Physician
Rosie C. Belandres-Hicban,m.D.,P.A
Rosie C. Belandres-Hicban,m.D.,P.A was paid $436K by Medicaid between Feb 2020 and Oct 2023, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoROSIE C. BELANDRES-HICBAN,M.D.,P.A
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1629034871assigned 04/25/2006
33bProvider typePediatrics Physician
28Total paid$436K
24GClaims19,872
24DCodes billed27
24AFirst – last monthFeb 2020 – Oct 2023
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#529 of 1,136
Median peer was paid$329K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2020 | 596 | $12K | |
| 2021 | 5,362 | $113K | |
| 2022 | 8,797 | $205K | |
| 2023 | 5,117 | $106K |
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 | 43% | 5,777 | 4,192 | $189K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 23% | 2,707 | 2,172 | $99K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 11% | 3,688 | 3,083 | $46K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 7.3% | 2,703 | 1,257 | $32K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.8% | 1,470 | 615 | $12K |
| 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 | 2.5% | 276 | 259 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 135 | 135 | $10K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.8% | 1,278 | 1,150 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 119 | 118 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 260 | 240 | $6K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 127 | 125 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 74 | 74 | $5K |
15 more codes
| 87807 | <1% | 261 | $3K | |
| S8301 | Infection control supplies, not otherwise specified | <1% | 76 | $1K |
| 90461 | <1% | 128 | $749.50 | |
| 81003 | <1% | 440 | $748.06 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 60 | $390.72 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 29 | $357.75 |
| 99000 | <1% | 16 | $162.00 | |
| 96161 | <1% | 27 | $39.36 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 29 | $1.25 |
| 90686 | 0% | 58 | $0.00 | |
| 90723 | 0% | 12 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 13 | $0.00 |
| 90670 | 0% | 69 | $0.00 | |
| 90648 | 0% | 28 | $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 officialBELANDRES-HICBAN, ROSIE (PRESIDENT)