Rheumatic Disease Clinic of Houston
Rheumatic Disease Clinic of Houston was paid $16K by Medicaid between Jan 2018 and Jun 2019, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.
33Billing provider infoRHEUMATIC DISEASE CLINIC OF HOUSTON
HOUSTON, TX 77004
HOUSTON, TX 77004
33aNPI1508981200assigned 03/20/2007
33bProvider typeSpecialist
28Total paid$16K
24GClaims1,637
24DCodes billed6
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Specialist providers in Texas
Rank by total paid#221 of 382
Median peer was paid$29K
This provider vs. median0.6×
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 | 1,238 | $10K | |
| 2019 | 399 | $6K |
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 | 74% | 815 | 781 | $12K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 254 | 250 | $3K |
| 99490 | Ccm add 20min | 2.1% | 80 | 80 | $347.36 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.9% | 70 | 68 | $311.26 |
| 20610 | 1.8% | 58 | 55 | $289.15 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 360 | 329 | $145.90 |
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 officialDIAZ, CARLOS (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Benessere Healthcare Limited Liability Company | Miami, FL | $1.72M |
| Complete Health of South Florida LLC | Miami, FL | $76K |
| Carlos R Diaz Velez MD CSP | Santurce, PR | $42K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.