Physician
Rio Grande Valley Orthopedic Center
Rio Grande Valley Orthopedic Center was paid $2.06M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 24% of everything it billed.
33Billing provider infoRIO GRANDE VALLEY ORTHOPEDIC CENTER
MCALLEN, TX 78504
MCALLEN, TX 78504
33aNPI1619026507assigned 01/09/2007
33bProvider typeOrthopaedic Surgery Physician
28Total paid$2.06M
24GClaims64,207
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Texas
Rank by total paid#3 of 105
Median peer was paid$11K
This provider vs. median184×
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 | 2,609 | $7K | |
| 2019 | 2,419 | $9K | |
| 2020 | 4,991 | $100K | |
| 2021 | 12,387 | $451K | |
| 2022 | 16,058 | $566K | |
| 2023 | 15,254 | $591K | |
| 2024incomplete | 10,489 | $332K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 24% | 10,530 | 2,725 | $502K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 17,997 | 15,217 | $465K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 4,738 | 4,620 | $243K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 6.6% | 7,468 | 1,889 | $136K |
| 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 | 6.4% | 1,874 | 1,806 | $132K |
| 97163 | 5.6% | 1,322 | 1,300 | $115K | |
| 73110 | 4.3% | 3,280 | 2,496 | $88K | |
| 73130 | 2.2% | 1,760 | 1,359 | $46K | |
| 73610 | 2.0% | 1,785 | 1,445 | $42K | |
| 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 | 1.8% | 1,328 | 1,189 | $37K |
| 73630 | 1.7% | 1,607 | 1,260 | $34K | |
| 20610 | 1.7% | 1,707 | 1,316 | $34K |
29 more codes
| 29075 | 1.6% | 600 | $33K | |
| 73560 | 1.2% | 1,408 | $25K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | 1.0% | 192 | $22K |
| 29125 | <1% | 531 | $20K | |
| 73080 | <1% | 562 | $14K | |
| 29515 | <1% | 281 | $12K | |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | <1% | 91 | $12K |
| 72100 | <1% | 406 | $8K | |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 252 | $8K |
| 72083 | <1% | 85 | $5K | |
| 29405 | <1% | 70 | $4K | |
| 73030 | <1% | 213 | $4K | |
| 73562 | <1% | 142 | $3K | |
| 73000 | <1% | 113 | $3K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,382 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 242 | $2K |
| 29130 | <1% | 52 | $1K | |
| 73100 | <1% | 39 | $940.87 | |
| 72082 | <1% | 13 | $639.85 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 820 | $547.82 |
| 29105 | <1% | 21 | $491.19 | |
| 29065 | <1% | 13 | $409.80 | |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | <1% | 926 | $202.66 |
| 97035 | <1% | 275 | $110.28 | |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 12 | $0.00 |
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 12 | $0.00 |
| Q4010 | Cast supplies, short arm cast, adult (11 years +), fiberglass | 0% | 13 | $0.00 |
| Q4022 | Cast supplies, short arm splint, adult (11 years +), fiberglass | 0% | 12 | $0.00 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 0% | 33 | $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 officialRIOS, JANIE (SECRETARY)