Physician
PCP for Life PA
PCP for Life PA was paid $617K by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoPCP FOR LIFE PA
HOUSTON, TX 77070
HOUSTON, TX 77070
33aNPI1497071955assigned 04/08/2010
33bProvider typeInternal Medicine Physician
28Total paid$617K
24GClaims150,929
24DCodes billed72
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#57 of 1,028
Median peer was paid$10K
This provider vs. median59×
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 | 9,147 | $37K | |
| 2019 | 14,885 | $49K | |
| 2020 | 18,771 | $74K | |
| 2021 | 31,330 | $146K | |
| 2022 | 27,750 | $124K | |
| 2023 | 27,830 | $114K | |
| 2024incomplete | 21,216 | $71K |
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 | 46% | 12,341 | 10,369 | $283K |
| 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 | 22% | 5,200 | 4,688 | $138K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 14% | 3,530 | 1,615 | $84K |
| 86328 | 3.5% | 1,033 | 617 | $22K | |
| 99490 | Ccm add 20min | 3.5% | 4,287 | 4,281 | $21K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 449 | 416 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 1,057 | 464 | $8K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.3% | 124 | 123 | $8K |
| 93000 | <1% | 1,064 | 1,039 | $6K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 87 | 85 | $6K |
| 99000 | <1% | 546 | 528 | $5K | |
| 81002 | <1% | 3,210 | 3,009 | $4K |
60 more codes
| 87428 | <1% | 64 | $4K | |
| 99497 | <1% | 228 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 338 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 46 | $2K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 482 | $2K |
| 93041 | <1% | 968 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 109 | $1K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 930 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 244 | $1K |
| 99407 | <1% | 74 | $941.27 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 957 | $523.79 |
| 99441 | <1% | 15 | $444.91 | |
| 90674 | <1% | 246 | $267.42 | |
| 86769 | <1% | 24 | $252.78 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 201 | $192.62 |
| 98960 | <1% | 3,106 | $159.12 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 18 | $101.92 |
| 82947 | <1% | 21 | $4.07 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 1,103 | $1.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 10,960 | $0.02 |
| 0518F | 0% | 5,894 | $0.00 | |
| 99051 | 0% | 35 | $0.00 | |
| 3725F | 0% | 11,950 | $0.00 | |
| 1160F | 0% | 6,570 | $0.00 | |
| 0521F | 0% | 2,028 | $0.00 | |
| 3078F | 0% | 4,732 | $0.00 | |
| 1090F | 0% | 4,721 | $0.00 | |
| 1033F | 0% | 3,909 | $0.00 | |
| 1159F | 0% | 7,020 | $0.00 | |
| 96116 | 0% | 150 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 295 | $0.00 |
| 1032F | 0% | 209 | $0.00 | |
| 3077F | 0% | 757 | $0.00 | |
| 1100F | 0% | 43 | $0.00 | |
| 1158F | 0% | 13 | $0.00 | |
| 3074F | 0% | 4,935 | $0.00 | |
| 3079F | 0% | 1,484 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 1,421 | $0.00 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 0% | 248 | $0.00 |
| 1036F | 0% | 256 | $0.00 | |
| 1170F | 0% | 7,482 | $0.00 | |
| 3008F | 0% | 6,965 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 5,225 | $0.00 |
| 1111F | 0% | 698 | $0.00 | |
| 1126F | 0% | 10,003 | $0.00 | |
| 1101F | 0% | 3,839 | $0.00 | |
| 3080F | 0% | 372 | $0.00 | |
| 1125F | 0% | 4,756 | $0.00 | |
| 4010F | 0% | 280 | $0.00 | |
| 99439 | 0% | 65 | $0.00 | |
| 3075F | 0% | 909 | $0.00 | |
| 1035F | 0% | 27 | $0.00 | |
| 3044F | 0% | 17 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 78 | $0.00 |
| 1110F | 0% | 31 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 199 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 79 | $0.00 |
| 1034F | 0% | 113 | $0.00 | |
| 1031F | 0% | 45 | $0.00 | |
| 4000F | 0% | 14 | $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 officialKARIMJEE, NAJMUDDIN (PRESIDENT)