Physician
Rio Grande Orthopedic Center
Rio Grande Orthopedic Center was paid $48K by Medicaid between Jan 2018 and Mar 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoRIO GRANDE ORTHOPEDIC CENTER
HARLINGEN, TX 78550
HARLINGEN, TX 78550
33aNPI1932252632assigned 01/18/2007
33bProvider typeOrthopaedic Surgery Physician
28Total paid$48K
24GClaims12,889
24DCodes billed19
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Texas
Rank by total paid#29 of 105
Median peer was paid$11K
This provider vs. median4.3×
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 | 4,234 | $8K | |
| 2019 | 3,696 | $6K | |
| 2020 | 2,361 | $7K | |
| 2021 | 1,307 | $10K | |
| 2022 | 709 | $9K | |
| 2023 | 528 | $7K | |
| 2024incomplete | 54 | $1K |
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 | 39% | 1,700 | 1,577 | $19K |
| 20610 | 18% | 1,361 | 959 | $9K | |
| 73560 | 17% | 1,477 | 1,343 | $8K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.3% | 171 | 170 | $3K |
| 73565 | 6.2% | 530 | 521 | $3K | |
| 27447 | 3.9% | 71 | 63 | $2K | |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | 3.9% | 116 | 36 | $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 | 3.6% | 87 | 78 | $2K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 2.5% | 448 | 326 | $1K |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 1,295 | 1,230 | $0.00 |
| 99024 | 0% | 340 | 251 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 183 | 170 | $0.00 |
7 more codes
| 1006F | 0% | 754 | $0.00 | |
| 1036F | 0% | 48 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,384 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 1,018 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 1,115 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 754 | $0.00 |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 0% | 37 | $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 officialBASSETT, RICK (PRESIDENT)