Active NPI 1881621365 Individual Practitioner Male Practitioner

Dr. Raul Barreda , MD

Surgery • Mcallen, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Raul Barreda, MD is a certified Surgery practicing in Mcallen, TX. With approximately 25 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 2001, Dr. Barreda delivers high-quality medical care to the local community at 1100 E DOVE AVE STE 300.

Dr. Barreda is affiliated with Renaissance Specialty Surgery and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, critical care, first, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1100 E Dove Ave Ste 300

Mcallen, TX 785044682

Telephone 9563628170

Fax 9563628168

Associated Practice Facility / Clinic

🏢 Renaissance Specialty Surgery Facility NPI 1174952907

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Mcallen, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs -3.2 yrs vs City Avg

City Avg: 28.2 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

28 Specialists

Practicing in Mcallen, TX (2342 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Barreda (25 Years) 25 Yrs

Mcallen Specialty Average (28.2 Years) 28.2 Yrs

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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	18	$342.00	$108.98
99291 Critical care, first 30-74 minutes	26	26	$786.00	$200.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	19	$228.00	$74.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$375.00	$123.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$480.00	$125.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$498.00	$162.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	32	$184.52	$77.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$533.70	$169.80
99291 Critical care, first 30-74 minutes	17	17	$1066.47	$208.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	23	$178.00	$69.34
99291 Critical care, first 30-74 minutes	22	22	$1084.00	$211.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$540.00	$192.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	109	63	$178.00	$70.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	84	82	$440.00	$133.16
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	19	$126.00	$37.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	16	$540.00	$196.48
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$371.00	$181.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	88	55	$178.00	$72.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	74	69	$440.00	$137.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	14	$126.00	$38.93
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$4067.00	$715.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$440.00	$135.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$173.00	$77.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$277.00	$109.63
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	13	13	$37.00	$18.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	12	$178.00	$71.80
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$140.00	$50.43
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$4067.00	$682.53
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$371.00	$166.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$275.00	$126.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	20	$173.00	$76.61
99213 Established patient office or other outpatient visit, typically 15 minutes	22	18	$140.00	$49.96
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	16	16	$4067.00	$632.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$540.00	$197.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$440.00	$133.26
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$371.00	$164.33
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	11	11	$37.00	$14.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	126	70	$166.90	$69.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	110	68	$120.00	$37.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	53	$316.67	$131.21
99213 Established patient office or other outpatient visit, typically 15 minutes	45	35	$105.00	$68.92
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	33	21	$245.00	$96.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$373.00	$189.76
99221 Initial hospital inpatient care per day, typically 30 minutes	28	28	$228.00	$98.22
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$364.29	$189.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	14	$148.29	$102.44
99238 Hospital discharge day management, 30 minutes or less	17	17	$142.00	$69.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$244.67	$156.25
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	13	$61.71	$18.56
11044 Removal of bone, 20.0 sq cm or less	13	13	$1000.00	$208.29
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$4000.00	$663.86

Medical Specialties & State Licenses

CMS Verified: 2023-03-24

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX M3463

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Trauma Surgery

NUCC Taxonomy Code: 2086S0127X

State License TX M3463

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

184481305 (TX)

Medicaid State Provider ID

184481303 (TX)

Medicaid State Provider ID

164184701 (TX)

Medicaid State Provider ID

184481304 (TX)

Medicaid State Provider ID

184480302 (TX)

Commercial Insurance / Payer ID Railroad

P00933302 (TX)

Commercial Insurance / Payer ID Railroad

P00361474 (TX)

Commercial Insurance / Payer ID Bcbs

8X7929 (TX)

Commercial Insurance / Payer ID Bcbs

0034TW (TX)

Commercial Insurance / Payer ID Bcbs

8K9033 (TX)

Hospital & Practice Group Affiliations

Renaissance Specialty Surgery

1100 E Dove Ave, Mcallen, TX 785044682

Phone: 9563628170

Practice Associates & Co-Workers

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

22 Associated Practitioners

Ambur Ledbetter , APRN-CNP

Nurse Practitioner - Family

NPI 1043738750

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Dr. Fernando Lambreton Hinojosa , MD

Colon & Rectal Surgery

NPI 1063906469

Doctor of Medicine (M.D.)

Salma Ruiz Sandoval

Physician Assistant

NPI 1073203873

Dr. Alejandro Garza , MD

Surgery - Vascular Surgery

NPI 1073990990

Doctor of Medicine (M.D.)

Dr. Gabriel Gonzalez , MD

Surgery - Vascular Surgery

NPI 1134516016

Doctor of Medicine (M.D.)

Dr. Roy Edwards , DO

Surgery - Surgical Critical Care

NPI 1255530309

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location March 24, 2023

Registered at 1100 E DOVE AVE STE 300, MCALLEN, TX 785044682 (Tel: 9563628170)

📍

Updated Practice Location August 27, 2018

Registered at 1100 E DOVE AVE STE 300, MCALLEN, TX 78504 (Tel: 9563628170)

📍

Updated Business Mailing Address August 27, 2018

Registered at PO BOX 2975, MCALLEN, TX 785022975 (Tel: 9563628170)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2018

Surgery (License #M3463 in TX)

📍

Updated Practice Location April 19, 2018

Registered at 2821 MICHAELANGELO DR STE 101, EDINBURG, TX 785391411 (Tel: 9563833360)

✅

NPI Profile Active July 23, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 23, 2013

Registered at 1801 S 5TH ST STE 120, MCALLEN, TX 785032919 (Tel: 9566877151)

📍

Updated Business Mailing Address July 23, 2013

Registered at 1801 S 5TH ST STE 120, MCALLEN, TX 785032919 (Tel: 9566877151)

👤

Provider Name / Credentials Updated July 23, 2013

Recorded as RAUL BARREDA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2013

Surgery (License #M3463 in TX)

🟢

Initial NPI Registration & Enumeration June 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1881621365

Entity Type:

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

Enumeration Date: June 28, 2006

Last Update: March 24, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2975

Mcallen, TX 785022975

Phone: 9563628170

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.