Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HOSPITALIST MEDICINE PHYSICIANS OF TEXAS, PLLC

NPI: 1629307095 · HUMBLE, TX 77338 · Family Medicine Physician · NPI assigned 12/15/2009

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FALL, LAURA controls 20+ related entities in our dataset. Read more

$16.31M
Total Medicaid Paid
407,176
Total Claims
190,603
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFALL, LAURA (MANAGER)
NPI Enumeration Date12/15/2009

Related Entities

Other providers sharing the same authorized official: FALL, LAURA

ProviderCityStateTotal Paid
INPATIENT SPECIALISTS OF CALIFORNIA, PC SAN BERNARDINO CA $32.85M
SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTHERN CALIFORNIA, P.C. BAKERSFIELD CA $23.48M
T M CARR MD PC MEMPHIS TN $19.29M
SOUTH SOUND INPATIENT PHYSICIANS PLLC ARLINGTON WA $17.61M
HOSPITALIST MEDICINE PHYSICIANS OF CALIFORNIA, INC SAN JOSE CA $16.34M
COGENT HEALTHCARE OF ARIZONA PC BRENTWOOD TN $15.26M
SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTH CAROLINA LLC AIKEN SC $14.15M
SOUND INPATIENT PHYSICIANS-MICHIGAN, PLLC KALAMAZOO MI $12.40M
HOSPITALIST MEDICINE PHYSICIANS OF OHIO, PROFESSIONAL CORPORATION MIDDLETOWN OH $9.72M
HOSPITALIST MEDICINE PHYSICIANS OF MARYLAND-FREDERICK PC FREDERICK MD $6.02M
RABESSLER MD PC LAS VEGAS NV $5.09M
SOUND PHYSICIANS OF ILLINOIS, LLC CHICAGO IL $4.98M
HOSPITALIST MEDICINE PHYSICIANS OF TEXAS - HOUSTON, PLLC BRENTWOOD TN $4.68M
COGENT HEALTHCARE OF GEORGIA PC MACON GA $4.65M
COGENT HEALTHCARE OF KENTUCKY, PSC LOUISVILLE KY $4.39M
HOSPITALIST MEDICINE PHYSICIANS OF NEW YORK, PLLC BRONX NY $4.25M
HOSPITALIST MEDICINE PHYSICIANS OF WEST VIRGINIA, PLLC WHEELING WV $4.10M
HOSPITALIST MEDICINE PHYSICIANS OF NEW MEXICO - CLOVIS, LLC HOBBS NM $4.09M
SOUND PHYSICIANS EMERGENCY MEDICINE OF KANSAS, LLC TOPEKA KS $3.37M
COGENT HEALTHCARE OF NORTH CAROLINA, PC HIGH POINT NC $3.34M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 34,691 $1.03M
2019 41,243 $1.26M
2020 48,393 $1.53M
2021 43,001 $2.08M
2022 52,834 $2.93M
2023 131,567 $5.12M
2024 55,447 $2.37M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 194,803 66,120 $7.43M
99223 Prolong inpt eval add15 m 55,521 44,473 $4.01M
99232 Subsequent hospital care, per day, moderate complexity 92,397 29,491 $2.11M
99239 Hospital discharge day management, more than 30 minutes 42,178 34,745 $1.75M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,200 1,924 $437K
99220 4,809 4,071 $278K
99222 Initial hospital care, per day, moderate complexity 3,597 2,470 $147K
99238 Hospital discharge day management, 30 minutes or less 2,978 2,586 $108K
99226 307 164 $9K
99217 764 632 $6K
99215 Prolong outpt/office vis 31 29 $4K
99497 425 363 $4K
99219 73 65 $3K
99221 89 81 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,845 951 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 153 60 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12 12 $1K
99225 47 12 $256.14
99308 Subsequent nursing facility care, per day, straightforward 1,270 709 $138.44
99490 Ccm add 20min 2,089 1,141 $125.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 44 38 $19.15
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 277 262 $0.04
0518F 13 13 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 15 15 $0.00
1123F 169 138 $0.00
99439 70 38 $0.00