Umc Physicians

Umc Physicians was paid $11.12M by Medicaid between Jan 2018 and Dec 2024, across 98 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.

33Billing provider infoUMC PHYSICIANS
LUBBOCK, TX 79407

33aNPI1669418547assigned 06/21/2006

33bProvider typeInternal Medicine Physician

28Total paid$11.12M

24GClaims351,543

24DCodes billed98

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in Texas

Rank by total paid#4 of 1,028

Median peer was paid$10K

This provider vs. median1,068×

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.

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
2018	4,704	$51K
2019	3,936	$40K
2020	25,411	$702K
2021	111,247	$3.26M
2022	101,036	$3.36M
2023	75,202	$2.63M
2024incomplete	30,007	$1.08M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	42%	110,119	103,319	$4.68M
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	16%	31,268	29,349	$1.75M
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	6.8%	19,220	18,260	$761K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	6.7%	55,608	53,129	$745K
87428		5.6%	11,652	11,245	$623K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	3.8%	5,461	5,357	$423K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.9%	4,000	3,930	$327K
90460	Immunization administration through 18 years of age via any route, first or only component	2.9%	31,858	13,212	$319K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	2.1%	3,036	2,964	$229K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.8%	2,436	2,382	$198K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.7%	14,446	6,915	$192K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	1.7%	979	963	$187K

86 more codes

99203	Doctor's office visit, new patient (routine)	1.2%	1,936	$129K
99050		<1%	1,061	$103K
99204	Doctor's office visit, new patient (more involved)	<1%	777	$66K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	3,297	$44K
90461		<1%	7,062	$44K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	<1%	189	$42K
95115		<1%	5,140	$37K
99308	Subsequent nursing facility care, per day, straightforward	<1%	5,174	$33K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	607	$30K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	1,868	$15K
99232	Hospital visit by a doctor, follow-up day	<1%	631	$14K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	1,489	$12K
80053	Comprehensive metabolic panel	<1%	2,006	$11K
84443	Thyroid stimulating hormone (TSH)	<1%	1,221	$11K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	443	$10K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	364	$7K
81003		<1%	3,648	$6K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	383	$6K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	144	$6K
80061	Lipid panel	<1%	675	$5K
83036	Hemoglobin; glycosylated (A1C)	<1%	772	$5K
85027		<1%	874	$4K
87807		<1%	387	$4K
84439		<1%	490	$3K
90686		<1%	4,736	$3K
99381		<1%	42	$3K
81025		<1%	413	$3K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	63	$2K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	102	$2K
99223	Prolong inpt eval add15 m	<1%	25	$2K
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	101	$2K
83655		<1%	208	$2K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	689	$2K
99307		<1%	177	$2K
90670		<1%	2,957	$1K
94010		<1%	51	$1K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	96	$1K
99383		<1%	12	$1K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	53	$981.37
71046	Radiologic examination, chest; 2 views	<1%	49	$883.00
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	12	$881.86
90677		<1%	322	$835.96
90651		<1%	654	$789.59
87210		<1%	166	$769.94
80050	General health panel	<1%	25	$763.23
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	842	$678.35
69210		<1%	28	$661.04
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	339	$632.80
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	133	$590.89
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	<1%	30	$524.34
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	153	$513.28
87430		<1%	15	$210.51
74018		<1%	12	$209.87
3044F		<1%	243	$200.00
0012A		<1%	17	$174.60
86140		<1%	44	$168.11
84702		<1%	18	$167.99
90680		<1%	344	$166.70
85018		<1%	114	$151.27
99441		<1%	12	$143.74
93016		<1%	29	$138.74
90715		<1%	201	$130.44
82607		<1%	13	$130.11
85651		<1%	28	$93.85
93018		<1%	30	$91.72
90656		<1%	340	$88.75
99318		<1%	16	$80.84
90472	Immunization administration, each additional vaccine (list separately)	<1%	25	$79.01
90633		<1%	809	$70.29
83690		<1%	14	$65.94
82977		<1%	14	$56.73
90648		<1%	2,664	$46.68
0011A		<1%	13	$35.58
36415	Collection of venous blood by venipuncture	<1%	221	$14.10
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	167	$3.18
90723		0%	1,392	$0.00
90696		0%	169	$0.00
G0008	Administration of influenza virus vaccine	0%	32	$0.00
90716		0%	12	$0.00
96127		0%	47	$0.00
90620		0%	13	$0.00
90681		0%	352	$0.00
90734		0%	482	$0.00
90710		0%	417	$0.00
90700		0%	13	$0.00
90707		0%	12	$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 officialGUARDIOLA, MARCO (MANAGING DIRECTOR, BUSINESS SERVICE)