Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Permian Premier Health Services INC

Permian Premier Health Services INC was paid $3.55M by Medicaid between Jan 2018 and Dec 2024, across 88 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 18% of everything it billed.

33Billing provider infoPERMIAN PREMIER HEALTH SERVICES INC
ODESSA, TX 79761
33aNPI1285664763assigned 07/03/2006
33bProvider typeContractor
28Total paid$3.55M
24GClaims275,151
24DCodes billed88
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Contractor providers in Texas

Rank by total paid#5 of 18
Median peer was paid$1.12M
This provider vs. median3.2×

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.

Entity ProliferationAuthorized official GUAY, AMY controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20182,394$13K
20194,079$31K
202011,749$203K
202175,754$1.01M
202292,607$925K
202360,782$817K
2024incomplete27,786$557K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 18% 9,322 8,070 $628K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 25,424 18,436 $584K
76819 Fetal biophysical profile; without non-stress testing 16% 11,204 7,951 $573K
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 14% 17,012 13,767 $507K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 13% 4,499 4,025 $464K
76820 3.7% 4,837 3,329 $132K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2.3% 2,301 2,014 $81K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.9% 1,721 1,508 $69K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.8% 1,107 983 $65K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 1.8% 3,059 1,141 $63K
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 1.6% 882 826 $57K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.5% 3,113 2,518 $53K
76 more codes
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 70 $31K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 859 $20K
81003 <1% 13,440 $20K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 598 $17K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,801 $17K
90792 Psychiatric diagnostic evaluation with medical services <1% 237 $15K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 333 $15K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 376 $12K
99222 Initial hospital care, per day, moderate complexity <1% 215 $11K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 201 $11K
99308 Subsequent nursing facility care, per day, straightforward <1% 2,040 $10K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 297 $8K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 1,119 $8K
99223 Prolong inpt eval add15 m <1% 169 $7K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 98 $6K
87428 <1% 106 $6K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 1,708 $5K
99221 <1% 119 $5K
99205 Prolong outpt/office vis <1% 58 $5K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 55 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 483 $4K
81025 <1% 718 $4K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 63 $4K
99239 Hospital discharge day management, more than 30 minutes <1% 82 $3K
99243 <1% 51 $3K
93000 <1% 439 $2K
99318 <1% 263 $2K
59025 Fetal non-stress test <1% 78 $2K
99307 <1% 668 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 208 $2K
93018 <1% 130 $1K
93016 <1% 130 $1K
90674 <1% 72 $1K
99238 Hospital discharge day management, 30 minutes or less <1% 45 $1K
59430 <1% 14 $1K
81002 <1% 1,627 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 119 $940.37
99219 <1% 16 $899.04
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 566 $754.37
59020 <1% 20 $737.41
90715 <1% 41 $695.87
99490 Ccm add 20min <1% 171 $686.13
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 12 $479.04
90460 Immunization administration through 18 years of age via any route, first or only component <1% 71 $422.60
99000 <1% 60 $400.18
99442 <1% 15 $241.87
90961 <1% 216 $187.64
99305 <1% 19 $105.14
90461 <1% 15 $75.61
84443 Thyroid stimulating hormone (TSH) <1% 31 $47.44
80053 Comprehensive metabolic panel <1% 71 $29.82
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 67 $21.93
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 17 $17.22
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 18 $14.93
80061 Lipid panel <1% 41 $9.94
1036F <1% 23,595 $0.02
3008F <1% 30,211 $0.01
1159F <1% 19,967 $0.01
3074F 0% 20,900 $0.00
1125F 0% 389 $0.00
3079F 0% 5,724 $0.00
3080F 0% 266 $0.00
3075F 0% 3,652 $0.00
1126F 0% 766 $0.00
36415 Collection of venous blood by venipuncture 0% 65 $0.00
1170F 0% 294 $0.00
90935 Hemodialysis procedure with single evaluation by a physician 0% 62 $0.00
1111F 0% 289 $0.00
1034F 0% 14 $0.00
1035F 0% 17 $0.00
4010F 0% 35 $0.00
1160F 0% 23,687 $0.00
0502F 0% 7,636 $0.00
3078F 0% 20,353 $0.00
3077F 0% 1,482 $0.00
3725F 0% 710 $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 officialGUAY, AMY (PRESIDENT)
Same official

Other billing entities under GUAY, AMY

Full network →
ProviderLocationPaid
Steward Medical Group, INCWatertown, MA$50.08M
Permian Premier Health Services INCBig Spring, TX$1.44M
Permian Premier Health Services INCBeaumont, TX$652K
Steward Medical Group, INC.Hialeah, FL$212K
Steward Medical Group, INCWarren, OH$165K
Steward Medical Group, INC.Miami, FL$86K
Steward Medical Group, INC.Sunrise, FL$49K
Steward Medical Group, INC.Hialeah, FL$46K
Steward Medical Group, INC.Fort Lauderdale, FL$30K
Steward Medical Group, INC.Hialeah, FL$13K
Steward Medical Group, INC.Lauderdale Lakes, FL$7K
Steward Medical Group, INC.Miami, FL$866.81
Steward Medical Group, INC.Hialeah, FL$391.72
Steward Medical Group, INC.Hialeah, FL$177.07

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.