Modern Medical House Calls PLLC

Modern Medical House Calls PLLC was paid $44K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99349, — 39% of everything it billed.

33Billing provider infoMODERN MEDICAL HOUSE CALLS PLLC
SOUTHLAKE, TX 76092

33aNPI1043635931assigned 02/28/2014

33bProvider typeGeneral Practice Physician

28Total paid$44K

24GClaims5,128

24DCodes billed12

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Practice Physician providers in Texas

Rank by total paid#47 of 113

Median peer was paid$22K

This provider vs. median2.0×

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	811	$839.63
2019	498	$4K
2020	339	$1K
2021	1,740	$14K
2022	596	$10K
2023	321	$2K
2024incomplete	823	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99349		39%	1,507	1,487	$17K
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 allowed practitioner development and/or revision of care plans	24%	1,300	1,300	$11K
99350	Prolong home eval add 15m	19%	252	252	$8K
G0179	Physician or allowed practitioner re-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 allowed practitioners to affirm the initial implementation of the plan of care	7.3%	1,357	1,357	$3K
99487	Ccm add 20min	5.9%	298	298	$3K
99497		2.8%	80	79	$1K
99490	Ccm add 20min	1.2%	92	92	$523.90
99439		<1%	91	91	$381.94
99458		<1%	30	30	$17.62
99457		<1%	47	47	$14.80
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 allowed practitioners to affirm the initial implementation of the plan of care	0%	32	32	$0.00
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	42	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.

From NPPES

Who's on the registration

Authorized officialDAMJI, SALIM (OWNER)