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NPI 1972597474 · Sugar Land, TX · Pulmonary Disease Physician
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Mauricio Reinoso is a pulmonary disease physician provider located in Sugar Land, Texas. This profile covers 17 Medicare and 11 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Mauricio Reinoso |
| Address | 16605 Southwest Fwy |
| City | Sugar Land |
| State | TX |
| ZIP | 77479 |
| Taxonomy | Pulmonary Disease Physician |
| NPI Enumerated | September 12, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $181.1K |
| Medicaid | $144.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 820 | $90 | $75.7K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 110 | $150 | $15.9K |
| 95800 | A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping. | 120 | $120 | $13.9K |
| 95811 | During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more. | 90 | $130 | $12.5K |
| 95810 | Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,… | 90 | $130 | $11.6K |
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 60 | $150 | $9.1K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 60 | $140 | $7.9K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 130 | $60 | $7.9K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 80 | $90 | $7.6K |
| 94660 | The provider initiates continuous positive airway pressure ventilation, or CPAP, typically for a patient with sleep apnea, or periodic cessation of breathing while asleep. He trains the patient on… | 110 | $50 | $5.1K |
Showing 1–10 of 17
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
17 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99233 | 5,154 | 9,320 | 100 | $90 | $17.9K |
| 99214 | 1,296 | 32,500 | 110 | $80 | $17.6K |
| 99232 | 5,212 | 11,790 | 100 | $60 | $15.8K |
| 95811 | 45 | 250 | 40 | $250 | $15.7K |
| 95810 | 28 | 250 | 40 | $240 | $13.2K |
| 99223 | 3,914 | 9,990 | 40 | $130 | $9.5K |
| 99213 | 20,687 | 29,790 | 70 | $60 | $8.4K |
| 95800 | 27 | 180 | 40 | $90 | $7K |
| 99204 | 1,627 | 16,380 | 30 | $110 | $5.6K |
| 99205 | 645 | 4,320 | 30 | $150 | $5.5K |
Showing 1–10 of 17
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 95810 | Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,… | 370 | $150 | $57.1K |
| 95811 | During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more. | 270 | $150 | $40.2K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 190 | $170 | $33.8K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 90 | $160 | $13.9K |
| 1036F | N/A | 100 | $0 | $0 |
| 1124F | No Summary found for this code | 310 | $0 | $0 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 230 | $0 | $0 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 290 | $0 | $0 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 290 | $0 | $0 |
| G8839 | Sleep apnea symptoms assessed, including presence or absence of snoring and daytime sleepiness | 130 | $0 | $0 |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
11 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 95810 | Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,… | 30 | 60 | 340 | $590 | $491.5K |
| 95811 | During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more. | 7 | 30 | 50 | $570 | $156.3K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 4,441 | 5,810 | 540 | $50 | $155.5K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 579 | 1,520 | 100 | $80 | $50.1K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 386 | 860 | 220 | $1 | $30 |
| 1036F | N/A | 396 | 660 | 190 | $0 | $0 |
| 1124F | No Summary found for this code | 18 | 60 | 90 | $0 | $0 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 168 | 380 | 170 | $0 | $0 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 80 | 200 | 180 | $0 | $0 |
| G8839 | Sleep apnea symptoms assessed, including presence or absence of snoring and daytime sleepiness | 3 | 10 | 440 | $0 | $0 |
Showing 1–10 of 11
Other providers in the same ZIP code as Mauricio Reinoso, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Consolidated Home Health Holdings, LLC | TX | Home Health Agency | $0 | $23.3M |
| Fort Bend Isd | TX | Local Education Agency (LEA) | $0 | $19.3M |
| Brent Eaton | TX | Acute Care Nurse Practitioner | $5.9M | $0 |
| David Amran | TX | Allergy & Immunology Physician | $2.8M | $0 |
| Tieu Vy Nguyen | TX | Ophthalmology Physician | $2.8M | $0 |
| Memorial Hermann Surgery Center Sugar Land LLP | TX | Ambulatory Surgical Clinic/Center | $1.8M | $0 |
| Ryan Valicek | TX | Rheumatology Physician | $964.7K | $0 |
| Salman Aly | TX | Internal Medicine Physician | $923.9K | $0 |
| Swati Joglekar | TX | Geriatric Medicine (Internal Medicine) Physician | $910.9K | $0 |
| Matthew Mcmenemy | TX | Ophthalmology Physician | $826.9K | $0 |
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