Physician
Egbe, Joyce
Egbe, Joyce was paid $2.03M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 16% of everything it billed.
33Billing provider infoEGBE, JOYCE
WHARTON, TX 77488
WHARTON, TX 77488
33aNPI1033303490assigned 08/29/2007
33bProvider typePediatrics Physician
28Total paid$2.03M
24GClaims112,261
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#245 of 1,136
Median peer was paid$329K
This provider vs. median6.2×
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 | 190 | $3K | |
| 2019 | 1,919 | $36K | |
| 2020 | 9,622 | $147K | |
| 2021 | 24,120 | $416K | |
| 2022 | 25,314 | $496K | |
| 2023 | 26,191 | $511K | |
| 2024incomplete | 24,905 | $419K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 16% | 4,070 | 3,582 | $325K |
| 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% | 5,991 | 5,040 | $298K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 8,230 | 7,146 | $295K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 3,056 | 2,753 | $234K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.0% | 2,115 | 1,847 | $183K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.0% | 14,230 | 5,671 | $143K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.3% | 1,771 | 1,539 | $127K |
| G0315 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) | 5.8% | 3,959 | 2,930 | $118K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.8% | 1,360 | 1,176 | $57K |
| S8301 | Infection control supplies, not otherwise specified | 2.7% | 13,247 | 11,430 | $55K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.7% | 4,713 | 3,483 | $35K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 2,648 | 1,162 | $35K |
45 more codes
| 92551 | 1.1% | 7,721 | $21K | |
| 90461 | <1% | 3,593 | $18K | |
| 99429 | <1% | 531 | $17K | |
| 99050 | <1% | 1,122 | $16K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 576 | $8K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,003 | $7K |
| 99381 | <1% | 97 | $6K | |
| 90677 | <1% | 279 | $6K | |
| 96160 | <1% | 2,459 | $4K | |
| 90619 | <1% | 496 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 189 | $4K |
| 99383 | <1% | 20 | $2K | |
| 99384 | <1% | 17 | $2K | |
| 97169 | <1% | 88 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 22 | $1K |
| 99460 | <1% | 16 | $1K | |
| 99072 | <1% | 1,834 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $794.16 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 13 | $711.60 |
| 99051 | <1% | 123 | $539.50 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 13 | $490.37 |
| 97803 | <1% | 3,579 | $375.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 60 | $153.90 |
| 99173 | <1% | 7,223 | $3.50 | |
| 90686 | <1% | 1,233 | $0.60 | |
| 90651 | <1% | 1,152 | $0.52 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 2,417 | $0.27 |
| 90674 | <1% | 18 | $0.18 | |
| 90697 | <1% | 25 | $0.04 | |
| 90672 | <1% | 134 | $0.03 | |
| 90715 | <1% | 377 | $0.02 | |
| 90633 | <1% | 914 | $0.01 | |
| 90670 | <1% | 1,251 | $0.01 | |
| 90734 | <1% | 354 | $0.01 | |
| 90648 | 0% | 838 | $0.00 | |
| 90700 | 0% | 86 | $0.00 | |
| 90707 | 0% | 1,013 | $0.00 | |
| 90685 | 0% | 75 | $0.00 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 3,213 | $0.00 |
| 90680 | 0% | 819 | $0.00 | |
| 90716 | 0% | 1,010 | $0.00 | |
| 90696 | 0% | 290 | $0.00 | |
| 90723 | 0% | 374 | $0.00 | |
| 90698 | 0% | 150 | $0.00 | |
| 96161 | 0% | 42 | $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.