Managed care
Rene Vela M.D.,P.A
Rene Vela M.D.,P.A was paid $282K by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoRENE VELA M.D.,P.A
ALAMO, TX 78516
ALAMO, TX 78516
33aNPI1811186042assigned 10/24/2007
33bProvider typePreferred Provider Organization
28Total paid$282K
24GClaims34,546
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Preferred Provider Organization providers in Texas
Rank by total paid#14 of 32
Median peer was paid$168K
This provider vs. median1.7×
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 | 3,761 | $18K | |
| 2019 | 2,691 | $14K | |
| 2020 | 2,458 | $15K | |
| 2021 | 6,659 | $46K | |
| 2022 | 7,736 | $71K | |
| 2023 | 6,711 | $69K | |
| 2024incomplete | 4,530 | $49K |
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 | 55% | 5,549 | 4,447 | $155K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 3,697 | 3,001 | $81K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.3% | 467 | 412 | $15K |
| 99000 | 3.9% | 3,095 | 2,849 | $11K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.6% | 1,665 | 1,428 | $10K |
| 80061 | Lipid panel | <1% | 495 | 470 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 136 | 130 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 131 | 64 | $1K |
| 90756 | <1% | 179 | 174 | $1K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 30 | 29 | $910.36 |
| 90661 | <1% | 52 | 52 | $861.30 | |
| 90674 | <1% | 77 | 74 | $860.27 |
41 more codes
| 0012A | <1% | 106 | $636.19 | |
| 0013A | <1% | 132 | $440.00 | |
| 0011A | <1% | 107 | $362.66 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 851 | $167.21 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 53 | $90.24 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 26 | $47.44 |
| 82044 | <1% | 88 | $31.54 | |
| 82570 | <1% | 88 | $26.23 | |
| 81002 | <1% | 12 | $20.44 | |
| J1020 | Injection, methylprednisolone acetate, 20 mg | <1% | 40 | $19.40 |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,152 | $5.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 272 | $0.07 |
| 91301 | <1% | 357 | $0.06 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | <1% | 1,129 | $0.01 |
| 3078F | 0% | 2,809 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 135 | $0.00 |
| 1160F | 0% | 169 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 43 | $0.00 |
| 1159F | 0% | 165 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 606 | $0.00 |
| 1090F | 0% | 87 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 239 | $0.00 |
| 77080 | 0% | 15 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 234 | $0.00 |
| 4040F | 0% | 16 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 18 | $0.00 |
| 3044F | 0% | 135 | $0.00 | |
| 1101F | 0% | 627 | $0.00 | |
| 3008F | 0% | 2,948 | $0.00 | |
| 3074F | 0% | 2,565 | $0.00 | |
| 1036F | 0% | 602 | $0.00 | |
| 1170F | 0% | 84 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 233 | $0.00 |
| 3075F | 0% | 24 | $0.00 | |
| 4010F | 0% | 462 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 166 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 12 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 110 | $0.00 |
| 3017F | 0% | 16 | $0.00 | |
| 1111F | 0% | 26 | $0.00 | |
| 3061F | 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 officialVELA, RENE (DOCTOR)
| Provider | Location | Paid |
|---|---|---|
| Rene Vela D.D.S. INC. | Corpus Christi, TX | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.