Physician
Bertha L. Medina MD PA
Bertha L. Medina MD PA was paid $4.97M by Medicaid between Jan 2018 and Dec 2024, across 75 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoBERTHA L. MEDINA MD PA
MCALLEN, TX 78503
MCALLEN, TX 78503
33aNPI1750349700assigned 05/01/2006
33bProvider typeFamily Medicine Physician
28Total paid$4.97M
24GClaims183,801
24DCodes billed75
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#18 of 1,204
Median peer was paid$31K
This provider vs. median161×
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 | 693 | $14K | |
| 2019 | 545 | $9K | |
| 2020 | 12,442 | $320K | |
| 2021 | 46,673 | $1.26M | |
| 2022 | 45,499 | $1.20M | |
| 2023 | 41,490 | $1.10M | |
| 2024incomplete | 36,459 | $1.07M |
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 | 23% | 35,947 | 24,422 | $1.13M |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 11% | 7,769 | 5,264 | $570K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 8.4% | 772 | 751 | $420K |
| 76818 | 6.7% | 3,935 | 2,132 | $334K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.6% | 3,270 | 3,121 | $230K |
| 59430 | 4.6% | 2,795 | 2,515 | $226K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.4% | 2,955 | 2,934 | $216K |
| 59025 | Fetal non-stress test | 3.2% | 4,614 | 2,692 | $160K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 2.5% | 4,581 | 4,325 | $124K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 2.5% | 4,588 | 4,330 | $124K |
| 76801 | 2.1% | 1,240 | 1,206 | $106K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 2.0% | 806 | 790 | $101K |
63 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 1,279 | $100K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.8% | 8,814 | $88K |
| 87806 | 1.6% | 3,429 | $82K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.6% | 12,907 | $80K |
| 87800 | 1.5% | 2,258 | $77K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 3,486 | $75K |
| 81001 | 1.2% | 25,140 | $62K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.2% | 956 | $61K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.1% | 6,642 | $57K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 992 | $49K |
| 90715 | <1% | 1,773 | $49K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,044 | $43K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 728 | $41K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 443 | $36K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,374 | $32K |
| 99460 | <1% | 407 | $31K | |
| 87400 | <1% | 2,450 | $28K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 246 | $25K |
| 90686 | <1% | 3,530 | $23K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,836 | $23K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,537 | $21K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,955 | $18K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,206 | $16K |
| 90474 | <1% | 1,666 | $14K | |
| 76820 | <1% | 428 | $14K | |
| 82950 | <1% | 3,258 | $12K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 261 | $11K |
| 81025 | <1% | 1,495 | $10K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 855 | $9K |
| 83655 | <1% | 926 | $9K | |
| 82947 | <1% | 2,778 | $9K | |
| 59514 | <1% | 12 | $7K | |
| 87807 | <1% | 409 | $4K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 45 | $3K |
| 86580 | <1% | 380 | $3K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 183 | $2K |
| 99462 | <1% | 48 | $2K | |
| 81002 | <1% | 650 | $2K | |
| 99051 | <1% | 83 | $1K | |
| 87480 | <1% | 94 | $968.32 | |
| 87660 | <1% | 94 | $905.31 | |
| 87510 | <1% | 95 | $607.33 | |
| 90734 | <1% | 90 | $288.96 | |
| 90707 | <1% | 347 | $256.40 | |
| 99050 | <1% | 15 | $179.28 | |
| 99000 | <1% | 25 | $145.34 | |
| 96161 | <1% | 57 | $101.25 | |
| 90723 | <1% | 858 | $65.00 | |
| 90677 | <1% | 434 | $0.45 | |
| 90651 | <1% | 166 | $0.13 | |
| 90688 | <1% | 21 | $0.04 | |
| 90633 | 0% | 1,085 | $0.00 | |
| 90648 | 0% | 879 | $0.00 | |
| 90670 | 0% | 1,953 | $0.00 | |
| 90710 | 0% | 151 | $0.00 | |
| 0502F | 0% | 18 | $0.00 | |
| 90698 | 0% | 899 | $0.00 | |
| 90697 | 0% | 405 | $0.00 | |
| 0503F | 0% | 572 | $0.00 | |
| 90680 | 0% | 1,669 | $0.00 | |
| 90696 | 0% | 94 | $0.00 | |
| 0500F | 0% | 242 | $0.00 | |
| 90716 | 0% | 357 | $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 officialRODRIGUEZ-MEDINA, BERTHA (OWNER/PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Southside Night Clinic | Mcallen, TX | $416K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.