Roberts, Philip
Roberts, Philip was paid $244K by Medicaid between Jun 2018 and Dec 2022, across 9 billing codes. Its largest line is S9088, Services provided in an urgent care center (list in addition to code for service) — 27% of everything it billed.
33Billing provider infoROBERTS, PHILIP
KYLE, TX 78640
KYLE, TX 78640
33aNPI1275807091assigned 02/24/2012
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$244K
24GClaims5,956
24DCodes billed9
24AFirst – last monthJun 2018 – Dec 2022
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Texas
Rank by total paid#9 of 103
Median peer was paid$3K
This provider vs. median77×
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 | 57 | $0.00 | |
| 2020 | 359 | $15K | |
| 2021 | 3,261 | $136K | |
| 2022 | 2,279 | $94K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 27% | 2,341 | 2,313 | $67K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 1,006 | 996 | $48K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 18% | 594 | 584 | $43K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 16% | 1,106 | 1,099 | $38K |
| 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 | 15% | 552 | 547 | $38K |
| 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 | 2.0% | 44 | 44 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 159 | 159 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 97 | 96 | $1K |
| 81003 | <1% | 57 | 57 | $129.75 |
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.