NP / PA
We Are Kids at Heart of the Rio Grande Valley, PLLC
We Are Kids at Heart of the Rio Grande Valley, PLLC was paid $1.49M by Medicaid between Oct 2023 and Dec 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoWE ARE KIDS AT HEART OF THE RIO GRANDE VALLEY, PLLC
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1720795149assigned 11/04/2022
33bProvider typePhysician Assistant
28Total paid$1.49M
24GClaims69,158
24DCodes billed40
24AFirst – last monthOct 2023 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in Texas
Rank by total paid#26 of 161
Median peer was paid$43K
This provider vs. median35×
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 | |
|---|---|---|---|
| 2023 | 14,174 | $301K | |
| 2024incomplete | 54,984 | $1.19M |
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 | 31% | 13,173 | 11,616 | $459K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 18% | 7,826 | 7,340 | $275K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 11% | 14,676 | 6,901 | $169K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 6.1% | 7,875 | 7,384 | $91K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.9% | 1,569 | 1,544 | $87K |
| 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 | 4.6% | 1,435 | 1,338 | $68K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.3% | 816 | 799 | $63K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.5% | 714 | 697 | $52K |
| 99050 | 2.9% | 3,317 | 3,155 | $43K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.9% | 3,297 | 1,675 | $43K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 461 | 445 | $35K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.6% | 4,270 | 4,019 | $23K |
28 more codes
| 87807 | 1.1% | 1,809 | $16K | |
| 99429 | 1.0% | 496 | $15K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 160 | $11K |
| 99000 | <1% | 1,169 | $10K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,255 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 230 | $5K |
| 99384 | <1% | 33 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 215 | $2K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 242 | $2K |
| 99383 | <1% | 17 | $1K | |
| 96161 | <1% | 620 | $1K | |
| 81003 | <1% | 493 | $786.03 | |
| 87634 | <1% | 18 | $424.59 | |
| 86308 | <1% | 32 | $116.17 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 215 | $22.05 |
| 90686 | <1% | 149 | $17.99 | |
| 94760 | <1% | 34 | $16.51 | |
| 96160 | <1% | 519 | $2.08 | |
| 90671 | <1% | 102 | $0.08 | |
| 90651 | <1% | 30 | $0.06 | |
| 90656 | <1% | 318 | $0.01 | |
| 99051 | 0% | 1,461 | $0.00 | |
| 90734 | 0% | 28 | $0.00 | |
| 90715 | 0% | 13 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90633 | 0% | 18 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 27 | $0.00 |
| 90680 | 0% | 14 | $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 officialGARZA, MONICA (BILLING SUPERVISOR)