Clinic
Premier Health Care Group PLLC
Premier Health Care Group PLLC was paid $27K by Medicaid between Mar 2018 and Aug 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.
33Billing provider infoPREMIER HEALTH CARE GROUP PLLC
PASADENA, TX 77505
PASADENA, TX 77505
33aNPI1174511513assigned 10/10/2005
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$27K
24GClaims1,911
24DCodes billed13
24AFirst – last monthMar 2018 – Aug 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Texas
Rank by total paid#62 of 86
Median peer was paid$191K
This provider vs. median0.1×
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 | 131 | $722.58 | |
| 2019 | 14 | $76.31 | |
| 2020 | 104 | $1K | |
| 2021 | 499 | $9K | |
| 2022 | 477 | $5K | |
| 2023 | 573 | $8K | |
| 2024incomplete | 113 | $3K |
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 | 70% | 772 | 640 | $19K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 10% | 173 | 68 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.6% | 68 | 64 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 5.3% | 115 | 66 | $1K |
| 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 | 3.8% | 42 | 40 | $1K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 31 | 12 | $179.85 |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 75 | 12 | $178.28 |
| 99304 | <1% | 14 | 14 | $41.75 | |
| 3078F | 0% | 30 | 26 | $0.00 | |
| 3008F | 0% | 471 | 372 | $0.00 | |
| 3079F | 0% | 42 | 36 | $0.00 | |
| 3074F | 0% | 45 | 39 | $0.00 |
1 more codes
| 3075F | 0% | 33 | $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 officialFITZSIMMONS, KAREN (PRACTICE ADMINISTRATOR)