Physician
Ronaldo D Factoriza,.M.D.P.A.
Ronaldo D Factoriza,.M.D.P.A. was paid $164K by Medicaid between Jan 2018 and Nov 2024, across 85 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoRONALDO D FACTORIZA,.M.D.P.A.
BROWNSVILLE, TX 78521
BROWNSVILLE, TX 78521
33aNPI1679876924assigned 12/08/2010
33bProvider typeInternal Medicine Physician
28Total paid$164K
24GClaims88,185
24DCodes billed85
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#165 of 1,028
Median peer was paid$10K
This provider vs. median16×
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 | 28,053 | $27K | |
| 2019 | 24,078 | $22K | |
| 2020 | 11,673 | $27K | |
| 2021 | 11,202 | $28K | |
| 2022 | 5,372 | $24K | |
| 2023 | 4,524 | $21K | |
| 2024incomplete | 3,283 | $15K |
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 | 52% | 5,953 | 4,613 | $85K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 3,850 | 3,364 | $46K |
| 99442 | 7.8% | 889 | 708 | $13K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 4.6% | 1,935 | 1,841 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.8% | 648 | 523 | $3K |
| 71046 | Radiologic examination, chest; 2 views | 1.6% | 668 | 616 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.6% | 285 | 232 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,954 | 3,770 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 956 | 452 | $876.84 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 55 | 52 | $564.42 |
| 81002 | <1% | 2,057 | 1,685 | $393.75 | |
| 0011A | <1% | 101 | 101 | $280.00 |
73 more codes
| 0012A | <1% | 104 | $280.00 | |
| 90688 | <1% | 223 | $261.56 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 47 | $250.88 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 333 | $200.61 |
| 92551 | <1% | 16 | $98.20 | |
| 0064A | <1% | 144 | $40.00 | |
| 0134A | <1% | 12 | $40.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | $39.44 |
| 94010 | <1% | 17 | $9.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 255 | $7.84 |
| 91301 | <1% | 213 | $0.01 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 3,606 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 4,079 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,679 | $0.00 |
| 1126F | 0% | 4,834 | $0.00 | |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 2,252 | $0.00 |
| 1125F | 0% | 1,600 | $0.00 | |
| 0509F | 0% | 487 | $0.00 | |
| 1006F | 0% | 503 | $0.00 | |
| 1170F | 0% | 6,055 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 31 | $0.00 |
| 3074F | 0% | 87 | $0.00 | |
| G8542 | Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required | 0% | 892 | $0.00 |
| 1123F | 0% | 1,807 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 29 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 541 | $0.00 |
| 1036F | 0% | 4,289 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 480 | $0.00 |
| 3017F | 0% | 151 | $0.00 | |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 124 | $0.00 |
| 3044F | 0% | 46 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,255 | $0.00 |
| 1111F | 0% | 16 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 14 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 19 | $0.00 |
| 91306 | 0% | 144 | $0.00 | |
| 91303 | 0% | 18 | $0.00 | |
| 0031A | 0% | 18 | $0.00 | |
| 0521F | 0% | 213 | $0.00 | |
| 3023F | 0% | 487 | $0.00 | |
| 3288F | 0% | 3,337 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 1,824 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 938 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 2,113 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 486 | $0.00 |
| 90670 | 0% | 14 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 3,009 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 494 | $0.00 |
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | 0% | 199 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 1,111 | $0.00 |
| 1090F | 0% | 2,820 | $0.00 | |
| G9991 | Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | 0% | 147 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 6,243 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 105 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 1,659 | $0.00 |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 696 | $0.00 |
| 4040F | 0% | 2,059 | $0.00 | |
| 90662 | 0% | 345 | $0.00 | |
| G9695 | Long-acting inhaled bronchodilator prescribed | 0% | 571 | $0.00 |
| 1100F | 0% | 120 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 893 | $0.00 |
| 3078F | 0% | 150 | $0.00 | |
| G8942 | Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 35 | $0.00 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 0% | 80 | $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% | 14 | $0.00 |
| 91313 | 0% | 12 | $0.00 | |
| 0004A | 0% | 13 | $0.00 | |
| 1124F | 0% | 16 | $0.00 | |
| 77080 | 0% | 110 | $0.00 | |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 0% | 15 | $0.00 |
| 91300 | 0% | 14 | $0.00 | |
| 99173 | 0% | 16 | $0.00 | |
| 2024F | 0% | 41 | $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 officialFACTORIZA, RONALDO (PHYSICIAN)