Palm Valley Emergency Physicians Specialists PLLC

Palm Valley Emergency Physicians Specialists PLLC was paid $1.06M by Medicaid between Jan 2018 and Mar 2022, across 9 billing codes. Its largest line is 99285, emergency room visit (most serious) — 50% of everything it billed.

33Billing provider infoPALM VALLEY EMERGENCY PHYSICIANS SPECIALISTS PLLC
BROWNSVILLE, TX 78520

33aNPI1265408561assigned 02/27/2006

33bProvider typeEmergency Medical Services (Emergency Medicine) Physician

28Total paid$1.06M

24GClaims33,061

24DCodes billed9

24AFirst – last monthJan 2018 – Mar 2022

Compared with peers

Next to other Emergency Medical Services (Emergency Medicine) Physician providers in Texas

Rank by total paid#8 of 21

Median peer was paid$301K

This provider vs. median3.5×

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	9,872	$131K
2019	4,948	$122K
2020	3,922	$124K
2021	11,396	$538K
2022	2,923	$142K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	50%	13,136	12,767	$527K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	32%	6,497	6,288	$334K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	13%	3,235	3,147	$143K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	4.4%	727	718	$47K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	4,713	4,504	$8K
G9744	Patient not eligible due to active diagnosis of hypertension	0%	2,128	2,060	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	2,313	2,230	$0.00
G8430	Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status)	0%	245	242	$0.00
G9745	Documented reason for not screening or recommending a follow-up for high blood pressure	0%	67	66	$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 officialHUSSAIN, KHADIM (PRESIDENT)