Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Odr Pediatric Urology Institute PLLC

Odr Pediatric Urology Institute PLLC was paid $249K by Medicaid between Sep 2019 and Nov 2024, across 14 billing codes. Its largest line is 54360, — 40% of everything it billed.

33Billing provider infoODR PEDIATRIC UROLOGY INSTITUTE PLLC
HOUSTON, TX 77004
33aNPI1184280695assigned 05/10/2019
33bProvider typeUrology Physician
28Total paid$249K
24GClaims1,797
24DCodes billed14
24AFirst – last monthSep 2019 – Nov 2024
Compared with peers

Next to other Urology Physician providers in Texas

Rank by total paid#2 of 49
Median peer was paid$2K
This provider vs. median163×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2019128$3K
2021156$23K
2022421$68K
2023706$121K
2024incomplete386$34K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
54360 40% 238 207 $100K
55180 20% 193 166 $49K
14040 17% 278 246 $42K
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 7.3% 248 227 $18K
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 5.3% 295 273 $13K
54300 4.5% 77 59 $11K
54161 2.8% 141 124 $7K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.8% 169 142 $5K
99205 Prolong outpt/office vis 1.1% 25 24 $3K
54150 <1% 35 29 $496.43
15275 <1% 17 16 $337.44
99253 <1% 17 15 $191.10
2 more codes
64450 0% 51 $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 officialPHAM, DUNG (OWNER)
Parent organizationODR PEDIATRIC UROLOGY INSTIUTE
Same official

Other billing entities under PHAM, DUNG

Full network →
ProviderLocationPaid
Smile Bright Denture Center LLCEverett, WA$645.84

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.