Ut Physicians
Ut Physicians was paid $279K by Medicaid between Oct 2020 and Dec 2024, across 25 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 30% of everything it billed.
MISSOURI CITY, TX 77459
Next to other Pediatrics Physician providers in Texas
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 159 | $1K | |
| 2021 | 381 | $9K | |
| 2022 | 2,943 | $71K | |
| 2023 | 4,838 | $128K | |
| 2024incomplete | 2,255 | $69K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 30% | 971 | 963 | $85K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 25% | 840 | 805 | $70K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 25% | 4,831 | 1,967 | $68K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.5% | 280 | 280 | $26K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.2% | 145 | 144 | $14K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.0% | 900 | 652 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 79 | 74 | $3K |
| 90461 | <1% | 493 | 419 | $3K | |
| 92551 | <1% | 106 | 98 | $433.30 | |
| 96160 | <1% | 114 | 114 | $267.24 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 16 | 16 | $261.24 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 67 | 66 | $185.00 |
13 more codes
| 90677 | <1% | 95 | $0.54 | |
| 90686 | <1% | 303 | $0.41 | |
| 90697 | <1% | 30 | $0.05 | |
| 90648 | <1% | 251 | $0.01 | |
| 90670 | <1% | 396 | $0.01 | |
| 90723 | <1% | 162 | $0.01 | |
| 90651 | <1% | 14 | $0.01 | |
| 90710 | 0% | 12 | $0.00 | |
| 99173 | 0% | 150 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 71 | $0.00 |
| 90633 | 0% | 93 | $0.00 | |
| 90734 | 0% | 13 | $0.00 | |
| 90680 | 0% | 144 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Ut Physicians Specialty Services | Houston, TX | $1.22M |
| Ut Physicians | Houston, TX | $872K |
| Ut Physicians | Houston, TX | $579K |
| Ut Physicians | Houston, TX | $508K |
| Ut Physicians | Houston, TX | $453K |
| Ut Physicians | Houston, TX | $406K |
| Ut Physicians | Houston, TX | $348K |
| Ut Physicians | Houston, TX | $302K |
| Ut Physicians | Houston, TX | $277K |
| Ut Physicians | Houston, TX | $210K |
| Ut Physicians | Katy, TX | $128K |
| Ut Physicians | Rosenberg, TX | $97K |
| Ut Physicians | Houston, TX | $80K |
| Ut Physicians | Houston, TX | $71K |
| Ut Physicians - Trauma Services | Houston, TX | $50K |
| Ut Physicians | Houston, TX | $34K |
| Ut Physicians | Houston, TX | $19K |
| Ut Physicians | Katy, TX | $10K |
| Ut Physicians Specialty Services | Houston, TX | $8K |
| Ut Physicians Specialty Services | Houston, TX | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.