Physician
Complex Care Medical Services Corporation
Complex Care Medical Services Corporation was paid $220K by Medicaid between Nov 2020 and May 2024, across 11 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 74% of everything it billed.
33Billing provider infoCOMPLEX CARE MEDICAL SERVICES CORPORATION
DALLAS, TX 75235
DALLAS, TX 75235
33aNPI1013256098assigned 02/11/2013
33bProvider typePediatrics Physician
28Total paid$220K
24GClaims3,115
24DCodes billed11
24AFirst – last monthNov 2020 – May 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#625 of 1,136
Median peer was paid$329K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2020 | 28 | $1K | |
| 2021 | 938 | $57K | |
| 2022 | 875 | $61K | |
| 2023 | 963 | $67K | |
| 2024incomplete | 311 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 74% | 1,505 | 1,395 | $163K |
| 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 | 17% | 557 | 522 | $38K |
| 99417 | Prolong home eval add 15m | 3.4% | 195 | 150 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 139 | 134 | $6K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 195 | 163 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 77 | 76 | $1K |
| 99000 | <1% | 64 | 63 | $700.94 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 34 | 34 | $477.16 |
| 99487 | Ccm add 20min | <1% | 12 | 12 | $125.00 |
| 96161 | <1% | 146 | 145 | $66.58 | |
| 90686 | 0% | 191 | 189 | $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 officialMELTON, ADAM (SVP PHYSICIAN OPERATIONS)
| Provider | Location | Paid |
|---|---|---|
| Dallas Physician Medical Services for Children INC | Dallas, TX | $20.16M |
| Provision Eye Care, LLC | Glen Allen, VA | $676K |
| Dallas Physician Medical Services for Children INC | Dallas, TX | $382K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.