Inpatient Medicine Physicians PA

Inpatient Medicine Physicians PA was paid $100K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 71% of everything it billed.

33Billing provider infoINPATIENT MEDICINE PHYSICIANS PA
NEW BRAUNFELS, TX 78132

33aNPI1316973043assigned 06/24/2006

33bProvider typeHospitalist Physician

28Total paid$100K

24GClaims22,736

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Hospitalist Physician providers in Texas

Rank by total paid#16 of 71

Median peer was paid$6K

This provider vs. median16×

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	3,305	$7K
2019	4,933	$19K
2020	8,424	$23K
2021	2,348	$25K
2024incomplete	3,726	$26K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	71%	14,956	5,156	$71K
99308	Subsequent nursing facility care, per day, straightforward	22%	4,565	3,577	$22K
99306	Prolong nursin fac eval 15m	3.7%	325	318	$4K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.6%	355	166	$2K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	172	53	$823.90
99307		<1%	69	60	$625.64
99305		<1%	24	24	$217.24
99310	Prolong nursin fac eval 15m	<1%	613	213	$130.71
99239	Hospital discharge day management, more than 30 minutes	<1%	13	13	$70.71
99497		<1%	32	32	$2.78
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	1,087	573	$0.00
99490	Ccm add 20min	0%	525	522	$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 officialCALDERON, GUIDO (PHYSICIAN)