Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Christus Trinity Clinic

Christus Trinity Clinic was paid $22.19M by Medicaid between Jan 2018 and Dec 2024, across 202 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoCHRISTUS TRINITY CLINIC
TYLER, TX 75702
33aNPI1285684225assigned 05/11/2006
33bProvider typeAnesthesiology Physician
28Total paid$22.19M
24GClaims658,023
24DCodes billed202
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Anesthesiology Physician providers in Texas

Rank by total paid#3 of 134
Median peer was paid$34K
This provider vs. median653×

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

$0$250K$500K$750K2018201920202021202220232024
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
20187,526$76K
20191,415$23K
202021,400$566K
2021159,883$4.78M
2022184,284$6.48M
2023170,339$6.48M
2024incomplete113,176$3.79M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 211,018 177,671 $6.91M
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 21% 109,439 96,860 $4.65M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4.3% 13,352 12,347 $958K
99479 Subsequent intensive care, per day, very low birth weight infant 3.6% 6,669 1,629 $795K
87428 3.4% 15,775 15,312 $745K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.3% 9,433 9,267 $727K
99480 Subsequent intensive care, per day, low birth weight infant 2.2% 4,322 1,230 $486K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.9% 5,229 5,178 $425K
99239 Hospital discharge day management, more than 30 minutes 1.7% 5,361 5,218 $377K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 1.6% 655 644 $364K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.5% 6,591 6,441 $343K
76819 Fetal biophysical profile; without non-stress testing 1.5% 5,833 3,459 $336K
190 more codes
99244 Office or other outpatient consultation, moderate to high complexity 1.4% 2,743 $304K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.2% 3,071 $265K
99460 1.2% 3,716 $260K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.1% 3,349 $249K
99204 Doctor's office visit, new patient (more involved) 1.1% 3,415 $248K
99222 Initial hospital care, per day, moderate complexity 1.1% 2,626 $245K
99232 Hospital visit by a doctor, follow-up day 1.0% 6,536 $225K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 17,612 $212K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 32,362 $188K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 1,833 $177K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 2,133 $160K
99245 <1% 1,094 $160K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 3,397 $154K
00170 Anesthesia for intraoral procedures, including biopsy <1% 1,053 $119K
59514 <1% 225 $112K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 1,675 $109K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 2,822 $106K
99223 Prolong inpt eval add15 m <1% 1,024 $98K
76801 <1% 1,531 $98K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 3,003 $96K
99215 Doctor's office visit, returning patient (complex) <1% 1,475 $95K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 18,179 $86K
T1015 A visit at a community health center or clinic (one all-in rate) <1% 5,884 $75K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger <1% 219 $74K
99238 Hospital discharge day management, 30 minutes or less <1% 1,507 $72K
81003 <1% 46,824 $69K
59430 <1% 730 $60K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 4,827 $58K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 1,102 $54K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,154 $49K
99243 <1% 690 $49K
90461 <1% 19,375 $49K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 6,154 $42K
83036 Hemoglobin; glycosylated (A1C) <1% 5,360 $40K
95816 <1% 882 $37K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,040 $37K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 659 $35K
99462 <1% 1,007 $31K
76825 <1% 156 $29K
97803 <1% 747 $28K
71046 Radiologic examination, chest; 2 views <1% 1,312 $23K
54150 <1% 295 $21K
S0620 Routine ophthalmological examination including refraction; new patient <1% 753 $20K
76820 <1% 618 $20K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 117 $19K
99381 <1% 248 $19K
97802 <1% 438 $17K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 574 $17K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 67 $15K
95251 <1% 883 $14K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 162 $10K
99308 Subsequent nursing facility care, per day, straightforward <1% 572 $10K
99220 <1% 91 $9K
90686 <1% 4,804 $8K
99478 <1% 52 $8K
99292 <1% 382 $7K
67028 Intravitreal injection of a pharmacologic agent <1% 219 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 851 $7K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 220 $7K
95720 <1% 49 $7K
76827 <1% 117 $6K
81025 <1% 1,133 $6K
11721 <1% 365 $6K
99383 <1% 68 $6K
S0621 Routine ophthalmological examination including refraction; established patient <1% 140 $6K
99221 <1% 87 $5K
90837 Psychotherapy session, about an hour <1% 66 $5K
90836 <1% 88 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 185 $5K
77014 <1% 338 $5K
99477 <1% 12 $4K
99242 <1% 61 $4K
00731 <1% 45 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,164 $4K
71045 Radiologic examination, chest; single view <1% 560 $4K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 57 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 116 $4K
87210 <1% 800 $4K
77301 <1% 21 $3K
87420 <1% 303 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 317 $3K
90732 <1% 32 $3K
99382 <1% 39 $3K
70450 Computed tomography, head or brain; without contrast material <1% 97 $3K
76830 Ultrasound, transvaginal <1% 28 $3K
95117 <1% 308 $3K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 56 $3K
87807 <1% 256 $3K
20610 <1% 77 $2K
77427 <1% 92 $2K
93458 <1% 14 $2K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 12 $2K
0001A <1% 58 $2K
90715 <1% 376 $2K
00126 <1% 29 $2K
92250 <1% 262 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 27 $2K
0002A <1% 37 $1K
99254 <1% 12 $1K
99205 Prolong outpt/office vis <1% 17 $1K
54160 <1% 14 $1K
99219 <1% 14 $1K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 18 $1K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 18 $1K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 77 $1K
99152 <1% 134 $1K
80053 Comprehensive metabolic panel <1% 799 $934.75
92567 <1% 87 $885.15
99384 <1% 12 $882.44
77338 <1% 27 $854.79
80061 Lipid panel <1% 517 $841.45
99310 Prolong nursin fac eval 15m <1% 31 $825.09
29075 <1% 12 $745.00
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) <1% 6,185 $739.64
96040 <1% 143 $644.37
59025 Fetal non-stress test <1% 48 $585.43
73610 <1% 51 $537.05
0124A <1% 15 $530.00
77334 <1% 16 $523.00
93000 <1% 76 $499.46
74018 <1% 47 $469.33
99406 <1% 42 $423.56
94729 <1% 17 $399.05
99307 <1% 16 $395.91
77300 <1% 24 $390.59
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 46 $382.00
84703 <1% 60 $328.29
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 18 $325.00
87400 <1% 25 $273.01
92551 <1% 138 $257.08
90472 Immunization administration, each additional vaccine (list separately) <1% 29 $211.68
90670 <1% 2,701 $202.21
92134 <1% 31 $193.96
92557 <1% 12 $193.64
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 23 $180.21
90734 <1% 513 $175.60
36415 Collection of venous blood by venipuncture <1% 1,435 $150.03
73130 <1% 23 $148.22
84443 Thyroid stimulating hormone (TSH) <1% 46 $138.77
82728 <1% 145 $136.59
73110 <1% 22 $123.53
73630 <1% 19 $123.40
3044F <1% 26 $100.00
87220 <1% 29 $98.75
99358 Prolong nursin fac eval 15m <1% 45 $98.17
90651 <1% 354 $86.89
96160 <1% 58 $78.86
86803 <1% 16 $71.94
86780 <1% 38 $65.82
86762 <1% 14 $57.91
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 13 $46.50
86703 <1% 15 $42.51
87340 <1% 14 $41.75
86850 <1% 27 $36.77
84439 <1% 14 $27.30
83516 <1% 13 $19.38
86900 <1% 15 $15.02
82962 <1% 1,269 $7.22
90785 <1% 346 $0.66
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 21 $0.45
3074F <1% 3,336 $0.25
3078F <1% 3,048 $0.20
3077F <1% 154 $0.12
3079F <1% 134 $0.05
3075F <1% 49 $0.05
3080F <1% 54 $0.03
90680 0% 1,430 $0.00
90698 0% 249 $0.00
90696 0% 195 $0.00
90647 0% 1,131 $0.00
90723 0% 1,280 $0.00
A4590 Special casting material (e.g., fiberglass) 0% 317 $0.00
96127 0% 87 $0.00
90716 0% 179 $0.00
90744 0% 27 $0.00
99174 0% 30 $0.00
G0008 Administration of influenza virus vaccine 0% 32 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 0% 14 $0.00
99177 0% 128 $0.00
90700 0% 244 $0.00
90633 0% 613 $0.00
90648 0% 126 $0.00
90710 0% 313 $0.00
90707 0% 155 $0.00
99173 0% 120 $0.00
90662 0% 25 $0.00
5010F 0% 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 14 $0.00
91312 0% 15 $0.00
90681 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 officialKARL, ROBERT (CFO)
Same official

Other billing entities under KARL, ROBERT

Full network →
ProviderLocationPaid
C H Wilkinson Physician NetworkIrving, TX$4.50M

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