Behavioral
Baylor College of Medicine
Baylor College of Medicine was paid $26.05M by Medicaid between Jan 2018 and Dec 2024, across 115 billing codes. Its largest line is 99283, emergency room visit (moderate) — 24% of everything it billed.
33Billing provider infoBAYLOR COLLEGE OF MEDICINE
SAN ANTONIO, TX 78207
SAN ANTONIO, TX 78207
33aNPI1285079764assigned 05/09/2013
33bProvider typeBehavioral Analyst
28Total paid$26.05M
24GClaims438,379
24DCodes billed115
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Behavioral Analyst providers in Texas
Rank by total paid#2 of 53
Median peer was paid$373K
This provider vs. median70×
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 | 167 | $2K | |
| 2019 | 25 | $589.95 | |
| 2020 | 18,104 | $832K | |
| 2021 | 107,558 | $5.50M | |
| 2022 | 117,926 | $6.95M | |
| 2023 | 125,271 | $8.26M | |
| 2024incomplete | 69,328 | $4.50M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 24% | 108,117 | 105,532 | $6.15M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 11% | 37,098 | 33,274 | $2.79M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.5% | 58,882 | 52,864 | $2.48M |
| 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 | 8.3% | 34,893 | 33,127 | $2.15M |
| 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 | 4.5% | 11,034 | 10,773 | $1.17M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.9% | 9,917 | 9,189 | $1.01M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.8% | 4,917 | 2,716 | $992K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.3% | 12,166 | 11,896 | $853K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.6% | 14,251 | 6,001 | $678K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.5% | 5,415 | 5,282 | $643K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 2.1% | 1,527 | 619 | $553K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.8% | 15,602 | 13,544 | $465K |
103 more codes
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.6% | 6,561 | $428K |
| 76819 | Fetal biophysical profile; without non-stress testing | 1.6% | 15,009 | $407K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 1.4% | 7,313 | $376K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 4,106 | $335K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.2% | 5,371 | $317K |
| 99285 | Emergency room visit (most serious) | 1.2% | 3,171 | $313K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 3,869 | $288K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 2,360 | $244K |
| 99292 | <1% | 1,709 | $223K | |
| 99245 | <1% | 1,278 | $220K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,315 | $200K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 1,230 | $179K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 682 | $163K |
| 95813 | <1% | 2,399 | $159K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,633 | $128K |
| 99243 | <1% | 1,560 | $126K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,092 | $126K |
| 99205 | Prolong outpt/office vis | <1% | 922 | $114K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 1,146 | $113K |
| 99460 | <1% | 1,339 | $105K | |
| 93320 | <1% | 6,872 | $101K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 821 | $92K |
| 95782 | <1% | 838 | $82K | |
| 01922 | <1% | 349 | $82K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 12,371 | $73K |
| 76818 | <1% | 1,630 | $62K | |
| 99471 | <1% | 80 | $61K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 625 | $58K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,112 | $57K |
| 99417 | Prolong home eval add 15m | <1% | 2,076 | $57K |
| 99219 | <1% | 592 | $51K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 862 | $51K |
| 99217 | <1% | 940 | $51K | |
| 90837 | Psychotherapy session, about an hour | <1% | 480 | $48K |
| 76820 | <1% | 2,555 | $43K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 639 | $43K |
| 92250 | <1% | 653 | $40K | |
| 95720 | <1% | 307 | $39K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 529 | $36K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 540 | $35K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,109 | $35K |
| 25600 | <1% | 130 | $28K | |
| 93325 | <1% | 8,770 | $23K | |
| 92060 | <1% | 388 | $19K | |
| 99223 | Prolong inpt eval add15 m | <1% | 143 | $18K |
| 99476 | <1% | 73 | $18K | |
| 99254 | <1% | 154 | $17K | |
| 76825 | <1% | 297 | $15K | |
| 96450 | <1% | 243 | $13K | |
| 99381 | <1% | 189 | $12K | |
| 59025 | Fetal non-stress test | <1% | 544 | $11K |
| 69210 | <1% | 555 | $11K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 117 | $11K |
| 99462 | <1% | 272 | $10K | |
| 64643 | <1% | 168 | $10K | |
| 94010 | <1% | 1,407 | $10K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 121 | $10K |
| 64642 | <1% | 127 | $9K | |
| 99358 | Prolong nursin fac eval 15m | <1% | 128 | $8K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 147 | $7K |
| 92015 | Determination of refractive state | <1% | 476 | $7K |
| 99255 | <1% | 42 | $6K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 151 | $6K |
| 96112 | <1% | 73 | $6K | |
| 76827 | <1% | 309 | $5K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 148 | $5K |
| 44970 | <1% | 15 | $5K | |
| 96133 | <1% | 43 | $5K | |
| 99253 | <1% | 62 | $4K | |
| 93321 | <1% | 638 | $4K | |
| 96132 | <1% | 43 | $3K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 114 | $3K |
| 93227 | <1% | 143 | $3K | |
| 99242 | <1% | 44 | $2K | |
| 96137 | <1% | 70 | $2K | |
| 92504 | <1% | 133 | $2K | |
| 94621 | <1% | 26 | $2K | |
| 96136 | <1% | 70 | $2K | |
| 99348 | <1% | 26 | $1K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 12 | $1K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 47 | $1K |
| 94060 | <1% | 117 | $1K | |
| 62252 | <1% | 26 | $1K | |
| 96160 | <1% | 494 | $1K | |
| 99334 | <1% | 28 | $989.78 | |
| 93304 | <1% | 35 | $848.37 | |
| 99221 | <1% | 15 | $770.57 | |
| 31231 | <1% | 25 | $759.83 | |
| 31575 | <1% | 12 | $618.16 | |
| 99225 | <1% | 14 | $551.49 | |
| 76801 | <1% | 14 | $518.03 | |
| 93000 | <1% | 39 | $432.16 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 14 | $388.58 |
| 93272 | <1% | 22 | $384.99 | |
| 93018 | <1% | 20 | $247.01 | |
| 95251 | <1% | 14 | $186.08 | |
| 96040 | <1% | 18 | $135.89 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 13 | $110.00 |
| 93356 | <1% | 1,840 | $93.67 | |
| 95012 | <1% | 15 | $82.40 | |
| 95805 | <1% | 12 | $43.38 | |
| 99499 | 0% | 15 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 55 | $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 officialALLISON, RICHARD (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Baylor College of Medicine | Houston, TX | $18.14M |
| Baylor College of Medicine | Houston, TX | $3.06M |
| Baylor ST. Luke's Medical Group | Houston, TX | $2.77M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.