1960 Physician Associates

1960 Physician Associates was paid $916K by Medicaid between Aug 2018 and Dec 2024, across 80 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.

33Billing provider info1960 PHYSICIAN ASSOCIATES
HOUSTON, TX 77090

33aNPI1215391941assigned 04/08/2016

33bProvider typeMulti-Specialty Clinic/Center

28Total paid$916K

24GClaims69,090

24DCodes billed80

24AFirst – last monthAug 2018 – Dec 2024

Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Texas

Rank by total paid#24 of 86

Median peer was paid$191K

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	298	$0.00
2019	643	$5K
2020	2,081	$20K
2021	8,925	$163K
2022	15,410	$189K
2023	19,867	$279K
2024incomplete	21,866	$260K

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	32%	7,756	6,661	$293K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21%	5,814	5,055	$189K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	13%	1,758	1,582	$120K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	11%	1,599	1,422	$103K
90460	Immunization administration through 18 years of age via any route, first or only component	6.7%	6,063	2,496	$62K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	3.6%	463	422	$33K
96110	Developmental screening, with scoring and documentation, per standardized instrument	2.8%	3,764	3,326	$26K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.3%	147	135	$12K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.1%	960	891	$10K
90671		<1%	432	390	$9K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	769	690	$8K
90461		<1%	1,581	1,229	$6K

68 more codes

93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	63	$6K
92552		<1%	365	$5K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	2,899	$4K
90670		<1%	587	$4K
99381		<1%	66	$4K
92551		<1%	1,456	$2K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	47	$2K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	275	$2K
96160		<1%	2,110	$2K
99383		<1%	41	$1K
90734		<1%	13	$1K
90651		<1%	28	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	47	$1K
90716		<1%	179	$1K
90756		<1%	54	$1K
93000		<1%	118	$935.79
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	12	$916.44
90680		<1%	606	$725.19
99204	Doctor's office visit, new patient (more involved)	<1%	12	$694.07
99203	Doctor's office visit, new patient (routine)	<1%	12	$640.44
90633		<1%	296	$507.22
90707		<1%	162	$504.60
90723		<1%	663	$441.90
90474		<1%	83	$414.74
90700		<1%	204	$377.30
94760		<1%	1,042	$329.50
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	39	$289.17
90648		<1%	886	$237.51
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	15	$191.19
87807		<1%	13	$136.40
83036	Hemoglobin; glycosylated (A1C)	<1%	30	$52.24
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	149	$37.70
84443	Thyroid stimulating hormone (TSH)	<1%	29	$36.69
90686		<1%	307	$35.91
97802		<1%	403	$30.32
80061	Lipid panel	<1%	29	$27.00
3044F		<1%	445	$20.00
80053	Comprehensive metabolic panel	<1%	29	$17.74
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	30	$16.98
96161		<1%	324	$11.49
81001		<1%	25	$10.64
3078F		<1%	2,222	$0.01
3075F		<1%	848	$0.01
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	750	$0.00
1159F		0%	3,493	$0.00
1160F		0%	5,514	$0.00
3077F		0%	544	$0.00
99173		0%	1,672	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	101	$0.00
99490	Ccm add 20min	0%	94	$0.00
G0446	Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	0%	13	$0.00
90713		0%	27	$0.00
90710		0%	16	$0.00
99401		0%	19	$0.00
3080F		0%	211	$0.00
3079F		0%	981	$0.00
96127		0%	1,092	$0.00
1126F		0%	688	$0.00
3074F		0%	2,108	$0.00
3008F		0%	2,774	$0.00
1125F		0%	225	$0.00
1036F		0%	300	$0.00
90647		0%	13	$0.00
36416		0%	22	$0.00
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	0%	15	$0.00
90697		0%	14	$0.00
S3620	Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total)	0%	22	$0.00
91301		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 officialSYDENHAM, JENNIFER (AUTHORIZED OFFICIAL)