Ut Physicians
Ut Physicians was paid $302K by Medicaid between Mar 2018 and Aug 2024, across 20 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 34% of everything it billed.
HOUSTON, TX 77030
Next to other Pediatrics Physician providers in Texas
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 182 | $8K | |
| 2019 | 82 | $6K | |
| 2020 | 1,586 | $51K | |
| 2021 | 2,747 | $94K | |
| 2022 | 3,196 | $92K | |
| 2023 | 1,060 | $32K | |
| 2024incomplete | 687 | $19K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 34% | 1,307 | 1,235 | $103K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 31% | 1,108 | 1,070 | $94K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 4,404 | 1,759 | $47K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.0% | 201 | 197 | $18K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.9% | 96 | 93 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.4% | 266 | 254 | $13K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.0% | 632 | 542 | $6K |
| 90461 | 1.5% | 573 | 471 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | 12 | $1K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 124 | 124 | $198.43 |
| 88720 | <1% | 14 | 13 | $56.84 | |
| 84030 | <1% | 16 | 14 | $53.61 |
8 more codes
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Ut Physicians Specialty Services | Houston, TX | $1.22M |
| Ut Physicians | Houston, TX | $872K |
| Ut Physicians | Houston, TX | $579K |
| Ut Physicians | Houston, TX | $508K |
| Ut Physicians | Houston, TX | $453K |
| Ut Physicians | Houston, TX | $406K |
| Ut Physicians | Houston, TX | $348K |
| Ut Physicians | Missouri City, TX | $279K |
| Ut Physicians | Houston, TX | $277K |
| Ut Physicians | Houston, TX | $210K |
| Ut Physicians | Katy, TX | $128K |
| Ut Physicians | Rosenberg, TX | $97K |
| Ut Physicians | Houston, TX | $80K |
| Ut Physicians | Houston, TX | $71K |
| Ut Physicians - Trauma Services | Houston, TX | $50K |
| Ut Physicians | Houston, TX | $34K |
| Ut Physicians | Houston, TX | $19K |
| Ut Physicians | Katy, TX | $10K |
| Ut Physicians Specialty Services | Houston, TX | $8K |
| Ut Physicians Specialty Services | Houston, TX | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.