Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Critical Care Specialists of North Texas, PLLC

Critical Care Specialists of North Texas, PLLC was paid $50K by Medicaid between Jan 2018 and Jan 2022, across 1 billing code. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 100% of everything it billed.

33Billing provider infoCRITICAL CARE SPECIALISTS OF NORTH TEXAS, PLLC
WICHITA FALLS, TX 76301
33aNPI1851717508assigned 03/05/2014
28Total paid$50K
24GClaims639
24DCodes billed1
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers

Next to other Pulmonary Disease Physician providers in Texas

Rank by total paid#26 of 92
Median peer was paid$8K
This provider vs. median5.8×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
201848$2K
2020279$13K
2021263$29K
202249$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 100% 639 219 $50K

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 officialRIVERA, RAFAEL (PRESIDENT)
Same official

Other billing entities under RIVERA, RAFAEL

Full network →
ProviderLocationPaid
Rivera & Associates, P.A.Mooresville, NC$10.93M
CyrcorpCidra, PR$1.69M
Cidra MedigroupCidra, PR$11K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.