Physician
Memorial Hermann Hospital Based Physician Group
Memorial Hermann Hospital Based Physician Group was paid $27.35M by Medicaid between Jul 2020 and Dec 2024, across 6 billing codes. Its largest line is 99285, emergency room visit (most serious) — 49% of everything it billed.
33Billing provider infoMEMORIAL HERMANN HOSPITAL BASED PHYSICIAN GROUP
HOUSTON, TX 77024
HOUSTON, TX 77024
33aNPI1295363497assigned 04/01/2020
33bProvider typeHospitalist Physician
28Total paid$27.35M
24GClaims405,285
24DCodes billed6
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Hospitalist Physician providers in Texas
Rank by total paid#1 of 71
Median peer was paid$6K
This provider vs. median4,513×
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 | |
|---|---|---|---|
| 2020 | 17,902 | $925K | |
| 2021 | 87,474 | $5.08M | |
| 2022 | 109,405 | $6.94M | |
| 2023 | 114,982 | $8.72M | |
| 2024incomplete | 75,522 | $5.69M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 49% | 162,241 | 156,696 | $13.31M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 42% | 143,447 | 139,991 | $11.46M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 7.9% | 52,899 | 51,349 | $2.16M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 1,646 | 1,595 | $229K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 44,989 | 42,737 | $203K |
| 99053 | 0% | 63 | 58 | $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 officialMCCARTHY, JAMES (CHIEF PHYSICIAN EXECUTIVE)
| Provider | Location | Paid |
|---|---|---|
| Memorial Hermann Medical Group | Sugar Land, TX | $10.17M |
| MHS Physicians of Texas | Shenandoah, TX | $55K |
| South Glens Falls Central School District | South Glens Falls, NY | $42K |
| James a Mccarthy MD, PLLC | Oxford, NC | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.