Ralph Alhalel PA

Ralph Alhalel PA was paid $73K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoRALPH ALHALEL PA
MCALLEN, TX 78503

33aNPI1902839046assigned 07/09/2006

33bProvider typeInfectious Disease Physician

28Total paid$73K

24GClaims4,765

24DCodes billed14

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Infectious Disease Physician providers in Texas

Rank by total paid#35 of 110

Median peer was paid$33K

This provider vs. median2.2×

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	1,254	$4K
2019	665	$4K
2020	557	$5K
2021	674	$19K
2022	584	$13K
2023	691	$22K
2024incomplete	340	$7K

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	48%	2,907	2,796	$35K
88305	Level IV - Surgical pathology, gross and microscopic examination	17%	530	465	$12K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	16%	410	390	$12K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12%	357	341	$9K
88313		3.2%	146	143	$2K
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	1.5%	71	67	$1K
88342		1.5%	92	92	$1K
88312		1.2%	13	13	$863.89
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	49	30	$222.85
91200		<1%	17	16	$74.77
G8918	Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis	0%	73	62	$0.00
99222	Initial hospital care, per day, moderate complexity	0%	13	12	$0.00

2 more codes

G8907	Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility	0%	73	$0.00
G0500	Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)	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 officialALHALEL, RALPH (OWNER PRESIDENT)