Concord Medical Group PLLC

Concord Medical Group PLLC was paid $4.86M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99284, emergency room visit (serious) — 53% of everything it billed.

33Billing provider infoCONCORD MEDICAL GROUP PLLC
LUBBOCK, TX 79401

33aNPI1083630610assigned 07/15/2006

33bProvider typeEmergency Medicine Physician

28Total paid$4.86M

24GClaims100,067

24DCodes billed22

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Texas

Rank by total paid#19 of 344

Median peer was paid$25K

This provider vs. median194×

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	17,043	$692K
2019	15,031	$687K
2020	9,326	$490K
2021	13,566	$641K
2022	15,710	$825K
2023	16,237	$945K
2024incomplete	13,154	$581K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	53%	44,350	38,456	$2.57M
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	23%	15,658	13,424	$1.11M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	21%	29,391	26,278	$1.03M
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	436	335	$35K
99292		<1%	271	205	$32K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	2,101	688	$29K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	1,308	635	$18K
99222	Initial hospital care, per day, moderate complexity	<1%	347	262	$12K
99223	Prolong inpt eval add15 m	<1%	306	292	$9K
99239	Hospital discharge day management, more than 30 minutes	<1%	462	433	$6K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	134	120	$3K
99238	Hospital discharge day management, 30 minutes or less	<1%	161	112	$3K

10 more codes

99219		<1%	40	$1K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	59	$1K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	220	$491.35
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	89	$0.00
G9744	Patient not eligible due to active diagnosis of hypertension	0%	369	$0.00
M1208	Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety	0%	3,411	$0.00
G8430	Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status)	0%	441	$0.00
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	0%	272	$0.00
M1207	Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety	0%	150	$0.00
G9745	Documented reason for not screening or recommending a follow-up for high blood pressure	0%	91	$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 officialTUCKETT, JORDAN (EVP OF OPERATIONS)