Physician
Bretshire Medical Clinic PA
Bretshire Medical Clinic PA was paid $147K by Medicaid between Jan 2018 and Oct 2023, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoBRETSHIRE MEDICAL CLINIC PA
HOUSTON, TX 77016
HOUSTON, TX 77016
33aNPI1184749467assigned 03/19/2007
33bProvider typeFamily Medicine Physician
28Total paid$147K
24GClaims7,208
24DCodes billed29
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#344 of 1,204
Median peer was paid$31K
This provider vs. median4.8×
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 | 14 | $1K | |
| 2019 | 154 | $7K | |
| 2020 | 874 | $12K | |
| 2021 | 1,919 | $32K | |
| 2022 | 1,648 | $28K | |
| 2023 | 2,599 | $67K |
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 | 46% | 2,242 | 1,720 | $67K |
| 99091 | 26% | 295 | 288 | $38K | |
| 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 | 13% | 461 | 412 | $19K |
| 93922 | 5.4% | 329 | 307 | $8K | |
| 99444 | 4.6% | 118 | 36 | $7K | |
| 99423 | 1.8% | 51 | 12 | $3K | |
| 71046 | Radiologic examination, chest; 2 views | 1.0% | 79 | 74 | $2K |
| 93000 | 1.0% | 180 | 161 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 16 | 16 | $1K |
| 97750 | <1% | 71 | 58 | $681.62 | |
| 0011A | <1% | 20 | 19 | $440.00 | |
| 81002 | <1% | 179 | 164 | $426.32 |
17 more codes
| 0012A | <1% | 21 | $400.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $312.33 |
| 82947 | <1% | 31 | $58.72 | |
| 91301 | <1% | 58 | $0.02 | |
| 1159F | 0% | 235 | $0.00 | |
| 1160F | 0% | 217 | $0.00 | |
| 3725F | 0% | 42 | $0.00 | |
| 1158F | 0% | 15 | $0.00 | |
| 3008F | 0% | 1,873 | $0.00 | |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 0% | 545 | $0.00 |
| 1123F | 0% | 18 | $0.00 | |
| 1170F | 0% | 13 | $0.00 | |
| 1157F | 0% | 15 | $0.00 | |
| 1126F | 0% | 14 | $0.00 | |
| 3074F | 0% | 20 | $0.00 | |
| 1036F | 0% | 17 | $0.00 | |
| 1034F | 0% | 20 | $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 officialLAROSE, JAMES (PRESIDENT)