Physician
TMH Physician Associates PLLC
TMH Physician Associates PLLC was paid $3.77M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 59409, Vaginal delivery only (with or without episiotomy and/or forceps) — 32% of everything it billed.
33Billing provider infoTMH PHYSICIAN ASSOCIATES PLLC
HOUSTON, TX 77030
HOUSTON, TX 77030
33aNPI1275779225assigned 12/22/2008
33bProvider typeFamily Medicine Physician
28Total paid$3.77M
24GClaims121,858
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#29 of 1,204
Median peer was paid$31K
This provider vs. median122×
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 | 5,004 | $11K | |
| 2019 | 5,480 | $13K | |
| 2020 | 7,611 | $128K | |
| 2021 | 38,817 | $1.16M | |
| 2022 | 25,433 | $992K | |
| 2023 | 22,223 | $829K | |
| 2024incomplete | 17,290 | $636K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 32% | 2,227 | 2,151 | $1.20M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 29,031 | 20,094 | $933K |
| 59514 | 12% | 715 | 678 | $443K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 5.3% | 56,584 | 46,418 | $200K |
| 0002A | 3.7% | 5,496 | 5,478 | $141K | |
| 0001A | 3.4% | 5,621 | 5,589 | $129K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.7% | 2,074 | 2,047 | $103K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.3% | 1,128 | 1,111 | $86K |
| 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 | 2.0% | 1,773 | 1,605 | $74K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 3,262 | 2,231 | $71K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.6% | 805 | 761 | $61K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 121 | 118 | $29K |
37 more codes
| 0004A | <1% | 880 | $29K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 210 | $25K |
| 99223 | Prolong inpt eval add15 m | <1% | 343 | $22K |
| 0072A | <1% | 650 | $22K | |
| 0071A | <1% | 679 | $21K | |
| 93970 | <1% | 1,015 | $17K | |
| 92579 | <1% | 518 | $16K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 2,448 | $14K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 606 | $14K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 131 | $14K |
| 92587 | <1% | 875 | $13K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 531 | $13K |
| 92567 | <1% | 1,017 | $11K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 547 | $9K |
| 0003A | <1% | 247 | $7K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 33 | $5K |
| 95720 | <1% | 156 | $5K | |
| 92557 | <1% | 218 | $5K | |
| 99220 | <1% | 77 | $5K | |
| 59430 | <1% | 46 | $4K | |
| 90674 | <1% | 181 | $4K | |
| 95951 | <1% | 77 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 428 | $3K |
| 93971 | <1% | 295 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 39 | $3K |
| 81025 | <1% | 433 | $3K | |
| 90715 | <1% | 67 | $2K | |
| 0054A | <1% | 87 | $2K | |
| 99235 | <1% | 13 | $2K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 13 | $1K |
| 90661 | <1% | 31 | $818.52 | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 12 | $745.80 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 26 | $729.85 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 25 | $648.24 |
| 0052A | <1% | 43 | $572.00 | |
| 93000 | <1% | 12 | $15.73 | |
| G0008 | Administration of influenza virus vaccine | 0% | 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 officialPHILLIPS, ROBERT (EXEC VP & CMO-HMHS,PRESCEO-HMSPG)
| Provider | Location | Paid |
|---|---|---|
| The West Oakland Health Council | Oakland, CA | $44.03M |
| The West Oakland Health Council | Oakland, CA | $550K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.