Baylor College of Medicine
Baylor College of Medicine was paid $18.14M by Medicaid between Jan 2018 and Dec 2024, across 129 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 17% of everything it billed.
33Billing provider infoBAYLOR COLLEGE OF MEDICINE
HOUSTON, TX 77030
HOUSTON, TX 77030
33aNPI1053352914assigned 06/09/2006
33bProvider typePh.D. Medical Genetics
28Total paid$18.14M
24GClaims420,259
24DCodes billed129
24AFirst – last monthJan 2018 – Dec 2024
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 | 17,895 | $646K | |
| 2019 | 16,496 | $624K | |
| 2020 | 29,001 | $1.09M | |
| 2021 | 87,724 | $3.73M | |
| 2022 | 99,522 | $4.69M | |
| 2023 | 108,927 | $4.73M | |
| 2024incomplete | 60,694 | $2.65M |
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 | 17% | 79,974 | 72,691 | $3.07M |
| 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 | 14% | 47,546 | 43,746 | $2.60M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.2% | 17,483 | 16,150 | $1.30M |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | 5.9% | 1,181 | 1,157 | $1.06M |
| 99460 | 3.6% | 7,892 | 7,818 | $654K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.5% | 7,273 | 7,156 | $632K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 3.2% | 4,678 | 2,185 | $584K |
| 99477 | 2.8% | 1,320 | 1,301 | $511K | |
| 99381 | 2.5% | 5,455 | 5,355 | $450K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.3% | 6,621 | 6,518 | $417K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.1% | 3,896 | 3,613 | $387K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 1.9% | 901 | 161 | $344K |
117 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.8% | 3,522 | $322K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.7% | 4,850 | $315K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.6% | 7,796 | $285K |
| 59025 | Fetal non-stress test | 1.5% | 10,196 | $267K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 1.5% | 1,999 | $265K |
| 70450 | Computed tomography, head or brain; without contrast material | 1.4% | 8,640 | $257K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.4% | 5,743 | $257K |
| 90834 | Psychotherapy session, about 45 minutes | 1.4% | 5,053 | $255K |
| 71045 | Radiologic examination, chest; single view | 1.3% | 36,239 | $234K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.2% | 3,720 | $210K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.1% | 39,356 | $198K |
| 99285 | Emergency room visit (most serious) | <1% | 1,836 | $173K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 6,131 | $168K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 4,097 | $166K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 3,641 | $154K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,510 | $151K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 3,157 | $144K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 215 | $140K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 3,227 | $136K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 757 | $132K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,507 | $132K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 4,864 | $125K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 1,405 | $109K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 13,949 | $106K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 2,229 | $102K |
| 99462 | <1% | 2,466 | $99K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 666 | $91K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 1,622 | $89K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 936 | $88K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 8,201 | $74K |
| 99284 | Emergency room visit (serious) | <1% | 884 | $66K |
| 83020 | <1% | 7,063 | $62K | |
| 90837 | Psychotherapy session, about an hour | <1% | 583 | $54K |
| 77014 | <1% | 1,408 | $46K | |
| 88307 | <1% | 554 | $42K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,841 | $38K |
| 76801 | <1% | 894 | $38K | |
| 59514 | <1% | 52 | $36K | |
| 01961 | <1% | 60 | $34K | |
| 74018 | <1% | 4,697 | $32K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 1,486 | $31K |
| 93975 | <1% | 693 | $28K | |
| 99223 | Prolong inpt eval add15 m | <1% | 205 | $24K |
| 71250 | <1% | 404 | $21K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 401 | $20K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 423 | $17K |
| 88141 | <1% | 690 | $14K | |
| 99283 | Emergency room visit (moderate) | <1% | 386 | $14K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 171 | $13K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 113 | $13K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 183 | $12K |
| 84165 | <1% | 1,573 | $11K | |
| 76830 | Ultrasound, transvaginal | <1% | 395 | $11K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 218 | $10K |
| 76820 | <1% | 446 | $9K | |
| 76770 | <1% | 355 | $9K | |
| 99220 | <1% | 91 | $9K | |
| 76857 | <1% | 424 | $8K | |
| 85390 | <1% | 577 | $8K | |
| 70486 | <1% | 211 | $7K | |
| 92015 | Determination of refractive state | <1% | 737 | $7K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 301 | $7K |
| 99221 | <1% | 93 | $6K | |
| 72100 | <1% | 761 | $6K | |
| 99463 | <1% | 56 | $6K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 296 | $6K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 177 | $6K |
| 86077 | <1% | 216 | $5K | |
| 99383 | <1% | 60 | $5K | |
| 85060 | <1% | 479 | $5K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 97 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 55 | $4K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 160 | $4K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 41 | $4K |
| 99253 | <1% | 55 | $4K | |
| 93295 | <1% | 298 | $4K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 52 | $4K |
| 92588 | <1% | 174 | $3K | |
| 73630 | <1% | 592 | $3K | |
| 99254 | <1% | 26 | $3K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 144 | $3K |
| 73030 | <1% | 474 | $3K | |
| 99382 | <1% | 34 | $3K | |
| 93458 | <1% | 13 | $3K | |
| 73130 | <1% | 453 | $3K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 42 | $3K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 54 | $3K |
| 93923 | <1% | 186 | $2K | |
| 99152 | <1% | 401 | $2K | |
| 78306 | <1% | 62 | $2K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 44 | $2K |
| 99384 | <1% | 18 | $2K | |
| 73565 | <1% | 257 | $2K | |
| 92567 | <1% | 198 | $1K | |
| 92579 | <1% | 55 | $1K | |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 39 | $1K |
| 76642 | <1% | 57 | $1K | |
| 88342 | <1% | 43 | $977.06 | |
| 77066 | Tomosynthesis, mammo | <1% | 27 | $930.16 |
| 88302 | <1% | 150 | $886.03 | |
| 84166 | <1% | 51 | $869.48 | |
| 99219 | <1% | 12 | $850.39 | |
| 62322 | <1% | 14 | $834.04 | |
| 73562 | <1% | 120 | $830.84 | |
| 77080 | <1% | 138 | $824.87 | |
| 70496 | <1% | 13 | $740.05 | |
| 73610 | <1% | 103 | $699.41 | |
| 93018 | <1% | 72 | $570.71 | |
| 93227 | <1% | 43 | $500.55 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 13 | $386.97 |
| 11981 | <1% | 12 | $243.08 | |
| 70355 | <1% | 25 | $226.08 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 12 | $131.14 |
| 73110 | <1% | 14 | $86.15 | |
| 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% | 79 | $50.25 |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 6,538 | $0.00 |
| 90785 | 0% | 292 | $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 officialALLISON, RICHARD (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Baylor College of Medicine | San Antonio, TX | $26.05M |
| Baylor College of Medicine | Houston, TX | $3.06M |
| Baylor ST. Luke's Medical Group | Houston, TX | $2.77M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.