Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Houston › NPI 1568763290
Physician

West Houston Emergency Physicians, PLLC

West Houston Emergency Physicians, PLLC was paid $503K by Medicaid between Jan 2018 and Jul 2023, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 71% of everything it billed.

33Billing provider infoWEST HOUSTON EMERGENCY PHYSICIANS, PLLC
HOUSTON, TX 77094
33aNPI1568763290assigned 11/11/2010
28Total paid$503K
24GClaims8,616
24DCodes billed4
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers

Next to other Emergency Medicine Physician providers in Texas

Rank by total paid#77 of 344
Median peer was paid$25K
This provider vs. median20×

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 GRIMES, JAMES controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
2018164$7K
2019149$6K
2020232$10K
20212,529$138K
20223,767$241K
20231,775$101K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 71% 5,286 4,956 $355K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 28% 2,209 2,093 $141K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity <1% 98 93 $4K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 1,023 945 $3K

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 officialGRIMES, JAMES (CFO)
Same official

Other billing entities under GRIMES, JAMES

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.