54 $2K
99001 892 774 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 21 18 $2K
0072A 44 42 $2K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 176 168 $2K
81003 819 737 $1K
G0271 Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes 12,997 12,603 $1K
86328 40 38 $1K
81000 391 336 $1K
29125 15 13 $742.70
82947 218 207 $696.96
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 16 16 $674.36
96161 1,905 1,821 $593.19
73620 26 12 $505.00
90473 142 137 $288.75
69210 13 12 $273.07
81007 74 69 $251.80
99050 15 14 $224.10
97802 1,353 1,315 $90.94
J0561 Injection, penicillin g benzathine, 100,000 units 112 109 $34.20
G9716 Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason 57 56 $23.93
J0696 Injection, ceftriaxone sodium, per 250 mg 247 241 $4.31
J1100 Injection, dexamethasone sodium phosphate, 1 mg 13 13 $1.45
90651 1,193 1,160 $0.69
90620 344 336 $0.49
90686 763 747 $0.43
S9451 Exercise classes, non-physician provider, per session 13,072 12,643 $0.01
90680 1,609 1,563 $0.00
90716 581 568 $0.00
90723 848 834 $0.00
90696 430 419 $0.00
91307 143 115 $0.00
90697 1,082 1,032 $0.00
90656 52 51 $0.00
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 31 28 $0.00
96127 14 12 $0.00
90734 1,090 1,054 $0.00
90670 2,624 2,550 $0.00
90710 669 644 $0.00
90648 1,402 1,381 $0.00
90707 594 581 $0.00
90700 510 496 $0.00
90715 466 453 $0.00
90633 1,377 1,345 $0.00
91300 156 125 $0.00