Physician
Texoma Physicians Group, PLLC
Texoma Physicians Group, PLLC was paid $8.14M by Medicaid between Mar 2020 and Dec 2024, across 74 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoTEXOMA PHYSICIANS GROUP, PLLC
SHERMAN, TX 75090
SHERMAN, TX 75090
33aNPI1295395911assigned 06/14/2019
33bProvider typePediatrics Physician
28Total paid$8.14M
24GClaims351,102
24DCodes billed74
24AFirst – last monthMar 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#37 of 1,136
Median peer was paid$329K
This provider vs. median25×
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 | 6,530 | $150K | |
| 2021 | 51,279 | $960K | |
| 2022 | 80,498 | $1.78M | |
| 2023 | 89,304 | $2.18M | |
| 2024incomplete | 123,491 | $3.07M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 61,255 | 52,947 | $2.22M |
| 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 | 12% | 19,061 | 17,685 | $959K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.6% | 7,464 | 7,157 | $540K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.4% | 7,052 | 6,992 | $524K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.2% | 11,235 | 6,557 | $508K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.8% | 41,059 | 15,494 | $475K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 5.2% | 10,508 | 9,938 | $427K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.2% | 26,300 | 24,940 | $344K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 3.5% | 10,220 | 9,628 | $288K |
| 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% | 4,450 | 4,346 | $267K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.9% | 18,089 | 8,761 | $240K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.7% | 2,855 | 2,811 | $219K |
62 more codes
| 96112 | 2.0% | 1,658 | $166K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 18,937 | $148K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.3% | 1,202 | $106K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 1,232 | $96K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 12,863 | $79K |
| 87807 | <1% | 6,603 | $69K | |
| 87428 | <1% | 1,003 | $68K | |
| 99381 | <1% | 734 | $58K | |
| 99383 | <1% | 465 | $41K | |
| 99000 | <1% | 5,401 | $35K | |
| 83655 | <1% | 3,248 | $32K | |
| 92558 | <1% | 7,529 | $31K | |
| 90461 | <1% | 3,597 | $23K | |
| 80061 | Lipid panel | <1% | 2,181 | $22K |
| CP002 | <1% | 2,191 | $21K | |
| 99382 | <1% | 212 | $19K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,625 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 682 | $16K |
| 99223 | Prolong inpt eval add15 m | <1% | 113 | $14K |
| 99384 | <1% | 127 | $11K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 365 | $10K |
| 87081 | <1% | 1,869 | $9K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 634 | $6K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 99 | $4K |
| 74018 | <1% | 123 | $3K | |
| 81003 | <1% | 1,223 | $2K | |
| 99460 | <1% | 32 | $2K | |
| 92587 | <1% | 487 | $1K | |
| 80053 | Comprehensive metabolic panel | <1% | 178 | $1K |
| A7037 | Tubing used with positive airway pressure device | <1% | 659 | $1K |
| 82247 | <1% | 307 | $1K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 543 | $865.00 |
| 73610 | <1% | 25 | $784.99 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $656.06 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 24 | $443.31 |
| 99173 | <1% | 9,153 | $177.90 | |
| 94664 | <1% | 666 | $169.12 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 143 | $155.59 |
| 90670 | <1% | 3,697 | $96.25 | |
| 90686 | <1% | 1,773 | $93.05 | |
| 90633 | <1% | 3,089 | $81.92 | |
| 90648 | <1% | 6,369 | $74.20 | |
| 90700 | <1% | 2,468 | $70.70 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 504 | $68.36 |
| S3620 | Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) | <1% | 634 | $61.60 |
| 36416 | <1% | 2,630 | $32.04 | |
| 99051 | <1% | 730 | $29.40 | |
| 90677 | <1% | 2,745 | $23.79 | |
| 96127 | <1% | 1,711 | $23.41 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,217 | $21.53 |
| 90656 | <1% | 501 | $20.94 | |
| 90651 | <1% | 835 | $0.22 | |
| 90620 | <1% | 88 | $0.02 | |
| 90734 | <1% | 719 | $0.01 | |
| 90716 | 0% | 1,473 | $0.00 | |
| 90680 | 0% | 4,247 | $0.00 | |
| 90723 | 0% | 4,816 | $0.00 | |
| 90657 | 0% | 109 | $0.00 | |
| 90713 | 0% | 791 | $0.00 | |
| 90707 | 0% | 1,468 | $0.00 | |
| 90710 | 0% | 447 | $0.00 | |
| 90715 | 0% | 346 | $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 officialLIPSCOMB, JOSEPH (OWNER)