Physician
Memorial Hermann Medical Group
Memorial Hermann Medical Group was paid $10.17M by Medicaid between Jan 2018 and Dec 2024, across 122 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoMEMORIAL HERMANN MEDICAL GROUP
SUGAR LAND, TX 77478
SUGAR LAND, TX 77478
33aNPI1003985102assigned 11/06/2006
33bProvider typeInternal Medicine Physician
28Total paid$10.17M
24GClaims429,479
24DCodes billed122
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#5 of 1,028
Median peer was paid$10K
This provider vs. median977×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,230 | $50K | |
| 2019 | 2,836 | $27K | |
| 2020 | 14,902 | $287K | |
| 2021 | 79,567 | $2.09M | |
| 2022 | 96,727 | $2.86M | |
| 2023 | 98,203 | $2.91M | |
| 2024incomplete | 133,014 | $1.95M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 64,106 | 55,198 | $2.10M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 15% | 37,838 | 32,227 | $1.55M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 15% | 41,248 | 16,739 | $1.52M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 14,423 | 13,208 | $1.06M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.7% | 11,301 | 10,809 | $882K |
| 99223 | Prolong inpt eval add15 m | 6.9% | 9,480 | 8,994 | $702K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.1% | 56,443 | 23,633 | $621K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.4% | 3,079 | 2,905 | $140K |
| 74240 | 1.3% | 1,637 | 1,224 | $135K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.3% | 1,697 | 1,543 | $130K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 15,835 | 14,040 | $126K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,857 | 1,788 | $89K |
110 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,135 | $89K |
| 99220 | <1% | 1,417 | $88K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 126 | $71K |
| 90461 | <1% | 16,111 | $67K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 792 | $63K |
| 99460 | <1% | 864 | $53K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,052 | $48K |
| 59514 | <1% | 78 | $47K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 1,371 | $47K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,842 | $46K |
| 76830 | Ultrasound, transvaginal | <1% | 501 | $42K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,442 | $37K |
| 99217 | <1% | 1,024 | $30K | |
| 81003 | <1% | 17,863 | $29K | |
| 76818 | <1% | 379 | $29K | |
| 99381 | <1% | 427 | $28K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 10,253 | $22K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,792 | $22K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 352 | $22K |
| 54150 | <1% | 440 | $18K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 435 | $18K |
| 59025 | Fetal non-stress test | <1% | 532 | $17K |
| 76801 | <1% | 201 | $15K | |
| 99226 | <1% | 389 | $13K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 236 | $13K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 128 | $11K |
| 59430 | <1% | 112 | $10K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 109 | $10K |
| 87428 | <1% | 382 | $10K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 232 | $10K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 260 | $9K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 136 | $8K |
| 81025 | <1% | 1,398 | $8K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 120 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 588 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 237 | $5K |
| 99205 | Prolong outpt/office vis | <1% | 60 | $5K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 54 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 97 | $4K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 113 | $3K |
| 87430 | <1% | 227 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 264 | $3K |
| 93000 | <1% | 790 | $3K | |
| 99225 | <1% | 124 | $2K | |
| 99253 | <1% | 42 | $2K | |
| 90686 | <1% | 4,457 | $2K | |
| 87807 | <1% | 176 | $2K | |
| 92587 | <1% | 145 | $1K | |
| 43235 | <1% | 16 | $1K | |
| 90677 | <1% | 1,566 | $1K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 120 | $845.60 |
| 99254 | <1% | 13 | $827.62 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 22 | $782.15 |
| 51798 | <1% | 312 | $758.43 | |
| 87400 | <1% | 56 | $618.35 | |
| 87420 | <1% | 50 | $583.34 | |
| 92551 | <1% | 84 | $547.92 | |
| 99000 | <1% | 53 | $453.04 | |
| 99219 | <1% | 13 | $432.65 | |
| 92552 | <1% | 29 | $432.64 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 31 | $364.62 |
| 90715 | <1% | 12 | $362.21 | |
| 96160 | <1% | 86 | $162.87 | |
| 78492 | <1% | 15 | $89.92 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 40 | $85.65 |
| 99462 | <1% | 13 | $76.08 | |
| 90656 | <1% | 577 | $36.68 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 512 | $32.76 |
| 90670 | <1% | 6,519 | $27.50 | |
| 90697 | <1% | 1,484 | $0.01 | |
| 0503F | 0% | 63 | $0.00 | |
| 3008F | 0% | 21,492 | $0.00 | |
| 3074F | 0% | 12,779 | $0.00 | |
| 3044F | 0% | 1,323 | $0.00 | |
| 90698 | 0% | 2,757 | $0.00 | |
| 90723 | 0% | 503 | $0.00 | |
| 3079F | 0% | 2,082 | $0.00 | |
| 90680 | 0% | 4,811 | $0.00 | |
| 1125F | 0% | 683 | $0.00 | |
| 90744 | 0% | 627 | $0.00 | |
| 3075F | 0% | 165 | $0.00 | |
| 99024 | 0% | 397 | $0.00 | |
| 3061F | 0% | 1,011 | $0.00 | |
| 90716 | 0% | 199 | $0.00 | |
| 4010F | 0% | 56 | $0.00 | |
| 91307 | 0% | 78 | $0.00 | |
| 1101F | 0% | 30 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 53 | $0.00 |
| 90696 | 0% | 18 | $0.00 | |
| 90651 | 0% | 24 | $0.00 | |
| 1123F | 0% | 18 | $0.00 | |
| 90710 | 0% | 228 | $0.00 | |
| 3078F | 0% | 10,003 | $0.00 | |
| 1159F | 0% | 21,847 | $0.00 | |
| 90633 | 0% | 2,200 | $0.00 | |
| 90648 | 0% | 971 | $0.00 | |
| 3725F | 0% | 50 | $0.00 | |
| 99177 | 0% | 102 | $0.00 | |
| 0502F | 0% | 255 | $0.00 | |
| 90681 | 0% | 179 | $0.00 | |
| 99173 | 0% | 137 | $0.00 | |
| 90707 | 0% | 203 | $0.00 | |
| 90700 | 0% | 41 | $0.00 | |
| 99497 | 0% | 62 | $0.00 | |
| 3077F | 0% | 25 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 53 | $0.00 |
| 90662 | 0% | 12 | $0.00 | |
| 90671 | 0% | 26 | $0.00 | |
| 91308 | 0% | 14 | $0.00 | |
| 1160F | 0% | 30 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMCCARTHY, JAMES (EVP & PHYSICIAN CHIEF EXECUTIVE)
| Provider | Location | Paid |
|---|---|---|
| Memorial Hermann Hospital Based Physician Group | Houston, TX | $27.35M |
| MHS Physicians of Texas | Shenandoah, TX | $55K |
| South Glens Falls Central School District | South Glens Falls, NY | $42K |
| James a Mccarthy MD, PLLC | Oxford, NC | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.