Physician
Baylor ST. Luke's Medical Group
Baylor ST. Luke's Medical Group was paid $2.77M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoBAYLOR ST. LUKE'S MEDICAL GROUP
HOUSTON, TX 77030
HOUSTON, TX 77030
33aNPI1740485879assigned 06/19/2007
33bProvider typeAnesthesiology Physician
28Total paid$2.77M
24GClaims97,228
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Anesthesiology Physician providers in Texas
Rank by total paid#11 of 134
Median peer was paid$34K
This provider vs. median82×
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 | 470 | $5K | |
| 2019 | 225 | $3K | |
| 2020 | 7,096 | $175K | |
| 2021 | 22,844 | $683K | |
| 2022 | 30,226 | $786K | |
| 2023 | 22,998 | $716K | |
| 2024incomplete | 13,369 | $403K |
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 | 50% | 51,722 | 34,141 | $1.38M |
| 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 | 19% | 15,275 | 11,842 | $525K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 9.0% | 3,150 | 2,839 | $250K |
| 99243 | 3.6% | 1,108 | 1,074 | $99K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 3.2% | 173 | 156 | $87K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.8% | 956 | 696 | $49K |
| 76801 | 1.6% | 547 | 485 | $44K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.4% | 318 | 289 | $38K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.4% | 8,039 | 6,548 | $37K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1.2% | 229 | 178 | $32K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 637 | 527 | $25K |
| 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 | <1% | 461 | 359 | $23K |
51 more codes
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 307 | $19K |
| 99381 | <1% | 375 | $18K | |
| 59514 | <1% | 33 | $14K | |
| 92567 | <1% | 1,090 | $14K | |
| 93000 | <1% | 1,854 | $13K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 455 | $11K |
| 92587 | <1% | 533 | $10K | |
| 59430 | <1% | 121 | $9K | |
| 81025 | <1% | 1,446 | $9K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,184 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 174 | $8K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 188 | $6K |
| 90715 | <1% | 204 | $4K | |
| 92557 | <1% | 130 | $4K | |
| 76818 | <1% | 74 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 60 | $3K |
| 99223 | Prolong inpt eval add15 m | <1% | 81 | $3K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 43 | $3K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 12 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 350 | $3K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 29 | $2K |
| 87428 | <1% | 95 | $2K | |
| 90674 | <1% | 164 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 153 | $2K |
| 99385 | <1% | 12 | $1K | |
| 76830 | Ultrasound, transvaginal | <1% | 12 | $1K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 334 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 54 | $997.92 |
| 90756 | <1% | 41 | $989.03 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 64 | $955.64 |
| 90461 | <1% | 121 | $760.50 | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 21 | $752.71 |
| 99307 | <1% | 20 | $700.34 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 145 | $556.12 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 47 | $437.14 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 22 | $426.56 |
| 90686 | <1% | 65 | $373.23 | |
| 90656 | <1% | 27 | $354.64 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 25 | $313.58 |
| 99490 | Ccm add 20min | <1% | 26 | $295.53 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 33 | $261.10 |
| 73130 | <1% | 33 | $224.39 | |
| 81002 | <1% | 87 | $222.87 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 81 | $211.81 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13 | $58.76 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 4,001 | $0.00 |
| 90670 | 0% | 68 | $0.00 | |
| 99401 | 0% | 49 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 16 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $0.00 |
| 99232 | Hospital visit by a doctor, follow-up day | 0% | 29 | $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 officialALLISON, RICHARD (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Baylor College of Medicine | San Antonio, TX | $26.05M |
| Baylor College of Medicine | Houston, TX | $18.14M |
| Baylor College of Medicine | Houston, TX | $3.06M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.