Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › HOUSTON › UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER

UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER

NPI: 1174582050 · HOUSTON, TX 77030 · Multi-Specialty Clinic/Center · NPI assigned 03/21/2006

$4.70M
Total Medicaid Paid
336,361
Total Claims
235,706
Beneficiaries
213
Codes Billed
2019-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFLORES, MIRIAM (VICE PRESIDENT, REVENUE CYCLE)
NPI Enumeration Date03/21/2006

Related Entities

Other providers sharing the same authorized official: FLORES, MIRIAM

ProviderCityStateTotal Paid
PHYSICIANS REFERRAL SERVICE HOUSTON TX $266K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 6,390 $31K
2020 3,551 $9K
2021 86,554 $1.20M
2022 94,950 $1.57M
2023 87,545 $1.08M
2024 57,371 $808K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J9271 Injection, pembrolizumab, 1 mg 763 647 $2.37M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 6,790 4,135 $402K
78815 Positron emission tomography (PET) for limited area imaging 1,286 1,269 $365K
77386 480 51 $136K
80053 Comprehensive metabolic panel 17,354 12,397 $122K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 31,110 18,209 $122K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,554 2,505 $92K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 462 457 $77K
77334 312 240 $73K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,047 1,027 $70K
71260 Computed tomography, thorax, diagnostic; with contrast material 3,418 3,375 $55K
77300 279 249 $50K
J0897 Injection, denosumab, 1 mg 142 139 $47K
80050 General health panel 160 139 $42K
96417 1,863 1,281 $40K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,990 1,496 $35K
G0498 Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted living) using a portable pump provided by the office/clinic, includes follow up office/clinic visit at the conclusion of the infusion 349 204 $35K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 509 311 $29K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,658 1,560 $26K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,104 619 $25K
70491 762 755 $25K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 19,115 13,220 $21K
88341 996 554 $21K
76641 424 421 $18K
J9299 Injection, nivolumab, 1 mg 20 12 $17K
77066 Tomosynthesis, mammo 272 271 $17K
96375 Therapeutic injection; each additional sequential IV push 4,807 2,685 $16K
83735 16,125 10,178 $15K
88342 1,102 940 $12K
77470 36 36 $11K
76536 473 465 $11K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 964 330 $11K
71250 572 566 $11K
74178 356 355 $11K
72197 146 142 $11K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 910 834 $10K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 1,066 1,006 $10K
78306 240 240 $10K
80069 1,819 803 $7K
83615 10,069 6,683 $7K
71046 Radiologic examination, chest; 2 views 1,049 1,008 $7K
96367 2,202 1,367 $7K
96402 433 389 $6K
77336 1,003 510 $6K
85027 4,393 2,455 $6K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,717 2,159 $6K
76604 338 336 $6K
J1453 Injection, fosaprepitant, 1 mg 138 91 $6K
86885 4,549 2,540 $6K
Q3014 Telehealth originating site facility fee 1,839 1,664 $6K
86900 7,307 3,381 $6K
80048 Basic metabolic panel (calcium, ionized) 1,652 1,294 $6K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 522 519 $5K
72156 13 13 $5K
82248 13,914 9,422 $5K
86901 6,536 3,368 $4K
0001A 354 354 $4K
84550 6,477 3,825 $4K
36430 418 224 $4K
J9045 Injection, carboplatin, 50 mg 317 223 $4K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,716 1,669 $4K
85007 3,951 2,176 $4K
86850 1,393 851 $3K
81455 72 66 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 50 38 $3K
84443 Thyroid stimulating hormone (TSH) 4,061 3,746 $3K
0002A 297 296 $3K
84439 3,904 3,596 $3K
84100 11,719 8,392 $3K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 12 12 $3K
J9190 Injection, fluorouracil, 500 mg 272 143 $3K
82784 2,546 1,322 $3K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 1,461 1,445 $2K
82378 1,540 1,192 $2K
94760 857 738 $2K
96361 Intravenous infusion, hydration; each additional hour 1,170 782 $2K
G0384 Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 310 281 $2K
86920 288 162 $2K
88321 587 534 $2K
85610 2,671 2,298 $2K
85730 1,363 1,185 $2K
J9267 Injection, paclitaxel, 1 mg 103 50 $2K
83036 Hemoglobin; glycosylated (A1C) 1,730 1,681 $2K
72157 13 13 $1K
83880 287 259 $1K
72158 13 13 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,739 1,254 $1K
87631 34 32 $1K
71045 Radiologic examination, chest; single view 280 262 $1K
88173 116 97 $1K
81001 1,844 1,600 $1K
J7030 Infusion, normal saline solution , 1000 cc 1,452 835 $1K
92060 14 14 $1K
86304 754 653 $1K
82565 4,686 4,041 $1K
36591 670 485 $1K
84460 3,226 1,900 $1K
86300 599 499 $1K
82247 2,953 1,627 $996.15
87086 Culture, bacterial; quantitative colony count, urine 888 819 $945.49
77067 Screening mammography, bilateral, including computer-aided detection 79 79 $942.48
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 193 184 $937.80
88307 52 37 $936.70
74183 14 13 $929.30
82728 695 582 $928.88
86803 643 620 $919.69
80051 1,246 1,058 $883.30
84075 2,426 1,285 $867.24
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,199 870 $860.65
85097 40 40 $830.97
92133 13 13 $813.94
77080 193 191 $811.98
83690 794 691 $810.31
88172 37 29 $809.91
J3475 Injection, magnesium sulfate, per 500 mg 438 169 $788.21
77065 Tomosynthesis, mammo 25 25 $784.73
36415 Collection of venous blood by venipuncture 22,168 14,621 $744.64
82150 805 693 $729.05
84155 2,142 1,037 $719.42
99215 Prolong outpt/office vis 12 12 $673.99
84484 274 195 $667.78
94010 39 39 $627.58
84403 776 734 $624.40
94729 62 62 $598.56
J1170 Injection, hydromorphone, up to 4 mg 233 158 $584.31
80076 85 75 $512.82
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 474 239 $494.61
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,277 5,045 $488.79
87040 166 112 $485.43
80061 Lipid panel 804 779 $457.57
82533 112 93 $444.38
82550 592 462 $438.42
J3010 Injection, fentanyl citrate, 0.1 mg 964 862 $437.03
82232 1,089 999 $435.37
J7050 Infusion, normal saline solution, 250 cc 1,222 871 $411.30
84450 1,434 1,193 $405.10
84480 280 258 $365.10
84520 1,780 1,524 $361.79
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,247 1,324 $361.58
88237 25 25 $350.17
84153 863 801 $324.16
97162 12 12 $320.56
83521 817 664 $310.73
A9585 Injection, gadobutrol, 0.1 ml 1,569 1,444 $282.28
87340 300 287 $280.59
82570 158 143 $268.75
82607 223 219 $254.10
81025 91 78 $245.13
86704 164 156 $243.24
84165 1,013 944 $233.62
86334 868 811 $225.24
84156 984 903 $210.24
86140 350 259 $208.39
J2704 Injection, propofol, 10 mg 1,519 1,061 $197.30
82310 822 718 $186.71
94726 38 38 $185.00
86301 149 109 $181.89
88108 17 14 $173.61
84466 162 154 $151.87
J2250 Injection, midazolam hydrochloride, per 1 mg 590 564 $144.20
J3490 Unclassified drugs 170 143 $141.94
87077 172 124 $133.31
88185 28 26 $122.15
83883 531 247 $114.20
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,127 800 $112.30
82947 813 701 $105.49
82040 648 574 $104.94
83970 28 26 $102.31
83540 193 183 $98.69
81050 590 549 $90.98
86335 278 267 $83.92
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,751 2,289 $82.25
81003 273 248 $74.67
36592 1,262 626 $68.37
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 240 240 $66.32
86923 20 12 $62.22
J7060 5% dextrose/water (500 ml = 1 unit) 240 156 $59.73
J0690 Injection, cefazolin sodium, 500 mg 16 13 $50.22
82553 34 31 $48.50
96415 1,365 819 $46.40
97750 14 12 $45.37
84166 396 374 $44.94
82105 83 73 $41.57
87186 51 39 $36.35
82746 42 41 $35.81
0202U Oncology (prostate), multianalyte, gene expression profiling 69 66 $35.50
84432 65 62 $30.73
87070 46 39 $28.96
84481 13 12 $28.46
83605 28 25 $28.18
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 941 874 $22.39
84436 12 12 $11.54
85379 12 12 $8.55
86800 39 36 $3.71
82962 2,339 1,318 $3.57
J1940 Injection, furosemide, up to 20 mg 12 12 $0.98
G1003 Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program 4,552 3,742 $0.01
0003A 19 19 $0.00
82523 13 13 $0.00
87497 65 39 $0.00
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 914 867 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 41 38 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 19 19 $0.00
77063 Screening digital breast tomosynthesis, bilateral 53 53 $0.00
96376 27 19 $0.00
87205 14 12 $0.00
88363 12 12 $0.00
G0008 Administration of influenza virus vaccine 16 16 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 27 27 $0.00
96368 17 12 $0.00
88184 29 27 $0.00
C9399 Unclassified drugs or biologicals 12 12 $0.00
86706 16 15 $0.00