Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Macarthur Medical Center, PLLC

Macarthur Medical Center, PLLC was paid $18.94M by Medicaid between Jul 2018 and Dec 2024, across 89 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.

33Billing provider infoMACARTHUR MEDICAL CENTER, PLLC
IRVING, TX 75062
33aNPI1497982268assigned 06/18/2009
33bProvider typePhysical Therapist
28Total paid$18.94M
24GClaims662,133
24DCodes billed89
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers

Next to other Physical Therapist providers in Texas

Rank by total paid#4 of 219
Median peer was paid$66K
This provider vs. median286×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201829$2K
2019827$19K
202034,876$831K
2021163,509$4.60M
2022177,948$4.85M
2023160,518$4.77M
2024incomplete124,426$3.87M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 122,458 96,618 $3.88M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 19% 49,661 39,322 $3.64M
76819 Fetal biophysical profile; without non-stress testing 11% 37,769 23,203 $2.10M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6.4% 17,021 16,822 $1.22M
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 6.0% 11,704 11,431 $1.14M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.1% 13,069 12,979 $967K
90460 Immunization administration through 18 years of age via any route, first or only component 4.2% 77,424 24,410 $796K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 3.6% 1,244 1,229 $678K
76801 2.8% 6,147 5,982 $535K
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 2.4% 6,130 6,016 $460K
59430 2.3% 5,563 5,374 $434K
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 2.0% 8,472 7,683 $373K
77 more codes
99381 1.7% 4,911 $313K
81002 1.6% 116,579 $307K
76813 1.5% 3,302 $282K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 3,325 $182K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 2,232 $176K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 1,947 $136K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 5,498 $118K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 14,535 $115K
59514 <1% 555 $106K
90461 <1% 15,697 $90K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,017 $77K
99203 Doctor's office visit, new patient (routine) <1% 1,312 $65K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 7,314 $62K
90715 <1% 2,536 $62K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 634 $53K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 1,435 $51K
99215 Doctor's office visit, returning patient (complex) <1% 748 $48K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,483 $35K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 1,679 $34K
76830 Ultrasound, transvaginal <1% 356 $30K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 3,186 $29K
92551 <1% 5,699 $29K
81025 <1% 4,469 $28K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 1,503 $27K
99385 <1% 413 $27K
59025 Fetal non-stress test <1% 1,361 $25K
76820 <1% 835 $24K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,136 $23K
90674 <1% 1,068 $21K
99000 <1% 2,663 $21K
99234 <1% 236 $20K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 426 $17K
97162 <1% 245 $17K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,159 $15K
76857 <1% 190 $6K
99222 Initial hospital care, per day, moderate complexity <1% 82 $6K
58300 <1% 68 $6K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 77 $5K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 72 $4K
99383 <1% 44 $4K
87807 <1% 377 $4K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 399 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 298 $4K
99401 <1% 557 $2K
90472 Immunization administration, each additional vaccine (list separately) <1% 152 $1K
E0603 Breast pump, electric (ac and/or dc), any type <1% 15 $1K
96160 <1% 543 $1K
82947 <1% 345 $965.58
54150 <1% 12 $873.73
90686 <1% 6,551 $647.92
90677 <1% 1,553 $550.60
96127 <1% 724 $456.30
99078 <1% 236 $427.80
99493 <1% 12 $354.45
81003 <1% 171 $290.87
99050 <1% 20 $164.34
90723 <1% 7,577 $87.97
90633 <1% 5,988 $70.23
90680 <1% 9,540 $67.05
90716 <1% 2,704 $31.58
99459 <1% 2,566 $22.42
90648 <1% 13,474 $16.36
36416 <1% 4,771 $11.90
90670 <1% 12,796 $0.72
90707 <1% 2,674 $0.22
90713 <1% 2,794 $0.15
90734 <1% 105 $0.05
90620 <1% 32 $0.04
90744 <1% 303 $0.01
90651 <1% 137 $0.01
90700 0% 5,948 $0.00
99173 0% 5,788 $0.00
90710 0% 724 $0.00
90685 0% 861 $0.00
90696 0% 222 $0.00
90698 0% 444 $0.00
97804 0% 31 $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 officialMCEWEN, MIKE (CEO)