Physician
Ochoa, Ricardo
Ochoa, Ricardo was paid $1.23M by Medicaid between Feb 2019 and Aug 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoOCHOA, RICARDO
MCALLEN, TX 78501
MCALLEN, TX 78501
33aNPI1841310695assigned 03/29/2007
33bProvider typePediatrics Physician
28Total paid$1.23M
24GClaims52,404
24DCodes billed47
24AFirst – last monthFeb 2019 – Aug 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#335 of 1,136
Median peer was paid$329K
This provider vs. median3.8×
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 | |
|---|---|---|---|
| 2019 | 23 | $818.97 | |
| 2020 | 2,096 | $44K | |
| 2021 | 12,240 | $300K | |
| 2022 | 15,700 | $361K | |
| 2023 | 14,337 | $325K | |
| 2024incomplete | 8,008 | $201K |
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 | 42% | 14,407 | 10,370 | $519K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.7% | 1,231 | 1,196 | $95K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.5% | 1,030 | 984 | $80K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 6.1% | 5,752 | 2,600 | $76K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 5.3% | 1,671 | 1,538 | $65K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.5% | 5,347 | 2,451 | $55K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.4% | 679 | 632 | $54K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.2% | 715 | 660 | $52K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.8% | 950 | 845 | $47K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.7% | 3,457 | 3,111 | $46K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.4% | 682 | 637 | $30K |
| 99429 | 2.0% | 728 | 713 | $24K |
35 more codes
| 92587 | 1.0% | 1,882 | $13K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 142 | $10K |
| 99000 | <1% | 1,146 | $10K | |
| 90461 | <1% | 3,267 | $9K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,100 | $9K |
| 87807 | <1% | 779 | $8K | |
| 99050 | <1% | 528 | $8K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 110 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 413 | $5K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 115 | $3K |
| 90715 | <1% | 152 | $3K | |
| 90686 | <1% | 768 | $1K | |
| 87634 | <1% | 26 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 51 | $1K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 71 | $1K |
| 96160 | <1% | 414 | $688.47 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 55 | $479.81 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 115 | $141.44 |
| 96161 | <1% | 147 | $83.25 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 41 | $38.28 |
| 90677 | <1% | 137 | $0.26 | |
| 90651 | <1% | 37 | $0.05 | |
| 99173 | 0% | 1,958 | $0.00 | |
| 90633 | 0% | 111 | $0.00 | |
| 90670 | 0% | 504 | $0.00 | |
| 90710 | 0% | 145 | $0.00 | |
| 90734 | 0% | 102 | $0.00 | |
| 90700 | 0% | 14 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 502 | $0.00 |
| 90647 | 0% | 367 | $0.00 | |
| 90680 | 0% | 362 | $0.00 | |
| 90723 | 0% | 94 | $0.00 | |
| 36416 | 0% | 70 | $0.00 | |
| 90698 | 0% | 15 | $0.00 | |
| 90696 | 0% | 15 | $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.