Clinic
RGV Primary Care, INC.
RGV Primary Care, INC. was paid $264K by Medicaid between Jan 2018 and Oct 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoRGV PRIMARY CARE, INC.
MCALLEN, TX 78503
MCALLEN, TX 78503
33aNPI1881995884assigned 11/06/2010
33bProvider typeUrgent Care Clinic/Center
28Total paid$264K
24GClaims27,781
24DCodes billed28
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Texas
Rank by total paid#55 of 151
Median peer was paid$125K
This provider vs. median2.1×
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 | 175 | $861.28 | |
| 2020 | 1,775 | $27K | |
| 2021 | 4,998 | $89K | |
| 2022 | 11,990 | $82K | |
| 2023 | 6,831 | $44K | |
| 2024incomplete | 2,012 | $20K |
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 | 26% | 2,632 | 2,322 | $69K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 22% | 2,673 | 2,434 | $58K |
| 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 | 21% | 1,049 | 1,039 | $55K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.5% | 1,295 | 1,195 | $22K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.4% | 686 | 682 | $20K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.8% | 1,286 | 1,128 | $10K |
| 87276 | 2.8% | 1,443 | 1,351 | $7K | |
| 87275 | 2.2% | 1,448 | 1,354 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.1% | 196 | 196 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 452 | 386 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 107 | 103 | $2K |
| 99000 | <1% | 274 | 257 | $2K |
16 more codes
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 238 | $2K |
| 86317 | <1% | 323 | $1K | |
| 99051 | <1% | 3,944 | $522.84 | |
| 86756 | <1% | 78 | $405.76 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 376 | $257.72 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 103 | $238.29 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 603 | $51.35 |
| 81000 | <1% | 27 | $25.68 | |
| 3078F | 0% | 964 | $0.00 | |
| 3077F | 0% | 380 | $0.00 | |
| 3075F | 0% | 239 | $0.00 | |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 0% | 5,100 | $0.00 |
| 3074F | 0% | 1,079 | $0.00 | |
| 3080F | 0% | 216 | $0.00 | |
| 3079F | 0% | 558 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 12 | $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 officialDIAZ, SERGIO (OWNER)
| Provider | Location | Paid |
|---|---|---|
| JT JS, LLP | Mcallen, TX | $42K |
| DR Joint Care INC | North Bay Village, FL | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.