Physician
Texas Medical and Sleep Specialists, PLLC
Texas Medical and Sleep Specialists, PLLC was paid $2.94M by Medicaid between Jul 2019 and Dec 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoTEXAS MEDICAL AND SLEEP SPECIALISTS, PLLC
SAN ANTONIO, TX 78231
SAN ANTONIO, TX 78231
33aNPI1164668299assigned 12/19/2008
33bProvider typeInternal Medicine Physician
28Total paid$2.94M
24GClaims65,941
24DCodes billed28
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#16 of 1,028
Median peer was paid$10K
This provider vs. median282×
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 | |
|---|---|---|---|
| 2019 | 104 | $6K | |
| 2020 | 2,966 | $111K | |
| 2021 | 13,483 | $636K | |
| 2022 | 16,422 | $764K | |
| 2023 | 17,376 | $759K | |
| 2024incomplete | 15,590 | $662K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 25,749 | 24,000 | $1.16M |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 12% | 4,468 | 4,239 | $362K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.0% | 3,563 | 1,425 | $205K |
| 95819 | 6.4% | 543 | 530 | $188K | |
| 94726 | 5.7% | 4,135 | 3,973 | $169K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.8% | 4,151 | 3,997 | $141K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 3.7% | 1,229 | 1,213 | $110K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.7% | 1,692 | 1,580 | $110K |
| 99223 | Prolong inpt eval add15 m | 3.4% | 847 | 811 | $99K |
| 94010 | 3.0% | 4,018 | 3,869 | $87K | |
| 95782 | 2.7% | 834 | 822 | $80K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 1,009 | 986 | $59K |
16 more codes
| 95720 | 1.7% | 378 | $51K | |
| 95012 | <1% | 2,132 | $29K | |
| S9441 | Asthma education, non-physician provider, per session | <1% | 2,303 | $22K |
| 95813 | <1% | 167 | $11K | |
| 99205 | Prolong outpt/office vis | <1% | 109 | $10K |
| 94375 | <1% | 297 | $8K | |
| 95812 | <1% | 171 | $7K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 786 | $7K |
| 64643 | <1% | 70 | $7K | |
| 64642 | <1% | 97 | $7K | |
| A4617 | Mouth piece | <1% | 1,717 | $3K |
| 87428 | <1% | 31 | $2K | |
| 94060 | <1% | 28 | $881.77 | |
| 96160 | <1% | 4,778 | $546.60 | |
| 99072 | 0% | 626 | $0.00 | |
| 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) | 0% | 13 | $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 officialROTENBERG, JOSHUA (MD/PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Neurology and Sleep Specialists, PLLC | Houston, TX | $170K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.