Physician
PRMC Healthcare Group INC
PRMC Healthcare Group INC was paid $770K by Medicaid between Jan 2018 and Oct 2024, across 37 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoPRMC HEALTHCARE GROUP INC
PARIS, TX 75460
PARIS, TX 75460
33aNPI1457514648assigned 07/08/2008
33bProvider typeFamily Medicine Physician
28Total paid$770K
24GClaims29,242
24DCodes billed37
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#124 of 1,204
Median peer was paid$31K
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more
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 | 4,151 | $95K | |
| 2019 | 4,909 | $105K | |
| 2020 | 4,382 | $109K | |
| 2021 | 6,820 | $187K | |
| 2022 | 3,674 | $116K | |
| 2023 | 3,946 | $117K | |
| 2024incomplete | 1,360 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 36% | 6,132 | 5,891 | $277K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 27% | 11,917 | 4,901 | $208K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 10% | 1,241 | 490 | $81K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.5% | 2,526 | 2,333 | $73K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.6% | 1,644 | 1,561 | $43K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.7% | 693 | 347 | $21K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.1% | 759 | 694 | $16K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.9% | 181 | 176 | $15K |
| 99223 | Prolong inpt eval add15 m | 1.6% | 233 | 222 | $12K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 254 | 237 | $7K |
| 11721 | <1% | 423 | 397 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 287 | 251 | $3K |
25 more codes
| 99219 | <1% | 87 | $3K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 101 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 70 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 46 | $1K |
| 95885 | <1% | 14 | $938.33 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 15 | $633.22 |
| 0031A | <1% | 64 | $507.16 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 28 | $361.40 |
| 0012A | <1% | 93 | $349.92 | |
| 99221 | <1% | 13 | $222.02 | |
| 0011A | <1% | 95 | $196.99 | |
| 99217 | <1% | 26 | $179.99 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 56 | $104.88 |
| 94729 | <1% | 12 | $48.98 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 52 | $38.77 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 13 | $2.28 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 65 | $0.00 |
| 3078F | 0% | 202 | $0.00 | |
| 80305 | 0% | 14 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 515 | $0.00 |
| 1036F | 0% | 1,067 | $0.00 | |
| 1123F | 0% | 190 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 70 | $0.00 |
| 90688 | 0% | 12 | $0.00 | |
| 90686 | 0% | 32 | $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 officialLAWRENCE, CHARLOTTE (SECRETARY)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.