Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

VALLEY PULMONARY GROUP, PLLC

NPI: 1952497398 · MCALLEN, TX 78503 · Pulmonary Disease Physician · NPI assigned 10/05/2006

$1.72M
Total Medicaid Paid
49,242
Total Claims
30,662
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, RAMON (DIRECTOR)
NPI Enumeration Date10/05/2006

Related Entities

Other providers sharing the same authorized official: RODRIGUEZ, RAMON

ProviderCityStateTotal Paid
RAMA ASSOCIATES LLC HAGAMAN NY $19.14M
SOL DENTAL PA. MIAMI FL $50K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,246 $230K
2019 12,372 $313K
2020 7,252 $341K
2021 6,553 $387K
2022 4,449 $232K
2023 3,079 $157K
2024 2,291 $63K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 14,315 5,531 $1.11M
99232 Subsequent hospital care, per day, moderate complexity 10,642 4,597 $166K
99255 874 855 $127K
99233 Prolong inpt eval add15 m 5,419 2,666 $124K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,820 4,563 $84K
99223 Prolong inpt eval add15 m 2,312 2,279 $65K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 207 198 $11K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 801 758 $8K
99254 65 64 $7K
94060 323 304 $5K
94729 203 190 $5K
94727 169 163 $3K
99222 Initial hospital care, per day, moderate complexity 70 70 $3K
94618 37 36 $395.77
99441 35 35 $22.14
1123F 810 759 $0.00
1036F 2,727 2,557 $0.00
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) 28 28 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 120 114 $0.00
90674 19 19 $0.00
G0008 Administration of influenza virus vaccine 57 36 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,044 2,857 $0.00
G8482 Influenza immunization administered or previously received 843 768 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 932 869 $0.00
4040F 340 316 $0.00
G8851 Adherence to therapy was assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available, documented) 12 12 $0.00
1124F 18 18 $0.00