Physician
Rheumatology Care Center
Rheumatology Care Center was paid $814K by Medicaid between Nov 2020 and Aug 2024, across 7 billing codes. Its largest line is J0717, Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) — 86% of everything it billed.
33Billing provider infoRHEUMATOLOGY CARE CENTER
BELLAIRE, TX 77401
BELLAIRE, TX 77401
33aNPI1164088704assigned 05/18/2019
33bProvider typeRheumatology Physician
28Total paid$814K
24GClaims3,006
24DCodes billed7
24AFirst – last monthNov 2020 – Aug 2024
Compared with peers
Next to other Rheumatology Physician providers in Texas
Rank by total paid#3 of 45
Median peer was paid$12K
This provider vs. median69×
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 | |
|---|---|---|---|
| 2020 | 85 | $2K | |
| 2021 | 339 | $10K | |
| 2022 | 1,064 | $335K | |
| 2023 | 911 | $355K | |
| 2024incomplete | 607 | $112K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0717 | Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 86% | 357 | 312 | $702K |
| 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 | 7.9% | 1,858 | 1,518 | $64K |
| 96401 | 5.2% | 420 | 371 | $43K | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 58 | 54 | $5K |
| 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% | 220 | 182 | $65.92 |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 57 | 53 | $29.92 |
| 99072 | <1% | 36 | 27 | $21.10 |
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 officialYOUSAF, WAJEEHA (PRESIDENT)