Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Physicians Referral Service

Physicians Referral Service was paid $266K by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 36% of everything it billed.

33Billing provider infoPHYSICIANS REFERRAL SERVICE
HOUSTON, TX 77030
33aNPI1073574810assigned 03/31/2006
28Total paid$266K
24GClaims20,592
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Texas

Rank by total paid#36 of 86
Median peer was paid$191K
This provider vs. median1.4×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20181,339$3K
20191,386$2K
20201,386$7K
20215,497$70K
20225,805$127K
20233,726$43K
2024incomplete1,453$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 36% 1,454 383 $97K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 13% 1,011 785 $36K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 9.7% 8,237 6,988 $26K
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 8.1% 666 441 $22K
92018 4.6% 162 156 $12K
71045 Radiologic examination, chest; single view 4.0% 2,426 1,872 $11K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.7% 167 163 $10K
77427 3.1% 60 26 $8K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.0% 154 49 $5K
87305 2.0% 798 557 $5K
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy 1.9% 340 36 $5K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.9% 153 147 $5K
30 more codes
88108 1.7% 320 $5K
86077 1.4% 1,380 $4K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 86 $2K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 39 $2K
99223 Prolong inpt eval add15 m <1% 13 $1K
92250 <1% 122 $1K
99213 Doctor's office visit, returning patient (routine) <1% 54 $1K
90837 Psychotherapy session, about an hour <1% 21 $975.06
71046 Radiologic examination, chest; 2 views <1% 328 $915.77
96450 <1% 15 $904.72
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 24 $738.14
94729 <1% 146 $652.28
94010 <1% 135 $618.99
99417 Prolong home eval add 15m <1% 37 $532.77
94726 <1% 93 $515.41
92060 <1% 14 $489.85
G0452 Molecular pathology procedure; physician interpretation and report <1% 1,083 $464.57
78306 <1% 25 $356.77
87207 <1% 235 $266.06
92082 <1% 25 $142.93
92133 <1% 25 $140.47
84165 <1% 432 $122.45
74018 <1% 18 $77.13
89051 <1% 14 $56.54
77067 Screening mammography, bilateral, including computer-aided detection <1% 37 $28.87
86334 <1% 139 $17.83
86335 0% 24 $0.00
88291 0% 15 $0.00
84166 0% 38 $0.00
77080 0% 27 $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 officialFLORES, MIRIAM (AVP, REVENUE CYCLE)
Same official

Other billing entities under FLORES, MIRIAM

Full network →
ProviderLocationPaid
University of Texas M. D. Anderson Cancer CenterHouston, TX$4.70M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.