Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › HOUSTON › PRIVIA MEDICAL GROUP GULF COAST, PLLC

PRIVIA MEDICAL GROUP GULF COAST, PLLC

NPI: 1578969465 · HOUSTON, TX 77054 · Neurology Physician · NPI assigned 11/05/2014

$11.22M
Total Medicaid Paid
676,980
Total Claims
502,020
Beneficiaries
225
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJORDAN, BARBARA (AVP REVENUE CYCLE MANAGEMENT)
NPI Enumeration Date11/05/2014

Related Entities

Other providers sharing the same authorized official: JORDAN, BARBARA

ProviderCityStateTotal Paid
EAST AURORA PEDIATRICS EAST AURORA NY $395K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,116 $11K
2019 4,022 $38K
2020 22,963 $466K
2021 136,965 $2.62M
2022 199,337 $3.17M
2023 198,453 $3.01M
2024 113,124 $1.90M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 87,262 60,422 $2.68M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 56,279 43,126 $2.19M
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 2,159 2,041 $1.16M
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3,265 2,953 $303K
59430 3,213 2,800 $248K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 858 642 $233K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,461 3,315 $223K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 8,090 7,498 $204K
59514 320 299 $198K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,074 2,719 $197K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 8,037 7,444 $195K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 1,050 299 $190K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 3,453 3,002 $179K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 6,327 5,818 $146K
99350 Prolong home eval add 15m 4,126 2,855 $143K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,542 6,164 $139K
J0717 Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 115 85 $132K
99091 756 739 $129K
81002 48,585 30,238 $125K
99215 Prolong outpt/office vis 1,895 1,549 $113K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,103 1,055 $97K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,044 1,005 $87K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,778 1,644 $86K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 938 912 $74K
76830 Ultrasound, transvaginal 897 754 $73K
99310 Prolong nursin fac eval 15m 7,689 4,294 $71K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 140 58 $69K
95813 253 217 $66K
76819 Fetal biophysical profile; without non-stress testing 1,115 564 $63K
76801 690 620 $56K
81025 8,629 7,919 $55K
99349 1,703 1,245 $54K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 716 664 $48K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 673 604 $48K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 643 574 $48K
81514 619 565 $45K
87481 2,401 2,152 $44K
81513 1,026 834 $42K
94375 1,791 1,303 $41K
83970 1,710 1,586 $39K
99309 Subsequent nursing facility care, per day, low to moderate complexity 3,262 2,178 $36K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,559 2,375 $36K
80050 General health panel 1,208 1,131 $34K
87511 1,292 1,247 $27K
84443 Thyroid stimulating hormone (TSH) 2,718 2,553 $26K
95117 3,223 1,310 $24K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,476 4,212 $24K
96401 682 376 $24K
99000 2,523 2,239 $24K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 740 616 $22K
76818 271 159 $22K
31231 190 162 $21K
95913 118 91 $19K
82607 2,167 2,009 $18K
80053 Comprehensive metabolic panel 2,576 2,456 $18K
59025 Fetal non-stress test 612 286 $18K
82746 2,044 1,886 $17K
83036 Hemoglobin; glycosylated (A1C) 2,574 2,414 $15K
20610 794 497 $15K
92552 814 670 $15K
84144 1,129 1,054 $14K
95937 125 91 $14K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 4,372 3,137 $13K
95886 126 91 $13K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 955 917 $13K
73560 606 289 $13K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 396 286 $13K
90460 Immunization administration through 18 years of age via any route, first or only component 1,576 646 $12K
99205 Prolong outpt/office vis 127 120 $12K
99244 Office or other outpatient consultation, moderate to high complexity 167 100 $11K
99385 211 163 $11K
73100 489 237 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 861 814 $11K
73120 508 239 $10K
80061 Lipid panel 1,385 1,299 $10K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 29 12 $9K
83735 1,968 1,823 $9K
84146 784 732 $9K
84439 1,954 1,812 $9K
73620 459 215 $8K
86304 782 729 $8K
99050 536 495 $7K
99233 Prolong inpt eval add15 m 341 172 $7K
84403 419 393 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 431 374 $7K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 262 250 $7K
J1030 Injection, methylprednisolone acetate, 40 mg 2,119 1,549 $6K
81000 2,145 1,086 $6K
83550 1,507 1,391 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 551 345 $6K
82670 310 293 $6K
20553 264 237 $5K
95921 177 128 $5K
83540 1,509 1,393 $4K
80305 574 558 $4K
J1885 Injection, ketorolac tromethamine, per 15 mg 4,962 3,800 $4K
76998 37 36 $4K
72040 161 149 $4K
83001 309 293 $4K
83002 310 293 $4K
72100 144 135 $4K
99051 329 283 $3K
73110 185 77 $3K
72170 195 175 $3K
84479 1,131 1,054 $3K
84436 1,074 1,003 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 42 40 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 520 324 $3K
99232 Subsequent hospital care, per day, moderate complexity 119 64 $3K
J1040 Injection, methylprednisolone acetate, 80 mg 392 333 $3K
71046 Radiologic examination, chest; 2 views 144 120 $3K
73562 147 64 $3K
73130 171 65 $3K
72052 84 64 $2K
58300 42 25 $2K
71045 Radiologic examination, chest; single view 136 125 $2K
99223 Prolong inpt eval add15 m 70 65 $2K
73630 132 59 $2K
84702 200 159 $2K
99381 27 27 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,686 1,299 $2K
90461 272 208 $2K
84402 105 98 $2K
93970 16 15 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 140 114 $2K
84270 121 111 $2K
73030 96 39 $1K
76813 19 16 $1K
86328 32 26 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 4,317 3,088 $1K
11981 12 12 $1K
84153 118 108 $1K
99152 45 44 $1K
84100 329 311 $1K
99384 12 12 $1K
72110 38 28 $890.70
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 13 12 $840.07
92250 16 14 $776.25
76814 16 14 $767.64
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 538 410 $693.77
72114 19 16 $677.32
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 96 88 $640.82
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 14 13 $613.73
94729 12 12 $525.36
82947 185 178 $524.99
J1020 Injection, methylprednisolone acetate, 20 mg 208 154 $492.60
90688 55 42 $465.78
76857 13 13 $441.27
J1010 Injection, methylprednisolone acetate, 1 mg 208 183 $427.64
93925 17 14 $398.28
99490 Ccm add 20min 467 433 $367.08
G8510 Screening for depression is documented as negative, a follow-up plan is not required 770 666 $356.42
77080 13 13 $326.37
90686 169 156 $300.36
95251 14 13 $277.37
90661 14 13 $261.00
90658 15 15 $225.68
36410 15 13 $165.83
96161 471 245 $139.98
3044F 1,641 1,299 $124.86
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 89 89 $104.70
80048 Basic metabolic panel (calcium, ionized) 39 25 $103.14
99056 19 17 $101.34
82565 25 24 $91.93
96160 241 152 $72.22
93922 14 12 $65.22
84481 20 13 $35.70
90694 16 16 $26.50
3046F 22 14 $20.00
99072 18 16 $15.00
99499 1,744 1,444 $3.94
3074F 39,624 28,520 $0.00
3008F 51,743 36,491 $0.00
3079F 9,127 7,411 $0.00
3075F 4,963 3,830 $0.00
1036F 45,655 31,616 $0.00
1126F 7,925 5,156 $0.00
1125F 1,627 1,178 $0.00
G0008 Administration of influenza virus vaccine 294 290 $0.00
90651 38 34 $0.00
1034F 2,464 1,582 $0.00
96127 3,410 2,680 $0.00
3080F 2,669 2,086 $0.00
81099 800 593 $0.00
1101F 2,232 1,526 $0.00
S0612 Annual gynecological examination, established patient 13 12 $0.00
99024 132 129 $0.00
36415 Collection of venous blood by venipuncture 1,717 1,443 $0.00
1035F 778 663 $0.00
1170F 150 149 $0.00
99459 636 390 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 179 171 $0.00
90680 61 53 $0.00
90723 40 32 $0.00
90698 62 54 $0.00
36416 46 37 $0.00
P9603 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled 17 15 $0.00
99457 16 13 $0.00
1111F 17 12 $0.00
2023F 14 13 $0.00
99439 16 13 $0.00
Q4206 Fluid flow or fluid gf, 1 cc 23 22 $0.00
90744 17 14 $0.00
G0009 Administration of pneumococcal vaccine 13 13 $0.00
99458 16 13 $0.00
3725F 6,668 5,099 $0.00
1160F 38,089 28,087 $0.00
3077F 3,059 2,384 $0.00
1159F 35,453 26,005 $0.00
3078F 35,219 25,266 $0.00
3288F 2,638 1,823 $0.00
G0444 Annual depression screening, 5 to 15 minutes 297 279 $0.00
99497 145 137 $0.00
1100F 154 151 $0.00
0502F 146 103 $0.00
90756 247 246 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 40 37 $0.00
90648 44 36 $0.00
90670 128 114 $0.00
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) 435 353 $0.00
99173 460 415 $0.00
90734 30 24 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 24 21 $0.00
90633 15 14 $0.00
1090F 66 46 $0.00