Texas Specialty Physicians
Texas Specialty Physicians was paid $1.26M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
PALESTINE, TX 75801
Next to other Internal Medicine 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 | |
|---|---|---|---|
| 2018 | 91 | $669.60 | |
| 2019 | 78 | $171.20 | |
| 2020 | 3,369 | $38K | |
| 2021 | 10,113 | $194K | |
| 2022 | 12,831 | $260K | |
| 2023 | 14,696 | $368K | |
| 2024incomplete | 14,147 | $396K |
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 | 44% | 18,750 | 13,792 | $555K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.2% | 1,602 | 1,458 | $115K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 9.1% | 1,476 | 1,421 | $114K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 5.6% | 140 | 137 | $71K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.0% | 804 | 788 | $63K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 4.4% | 1,009 | 930 | $55K |
| 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 | 4.1% | 1,493 | 1,325 | $51K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.0% | 4,370 | 1,709 | $51K |
| 59430 | 3.4% | 477 | 447 | $43K | |
| 81002 | 2.9% | 14,143 | 9,381 | $37K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 470 | 437 | $18K |
| 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% | 173 | 164 | $10K |
45 more codes
| 59514 | <1% | 28 | $9K | |
| 99460 | <1% | 112 | $8K | |
| 76801 | <1% | 114 | $8K | |
| 81025 | <1% | 1,296 | $8K | |
| 99000 | <1% | 1,008 | $7K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 57 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 442 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 163 | $3K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 48 | $3K |
| 90715 | <1% | 113 | $3K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 30 | $2K |
| 90461 | <1% | 1,577 | $2K | |
| 99383 | <1% | 16 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 27 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 213 | $1K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 421 | $1K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 58 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 124 | $1K |
| 92551 | <1% | 315 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 15 | $894.75 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 20 | $828.23 |
| 90474 | <1% | 102 | $756.88 | |
| 76820 | <1% | 26 | $729.02 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 12 | $511.62 |
| 90686 | <1% | 43 | $498.15 | |
| 93000 | <1% | 27 | $171.26 | |
| 90671 | <1% | 510 | $137.30 | |
| 87210 | <1% | 34 | $88.02 | |
| 99024 | 0% | 229 | $0.00 | |
| 90723 | 0% | 13 | $0.00 | |
| 90680 | 0% | 832 | $0.00 | |
| 96127 | 0% | 61 | $0.00 | |
| 90697 | 0% | 728 | $0.00 | |
| 90716 | 0% | 56 | $0.00 | |
| 86769 | 0% | 13 | $0.00 | |
| 90688 | 0% | 63 | $0.00 | |
| 90634 | 0% | 14 | $0.00 | |
| 90698 | 0% | 17 | $0.00 | |
| 90670 | 0% | 638 | $0.00 | |
| 90700 | 0% | 199 | $0.00 | |
| 99173 | 0% | 138 | $0.00 | |
| 90633 | 0% | 300 | $0.00 | |
| 90707 | 0% | 66 | $0.00 | |
| 90648 | 0% | 70 | $0.00 | |
| 90681 | 0% | 30 | $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 |
|---|---|---|
| Logan General Hospital LLC | Logan, WV | $43.43M |
| Phc-Cleveland LLC | Cleveland, MS | $23.43M |
| Hartsville, LLC | Hartsville, SC | $18.42M |
| Logan Memorial Hospital LLC | Russellville, KY | $14.29M |
| Southwestern Medical Center, LLC | Lawton, OK | $9.40M |
| Palestine Principal Healthcare Limited Partnership | Palestine, TX | $6.80M |
| Watertown Medical Center LLC | Watertown, WI | $6.31M |
| Amg - Livingston, LLC | Livingston, TN | $5.52M |
| Logan General Hospital LLC | Logan, WV | $4.91M |
| ST. Joseph Hospital LLC | Lewiston, ID | $4.67M |
| Riverton Memorial Hospital LLC | Riverton, WY | $4.65M |
| Livingston Regional Hospital LLC | Livingston, TN | $4.33M |
| Hartsville Medical Group LLC | Hartsville, SC | $4.16M |
| Mexia Principal Healthcare Limited Partnership | Mexia, TX | $2.19M |
| Palestine Principal Healthcare Limited Partnership | Palestine, TX | $1.27M |
| ST Joseph Hospital LLC | Lewiston, ID | $1.10M |
| Watertown Physician Practices LLC | Watertown, WI | $244K |
| Watertown Physician Practices LLC | Watertown, WI | $175K |
| Amg-Livingston LLC | Livingston, TN | $165K |
| Watertown Physician Practices LLC | Watertown, WI | $149K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.