Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Hospitalist Medicine Physicians of Texas, PLLC

Hospitalist Medicine Physicians of Texas, PLLC was paid $16.31M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 46% of everything it billed.

33Billing provider infoHOSPITALIST MEDICINE PHYSICIANS OF TEXAS, PLLC
HUMBLE, TX 77338
33aNPI1629307095assigned 12/15/2009
28Total paid$16.31M
24GClaims407,176
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#1 of 1,204
Median peer was paid$31K
This provider vs. median530×

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

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
201834,691$1.03M
201941,243$1.26M
202048,393$1.53M
202143,001$2.08M
202252,834$2.93M
2023131,567$5.12M
2024incomplete55,447$2.37M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 46% 194,803 66,120 $7.43M
99223 Prolong inpt eval add15 m 25% 55,521 44,473 $4.01M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 13% 92,397 29,491 $2.11M
99239 Hospital discharge day management, more than 30 minutes 11% 42,178 34,745 $1.75M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2.7% 3,200 1,924 $437K
99220 1.7% 4,809 4,071 $278K
99222 Initial hospital care, per day, moderate complexity <1% 3,597 2,470 $147K
99238 Hospital discharge day management, 30 minutes or less <1% 2,978 2,586 $108K
99226 <1% 307 164 $9K
99217 <1% 764 632 $6K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 31 29 $4K
99497 <1% 425 363 $4K
14 more codes
99219 <1% 73 $3K
99221 <1% 89 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 1,845 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 153 $2K
99214 Doctor's office visit, returning patient (more involved) <1% 12 $1K
99225 <1% 47 $256.14
99308 Subsequent nursing facility care, per day, straightforward <1% 1,270 $138.44
99490 Ccm add 20min <1% 2,089 $125.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 44 $19.15
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 277 $0.04
0518F 0% 13 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 0% 15 $0.00
1123F 0% 169 $0.00
99439 0% 70 $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 officialFALL, LAURA (MANAGER)
Same official

Other billing entities under FALL, LAURA

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