Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Houston › NPI 1245617521
Physician

Ut Physicians

Ut Physicians was paid $406K by Medicaid between Jul 2020 and Aug 2024, across 25 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 36% of everything it billed.

33Billing provider infoUT PHYSICIANS
HOUSTON, TX 77008
33aNPI1245617521assigned 05/06/2015
33bProvider typePediatrics Physician
28Total paid$406K
24GClaims15,339
24DCodes billed25
24AFirst – last monthJul 2020 – Aug 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#536 of 1,136
Median peer was paid$329K
This provider vs. median1.2×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official CASAS, ANDREW controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2020617$14K
2021415$18K
20225,098$130K
20235,998$165K
2024incomplete3,211$79K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 36% 1,751 1,620 $147K
90460 Immunization administration through 18 years of age via any route, first or only component 24% 7,047 2,759 $96K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 22% 1,043 1,021 $88K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6.3% 300 295 $25K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.9% 218 208 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.2% 273 263 $13K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.9% 897 655 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.5% 63 63 $6K
90461 1.2% 804 652 $5K
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 <1% 12 12 $1K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 79 70 $263.62
96160 <1% 28 28 $68.11
13 more codes
90677 <1% 316 $1.78
90686 <1% 610 $0.55
90697 <1% 136 $0.45
90670 <1% 684 $0.02
90680 <1% 312 $0.01
90723 0% 141 $0.00
90656 0% 14 $0.00
90651 0% 12 $0.00
90648 0% 302 $0.00
90633 0% 187 $0.00
90734 0% 16 $0.00
90681 0% 29 $0.00
90710 0% 65 $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 officialCASAS, ANDREW (CHIEF OPERATING OFFICER)
Same official

Other billing entities under CASAS, ANDREW

Full network →
ProviderLocationPaid
Ut Physicians Specialty ServicesHouston, TX$1.22M
Ut PhysiciansHouston, TX$872K
Ut PhysiciansHouston, TX$579K
Ut PhysiciansHouston, TX$508K
Ut PhysiciansHouston, TX$453K
Ut PhysiciansHouston, TX$348K
Ut PhysiciansHouston, TX$302K
Ut PhysiciansMissouri City, TX$279K
Ut PhysiciansHouston, TX$277K
Ut PhysiciansHouston, TX$210K
Ut PhysiciansKaty, TX$128K
Ut PhysiciansRosenberg, TX$97K
Ut PhysiciansHouston, TX$80K
Ut PhysiciansHouston, TX$71K
Ut Physicians - Trauma ServicesHouston, TX$50K
Ut PhysiciansHouston, TX$34K
Ut PhysiciansHouston, TX$19K
Ut PhysiciansKaty, TX$10K
Ut Physicians Specialty ServicesHouston, TX$8K
Ut Physicians Specialty ServicesHouston, TX$8K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.