Physician
Diagnostic Group Integrated Healthcare System PLLC
Diagnostic Group Integrated Healthcare System PLLC was paid $339K by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoDIAGNOSTIC GROUP INTEGRATED HEALTHCARE SYSTEM PLLC
BEAUMONT, TX 77701
BEAUMONT, TX 77701
33aNPI1194061655assigned 01/02/2013
33bProvider typeColon & Rectal Surgery Physician
28Total paid$339K
24GClaims24,597
24DCodes billed32
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Colon & Rectal Surgery Physician providers in Texas
Rank by total paid#1 of 5
Median peer was paid$3K
This provider vs. median130×
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 | 1,931 | $9K | |
| 2019 | 1,062 | $6K | |
| 2020 | 1,390 | $20K | |
| 2021 | 6,304 | $93K | |
| 2022 | 6,557 | $105K | |
| 2023 | 4,622 | $71K | |
| 2024incomplete | 2,731 | $35K |
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 | 43% | 4,924 | 4,387 | $145K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 2,969 | 2,619 | $74K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 12% | 4,269 | 3,419 | $41K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 2,997 | 1,462 | $38K |
| 99223 | Prolong inpt eval add15 m | 4.8% | 235 | 225 | $16K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 3.0% | 637 | 391 | $10K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.2% | 156 | 144 | $4K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 85 | 57 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 161 | 140 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 55 | 25 | $1K |
| 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 | <1% | 13 | 13 | $884.90 |
| 99442 | <1% | 55 | 43 | $800.04 |
20 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $684.85 |
| G0407 | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | <1% | 151 | $455.91 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 14 | $119.54 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 126 | $64.69 |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 12 | $41.75 |
| 1160F | 0% | 3,128 | $0.00 | |
| 1159F | 0% | 3,093 | $0.00 | |
| 3078F | 0% | 313 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 80 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 14 | $0.00 |
| 99306 | Prolong nursin fac eval 15m | 0% | 14 | $0.00 |
| 3008F | 0% | 209 | $0.00 | |
| 3074F | 0% | 402 | $0.00 | |
| 1111F | 0% | 72 | $0.00 | |
| 1126F | 0% | 277 | $0.00 | |
| 99024 | 0% | 66 | $0.00 | |
| 1125F | 0% | 16 | $0.00 | |
| 3079F | 0% | 14 | $0.00 | |
| 90961 | 0% | 12 | $0.00 | |
| 1170F | 0% | 15 | $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 officialRUIZ, JENNIFER (ADMINISTRATOR)