Ut Physicians
Ut Physicians was paid $872K by Medicaid between Feb 2020 and Nov 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 18% of everything it billed.
HOUSTON, TX 77030
Next to other Neurological Surgery 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 | |
|---|---|---|---|
| 2020 | 642 | $25K | |
| 2021 | 3,103 | $140K | |
| 2022 | 4,852 | $275K | |
| 2023 | 4,166 | $293K | |
| 2024incomplete | 2,020 | $140K |
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 | 18% | 2,534 | 2,376 | $160K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 14% | 1,053 | 1,042 | $119K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 13% | 1,118 | 396 | $113K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 2,310 | 1,165 | $96K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.9% | 1,527 | 1,410 | $69K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.2% | 467 | 457 | $54K |
| 92201 | 5.2% | 2,474 | 1,451 | $46K | |
| 95720 | 5.1% | 387 | 212 | $45K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.8% | 425 | 418 | $42K |
| 95714 | 2.8% | 113 | 54 | $24K | |
| 92060 | 2.0% | 292 | 284 | $18K | |
| 92015 | Determination of refractive state | 1.7% | 1,074 | 1,029 | $15K |
14 more codes
| 95700 | 1.6% | 69 | $14K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.5% | 377 | $13K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.2% | 126 | $10K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 71 | $8K |
| 95816 | <1% | 135 | $6K | |
| 99223 | Prolong inpt eval add15 m | <1% | 38 | $5K |
| 99255 | <1% | 33 | $4K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 41 | $4K |
| 99205 | Prolong outpt/office vis | <1% | 26 | $3K |
| 99254 | <1% | 13 | $2K | |
| 99443 | <1% | 39 | $2K | |
| 92083 | <1% | 13 | $500.99 | |
| 92133 | <1% | 14 | $326.65 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 14 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Ut Physicians Specialty Services | Houston, TX | $1.22M |
| 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 | Houston, TX | $302K |
| 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.