Supplier
Etmc Physician Group INC.
Etmc Physician Group INC. was paid $8.03M by Medicaid between Feb 2019 and Dec 2024, across 127 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoETMC PHYSICIAN GROUP INC.
TYLER, TX 75701
TYLER, TX 75701
33aNPI1609382662assigned 12/28/2017
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$8.03M
24GClaims306,872
24DCodes billed127
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Texas
Rank by total paid#19 of 566
Median peer was paid$142K
This provider vs. median57×
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 PETROVICH, STEPHEN controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 56 | $1K | |
| 2020 | 8,263 | $177K | |
| 2021 | 68,260 | $1.88M | |
| 2022 | 75,260 | $2.51M | |
| 2023 | 103,125 | $2.37M | |
| 2024incomplete | 51,908 | $1.09M |
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 | 28% | 43,140 | 38,782 | $2.25M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 45,191 | 40,576 | $1.99M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.4% | 6,659 | 6,565 | $513K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.9% | 5,538 | 5,294 | $396K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.5% | 31,892 | 13,475 | $278K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 3.1% | 524 | 464 | $249K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.1% | 2,986 | 2,956 | $247K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.0% | 3,989 | 3,711 | $244K |
| 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 | 3.0% | 2,597 | 2,450 | $241K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.8% | 1,965 | 1,909 | $221K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.2% | 3,778 | 1,481 | $96K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.2% | 1,251 | 998 | $95K |
115 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 6,939 | $84K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 6,447 | $80K |
| 99223 | Prolong inpt eval add15 m | <1% | 1,377 | $79K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 519 | $76K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 690 | $59K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 1,651 | $54K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 598 | $53K |
| 90461 | <1% | 14,009 | $50K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 2,663 | $49K |
| 59430 | <1% | 636 | $49K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,083 | $40K |
| 31231 | <1% | 296 | $39K | |
| 92567 | <1% | 3,148 | $32K | |
| 87428 | <1% | 1,149 | $32K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 1,437 | $31K |
| 92579 | <1% | 959 | $28K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 346 | $28K |
| 81002 | <1% | 11,048 | $27K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 5,965 | $22K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 590 | $19K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 395 | $19K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 504 | $18K |
| 76801 | <1% | 179 | $15K | |
| 99242 | <1% | 246 | $14K | |
| 92555 | <1% | 677 | $12K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 208 | $11K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 268 | $11K |
| 92557 | <1% | 405 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 394 | $10K |
| 87807 | <1% | 977 | $10K | |
| 93000 | <1% | 1,416 | $10K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 42 | $9K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 88 | $9K |
| 99243 | <1% | 109 | $8K | |
| 81025 | <1% | 1,404 | $8K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 572 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 973 | $8K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 170 | $7K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 827 | $7K |
| 59025 | Fetal non-stress test | <1% | 294 | $6K |
| 92587 | <1% | 354 | $5K | |
| 92558 | <1% | 769 | $5K | |
| 90686 | <1% | 2,846 | $4K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 73 | $4K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 73 | $4K |
| 92582 | <1% | 64 | $4K | |
| 99460 | <1% | 43 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 266 | $3K |
| 99497 | <1% | 187 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 218 | $3K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 42 | $2K |
| 76641 | <1% | 85 | $2K | |
| 95819 | <1% | 87 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 97 | $1K |
| 94010 | <1% | 149 | $1K | |
| 99000 | <1% | 143 | $1K | |
| 87070 | <1% | 162 | $1K | |
| 99221 | <1% | 49 | $1K | |
| 99383 | <1% | 12 | $1K | |
| 92553 | <1% | 47 | $966.86 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 162 | $941.94 |
| 11045 | <1% | 23 | $932.26 | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 25 | $913.49 |
| 99205 | Prolong outpt/office vis | <1% | 18 | $872.63 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 31 | $825.44 |
| 92511 | <1% | 29 | $818.37 | |
| 0012A | <1% | 67 | $791.56 | |
| 99152 | <1% | 104 | $702.00 | |
| 90670 | <1% | 3,326 | $678.65 | |
| 93886 | <1% | 27 | $665.93 | |
| 0011A | <1% | 51 | $547.76 | |
| 93970 | <1% | 30 | $442.78 | |
| 90671 | <1% | 191 | $437.16 | |
| 73110 | <1% | 26 | $434.29 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 17 | $419.40 |
| 85018 | <1% | 217 | $332.10 | |
| 73130 | <1% | 68 | $291.30 | |
| 90674 | <1% | 14 | $157.68 | |
| 92504 | <1% | 14 | $140.20 | |
| 92588 | <1% | 44 | $128.15 | |
| 94760 | <1% | 131 | $105.46 | |
| 90723 | <1% | 1,638 | $88.38 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 28 | $73.99 |
| 90672 | <1% | 91 | $72.17 | |
| 94729 | <1% | 12 | $58.73 | |
| 90633 | <1% | 944 | $36.23 | |
| 90661 | <1% | 14 | $24.80 | |
| 90648 | <1% | 2,832 | $18.28 | |
| 81000 | <1% | 12 | $16.90 | |
| 90715 | <1% | 29 | $2.98 | |
| 90677 | <1% | 732 | $2.68 | |
| 90697 | <1% | 595 | $2.15 | |
| 90619 | <1% | 51 | $0.19 | |
| 90651 | <1% | 210 | $0.06 | |
| 3074F | 0% | 14,473 | $0.00 | |
| 3008F | 0% | 34,955 | $0.00 | |
| 3079F | 0% | 1,765 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 3075F | 0% | 574 | $0.00 | |
| 3044F | 0% | 512 | $0.00 | |
| 3080F | 0% | 326 | $0.00 | |
| 96127 | 0% | 74 | $0.00 | |
| 90656 | 0% | 27 | $0.00 | |
| 99024 | 0% | 67 | $0.00 | |
| 90696 | 0% | 61 | $0.00 | |
| 90694 | 0% | 14 | $0.00 | |
| 3078F | 0% | 13,246 | $0.00 | |
| 90681 | 0% | 293 | $0.00 | |
| 90700 | 0% | 17 | $0.00 | |
| 3077F | 0% | 1,424 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| 99499 | 0% | 56 | $0.00 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 30 | $0.00 |
| 90710 | 0% | 128 | $0.00 | |
| 90734 | 0% | 28 | $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 officialPETROVICH, STEPHEN (EVP AND SECRETARY)
Parent organizationAHS EAST TEXAS HEALTH SYSTEM, LLC
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| Ahs Pryor Hospital, LLC | Pryor, OK | $3.76M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.