Physician
Roussel Clement MD PA
Roussel Clement MD PA was paid $80K by Medicaid between Jan 2019 and May 2024, across 9 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 35% of everything it billed.
33Billing provider infoROUSSEL CLEMENT MD PA
GROVES, TX 77619
GROVES, TX 77619
33aNPI1720147762assigned 12/06/2006
33bProvider typeInternal Medicine Physician
28Total paid$80K
24GClaims5,397
24DCodes billed9
24AFirst – last monthJan 2019 – May 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#251 of 1,028
Median peer was paid$10K
This provider vs. median7.7×
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 | |
|---|---|---|---|
| 2019 | 1,247 | $5K | |
| 2020 | 2,144 | $41K | |
| 2021 | 1,204 | $19K | |
| 2022 | 654 | $11K | |
| 2023 | 132 | $5K | |
| 2024incomplete | 16 | $422.91 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 35% | 521 | 456 | $28K |
| 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 | 25% | 687 | 594 | $20K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 14% | 2,246 | 1,591 | $11K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 8.5% | 192 | 134 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.8% | 187 | 147 | $6K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.6% | 73 | 64 | $4K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.9% | 669 | 628 | $2K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.0% | 457 | 172 | $2K |
| 99072 | <1% | 365 | 282 | $128.00 |
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 officialCLEMENT, ROUSSEL (PRACTICE OWNER)
| Provider | Location | Paid |
|---|---|---|
| Everest Urgent Care MD PA | Houston, TX | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.