Active NPI 1245211754 Individual Practitioner Male Practitioner

Dr. Ralph Nimchan , MD

Specialist • Laredo, TX

Professional Overview & Biography Verified Profile Summary

Dr. Ralph Nimchan, MD is a registered healthcare professional specializing in Specialist in Laredo, TX. Practice services are available at 6801 MCPHERSON AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6801 Mcpherson Ave
Suite 226

Laredo, TX 780416402

Telephone 9567230462

Fax 9567236547

Associated Practice Facility / Clinic

🏢 Laboratory Corporation Of America Facility NPI 1942286430

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Laredo, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 40.0 Yrs

State Avg: 38.0 Yrs

Regional Practice Density

10 Specialists

Practicing in Laredo, TX (2033 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	319	79	$130.00	$114.84
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	96	93	$50.00	$7.23
93000 Routine ekg using at least 12 leads including interpretation and report	76	63	$91.00	$12.27
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	74	16	$170.00	$93.39
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	60	55	$700.00	$172.87
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	19	19	$577.84	$60.37
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$100.00	$81.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	311	84	$130.00	$122.60
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	142	132	$50.00	$7.82
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	94	23	$170.00	$99.89
93000 Routine ekg using at least 12 leads including interpretation and report	89	71	$91.00	$13.04
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	82	72	$700.00	$188.00
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	24	21	$578.00	$65.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	383	108	$129.35	$123.81
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	150	33	$170.00	$101.38
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	137	131	$50.00	$7.99
93000 Routine ekg using at least 12 leads including interpretation and report	95	79	$91.00	$12.74
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	81	71	$700.00	$195.18
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	48	44	$580.54	$68.16
99213 Established patient office or other outpatient visit, typically 15 minutes	35	30	$99.71	$88.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	565	131	$120.00	$119.92
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	155	33	$170.00	$102.93
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	140	131	$50.00	$8.13
93000 Routine ekg using at least 12 leads including interpretation and report	123	110	$91.00	$12.95
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	119	107	$700.00	$199.99
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	64	62	$579.91	$69.29
99213 Established patient office or other outpatient visit, typically 15 minutes	39	36	$90.00	$89.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	13	$160.00	$131.34
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$210.00	$51.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	600	162	$116.13	$101.99
99213 Established patient office or other outpatient visit, typically 15 minutes	205	115	$82.93	$70.55
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	174	43	$170.00	$101.13
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	148	136	$50.00	$8.06
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	111	103	$700.00	$194.77
93000 Routine ekg using at least 12 leads including interpretation and report	102	97	$91.00	$14.17
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	56	50	$582.36	$70.24
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	16	$60.00	$37.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	17	$250.00	$191.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	15	$100.00	$68.07
99239 Hospital discharge day management, more than 30 minutes	17	15	$110.00	$100.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$160.00	$129.84
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	14	14	$212.00	$14.16
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	14	14	$100.00	$21.19
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	12	$210.00	$49.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	544	185	$110.00	$101.90
99213 Established patient office or other outpatient visit, typically 15 minutes	465	177	$80.00	$69.46
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	386	336	$50.00	$8.05
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	192	48	$170.00	$101.25
93000 Routine ekg using at least 12 leads including interpretation and report	192	164	$91.00	$15.02
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	146	136	$700.00	$191.28
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	136	112	$578.00	$69.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	126	38	$60.00	$37.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	70	46	$160.00	$127.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	33	$100.00	$68.49
99239 Hospital discharge day management, more than 30 minutes	53	36	$110.00	$100.81
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	32	32	$212.00	$14.12
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	32	32	$100.00	$21.15
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$245.00	$193.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	21	$135.00	$97.93
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	23	$210.00	$49.63
93288 Evaluation of single, dual, multiple lead or leadless pacemaker system	20	11	$150.00	$41.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$220.00	$137.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	582	205	$110.00	$100.91
99213 Established patient office or other outpatient visit, typically 15 minutes	490	187	$80.00	$68.29
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	215	199	$50.00	$8.05
93000 Routine ekg using at least 12 leads including interpretation and report	184	154	$91.00	$15.12
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	171	43	$169.88	$101.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	151	33	$60.00	$37.10
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	149	140	$700.00	$194.53
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	86	68	$582.26	$70.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	64	48	$160.00	$127.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	32	$100.00	$67.61
99239 Hospital discharge day management, more than 30 minutes	44	28	$110.00	$101.77
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	40	40	$245.00	$194.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	20	$135.00	$98.66
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	32	32	$100.00	$21.17
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	32	32	$212.00	$14.13
93288 Evaluation of single, dual, multiple lead or leadless pacemaker system	23	14	$150.00	$35.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$220.00	$136.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	691	241	$110.00	$99.75
99213 Established patient office or other outpatient visit, typically 15 minutes	537	221	$80.00	$67.78
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	327	283	$49.97	$8.02
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	194	47	$170.00	$100.89
93000 Routine ekg using at least 12 leads including interpretation and report	191	173	$91.00	$15.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	183	44	$60.00	$36.93
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	139	131	$700.00	$208.33
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	118	99	$623.27	$60.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	86	64	$160.00	$127.56
99239 Hospital discharge day management, more than 30 minutes	60	44	$110.00	$100.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	41	$100.00	$67.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	42	42	$245.00	$192.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	40	28	$135.00	$98.16
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	39	38	$100.00	$21.09
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	39	38	$212.00	$14.06
93288 Evaluation of single, dual, multiple lead or leadless pacemaker system	25	14	$150.00	$34.74
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	15	15	$370.00	$69.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$220.00	$134.70
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	13	11	$400.00	$77.34

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX E3075

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

099912002 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Roger Keene , MD

Otolaryngology

NPI 1073543690

Doctor of Medicine (M.D.)

Dr. David Garza , DO

Family Medicine

NPI 1073559324

Doctor of Osteopathic Medicine (D.O.)

Dr. Carlos Espinosa , MD

Internal Medicine - Nephrology

NPI 1194798967

Doctor of Medicine (M.D.)

Dr. Charles Schwartz , DO

Surgery

NPI 1437133725

Doctor of Osteopathic Medicine (D.O.)

Dr. Jane Unzeitig , MD

Allergy & Immunology - Allergy

NPI 1770587750

Doctor of Medicine (M.D.)

Dr. Amador Flores , OD

Optometrist

NPI 1851390736

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 04, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location February 04, 2010

Registered at 6801 MCPHERSON AVE, SUITE 226, LAREDO, TX 780416402 (Tel: 9567230462)

📍

Updated Business Mailing Address February 04, 2010

Registered at 6801 MCPHERSON AVE, SUITE 226, LAREDO, TX 780416402 (Tel: 9567230462)

👤

Provider Name / Credentials Updated February 04, 2010

Recorded as RALPH NIMCHAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2010

Specialist (License #E3075 in TX)

🟢

Initial NPI Registration & Enumeration November 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245211754

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 10, 2005

Last Update: February 04, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6801 Mcpherson Ave, Suite 226

Laredo, TX 780416402

Phone: 9567230462

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.