Clinic
Providence Physician Associates
Providence Physician Associates was paid $2.52M by Medicaid between Jan 2020 and Dec 2024, across 17 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 38% of everything it billed.
33Billing provider infoPROVIDENCE PHYSICIAN ASSOCIATES
HOUSTON, TX 77040
HOUSTON, TX 77040
33aNPI1760919880assigned 05/19/2017
33bProvider typeUrgent Care Clinic/Center
28Total paid$2.52M
24GClaims58,451
24DCodes billed17
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Texas
Rank by total paid#13 of 151
Median peer was paid$125K
This provider vs. median20×
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 | |
|---|---|---|---|
| 2020 | 894 | $51K | |
| 2021 | 14,741 | $706K | |
| 2022 | 23,166 | $841K | |
| 2023 | 14,212 | $640K | |
| 2024incomplete | 5,438 | $281K |
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 | 38% | 13,814 | 13,560 | $965K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 12,049 | 10,855 | $804K |
| 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 | 20% | 5,881 | 5,481 | $508K |
| 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 | 3.9% | 1,174 | 1,142 | $98K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.6% | 8,661 | 8,010 | $65K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,135 | 1,130 | $21K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,358 | 1,247 | $19K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 5,513 | 4,707 | $14K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,742 | 3,584 | $14K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,653 | 3,560 | $9K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 292 | 258 | $197.61 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 261 | 258 | $185.07 |
5 more codes
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 officialOTINWA, BABATUNDE (MANAGER)