Physician
Edward Baumgartner JR MD LLC
Edward Baumgartner JR MD LLC was paid $685.66 by Medicaid between Apr 2023 and Aug 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 83% of everything it billed.
33Billing provider infoEDWARD BAUMGARTNER JR MD LLC
HOUSTON, TX 77064
HOUSTON, TX 77064
33aNPI1215418678assigned 08/23/2018
33bProvider typePain Medicine Physician
28Total paid$685.66
24GClaims1,499
24DCodes billed11
24AFirst – last monthApr 2023 – Aug 2024
Compared with peers
Next to other Pain Medicine Physician providers in Texas
Rank by total paid#11 of 15
Median peer was paid$3K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2023 | 1,141 | $58.61 | |
| 2024incomplete | 358 | $627.05 |
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 | 83% | 178 | 147 | $567.37 |
| 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 | 11% | 87 | 77 | $78.29 |
| 3044F | 5.8% | 209 | 184 | $40.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 114 | 103 | $0.00 |
| 1036F | 0% | 114 | 103 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 79 | 69 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 171 | 154 | $0.00 |
| G9991 | Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | 0% | 115 | 104 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 228 | 202 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 191 | 172 | $0.00 |
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | 0% | 13 | 12 | $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 officialBAUMGARTNER, EDWARD (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Usps Medical Associates, PLLC | Houston, TX | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.