Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Columbia Rio Grande Healthcare, L.P. (NPI 1619924719)

Columbia Rio Grande Healthcare, L.P. is a general acute care hospital provider located in Mcallen, Texas. This profile covers 0 Medicare and 135 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Columbia Rio Grande Healthcare, L.P.
Address	101 E Ridge Rd
City	Mcallen
State	TX
ZIP	78503
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 27, 2006

Payer Source	Total Paid
Medicaid	$17.7M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

135 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	48,920	$140	$6.8M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	21,680	$220	$4.8M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	1,030	$1,150	$1.2M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	4,820	$130	$626.1K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	16,510	$30	$495.3K
G0330	Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…	840	$500	$425.4K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	11,150	$20	$267.5K
G0378	Hospital observation service, per hour	270	$810	$216K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	7,740	$30	$209K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	10,440	$20	$208.7K

Showing 1–10 of 135

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

Claims Volume vs. Texas Distribution

Columbia Rio Grande Healthcare, L.P. — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

135 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	88	710	1,790	$200	$2.1M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	18	70	370	$760	$1M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	40	730	1,960	$100	$1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	220	590	740	$170	$969.2K
G0378	Hospital observation service, per hour	40	70	300	$500	$465K
G0330	Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…	4	20	330	$1,140	$456.9K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	35	160	200	$280	$321.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	42	370	360	$120	$279.5K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	271	370	550	$80	$249.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	768	6,040	710	$40	$232.8K

Showing 1–10 of 135

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Volver A Casa Home Health Services, Inc.	TX	Personal Care Attendant	$0	$27M
Med Care Emergency Medical Services Inc	TX	Ambulance	$1.2M	$10.9M
Omar Gonzalez	TX	Emergency Medicine Physician	$2M	$0
Billie Marek	TX	Medical Oncology Physician	$1.6M	$0
Abdulrahman Rageh	TX	Ophthalmology Physician	$956.9K	$429.9K
Endoscopy Center At Ridge Plaza LP	TX	Ambulatory Surgical Clinic/Center	$187.9K	$564.3K
Sanjeeb Bhandari	TX	Ophthalmology Physician	$678.1K	$0
Javier Leal	TX	Physical Therapist	$478.5K	$0
Nyan Phyo	TX	Nephrology Physician	$350K	$0
Enrique Griego	TX	Family Medicine Physician	$129.3K	$198.1K

Columbia Rio Grande Healthcare, L.P. — Billing Profile & Reimbursement Data

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Columbia Rio Grande Healthcare, L.P. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References