Rio Grande Urology PA
Rio Grande Urology PA was paid $2.37M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoRIO GRANDE UROLOGY PA
EL PASO, TX 79912
EL PASO, TX 79912
33aNPI1750416921assigned 02/21/2007
33bProvider typeSpecialist
28Total paid$2.37M
24GClaims79,344
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Texas
Rank by total paid#19 of 382
Median peer was paid$29K
This provider vs. median82×
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 | 8,403 | $197K | |
| 2019 | 6,477 | $173K | |
| 2020 | 6,585 | $181K | |
| 2021 | 17,085 | $515K | |
| 2022 | 16,943 | $484K | |
| 2023 | 14,380 | $461K | |
| 2024incomplete | 9,471 | $357K |
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 | 36% | 15,726 | 14,815 | $856K |
| 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 | 15% | 3,059 | 3,013 | $357K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 7,087 | 6,820 | $295K |
| 76770 | 6.5% | 1,743 | 1,697 | $153K | |
| 51798 | 6.1% | 18,155 | 16,842 | $145K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 6.0% | 1,085 | 1,040 | $142K |
| 52000 | 4.3% | 774 | 759 | $101K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.1% | 758 | 745 | $73K |
| 99243 | 1.6% | 372 | 358 | $37K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.5% | 412 | 392 | $34K |
| 81001 | 1.3% | 14,744 | 13,460 | $31K | |
| 81002 | 1.1% | 12,391 | 11,875 | $26K |
20 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 659 | $25K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 488 | $21K |
| 54161 | <1% | 110 | $20K | |
| 51701 | <1% | 284 | $11K | |
| 52356 | <1% | 16 | $7K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 266 | $7K |
| 54640 | <1% | 12 | $5K | |
| 74178 | <1% | 39 | $5K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 38 | $5K |
| 51705 | <1% | 102 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 26 | $2K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 12 | $2K |
| 81000 | <1% | 724 | $1K | |
| 87640 | <1% | 13 | $477.10 | |
| 87653 | <1% | 13 | $477.10 | |
| 87481 | <1% | 12 | $424.03 | |
| 74420 | <1% | 14 | $208.80 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 14 | $40.98 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 184 | $12.07 |
| 99221 | <1% | 12 | $4.66 |
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 officialMATTA, NEPHTALI (CEO)