Physician
Acclaim Physician Group, INC
Acclaim Physician Group, INC was paid $30.83M by Medicaid between Jan 2018 and Dec 2024, across 142 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 19% of everything it billed.
33Billing provider infoACCLAIM PHYSICIAN GROUP, INC
FORT WORTH, TX 76104
FORT WORTH, TX 76104
33aNPI1780076562assigned 03/03/2015
33bProvider typeInternal Medicine Physician
28Total paid$30.83M
24GClaims854,726
24DCodes billed142
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#1 of 1,028
Median peer was paid$10K
This provider vs. median2,961×
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 | 23,100 | $806K | |
| 2019 | 19,790 | $744K | |
| 2020 | 50,502 | $1.52M | |
| 2021 | 212,422 | $6.02M | |
| 2022 | 179,673 | $7.87M | |
| 2023 | 205,679 | $8.20M | |
| 2024incomplete | 163,560 | $5.66M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 139,641 | 131,969 | $5.83M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 157,366 | 143,083 | $5.02M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 53,023 | 48,745 | $4.13M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.5% | 24,924 | 24,877 | $2.01M |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 4.6% | 2,440 | 2,402 | $1.42M |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.6% | 19,904 | 19,609 | $1.12M |
| 99460 | 3.6% | 13,967 | 13,915 | $1.11M | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 11,690 | 11,670 | $997K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 6,355 | 6,344 | $589K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 1.7% | 4,210 | 2,066 | $532K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.6% | 8,032 | 2,956 | $481K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.5% | 14,684 | 14,294 | $474K |
130 more codes
| 99232 | Hospital visit by a doctor, follow-up day | 1.5% | 12,949 | $453K |
| 76819 | Fetal biophysical profile; without non-stress testing | 1.4% | 14,976 | $419K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.3% | 17,507 | $410K |
| 99284 | Emergency room visit (serious) | 1.3% | 5,544 | $399K |
| 99381 | 1.2% | 4,599 | $385K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 17,072 | $366K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.2% | 8,835 | $362K |
| 99462 | 1.1% | 8,920 | $343K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 4,233 | $296K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 61,955 | $283K |
| 99464 | <1% | 3,199 | $266K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 6,537 | $259K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 3,975 | $247K |
| 99223 | Prolong inpt eval add15 m | <1% | 2,085 | $246K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 2,482 | $205K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 22,455 | $188K |
| 59025 | Fetal non-stress test | <1% | 8,257 | $175K |
| 59430 | <1% | 2,342 | $171K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 1,199 | $137K |
| 99220 | <1% | 1,081 | $108K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,851 | $98K |
| 76801 | <1% | 2,653 | $95K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 601 | $83K |
| 99283 | Emergency room visit (moderate) | <1% | 2,260 | $76K |
| 59514 | <1% | 112 | $75K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 881 | $70K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 599 | $65K |
| 76820 | <1% | 3,568 | $61K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,886 | $53K |
| 54150 | <1% | 580 | $46K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 4,396 | $41K |
| 77427 | <1% | 325 | $39K | |
| 99383 | <1% | 427 | $39K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 1,384 | $38K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,570 | $37K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 558 | $36K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 1,326 | $34K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | <1% | 58 | $24K |
| 99219 | <1% | 312 | $23K | |
| 76818 | <1% | 529 | $21K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 582 | $20K |
| 99254 | <1% | 174 | $19K | |
| 76813 | <1% | 435 | $18K | |
| 99384 | <1% | 185 | $18K | |
| 99217 | <1% | 416 | $17K | |
| 92557 | <1% | 832 | $16K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 178 | $15K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 198 | $14K |
| 95816 | <1% | 322 | $13K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 273 | $12K |
| 99285 | Emergency room visit (most serious) | <1% | 172 | $12K |
| 99382 | <1% | 125 | $11K | |
| 99468 | <1% | 13 | $11K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 159 | $9K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 257 | $9K |
| 95811 | <1% | 97 | $8K | |
| H0049 | Alcohol and/or drug screening | <1% | 1,102 | $8K |
| 92567 | <1% | 852 | $7K | |
| 20610 | <1% | 165 | $7K | |
| 99226 | <1% | 191 | $6K | |
| 95886 | <1% | 125 | $6K | |
| 77300 | <1% | 53 | $6K | |
| 96160 | <1% | 4,596 | $5K | |
| 99443 | <1% | 328 | $5K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 40 | $5K |
| 94726 | <1% | 484 | $4K | |
| 64493 | <1% | 56 | $4K | |
| 95885 | <1% | 162 | $4K | |
| 64615 | <1% | 38 | $4K | |
| 77263 | <1% | 26 | $3K | |
| 94729 | <1% | 567 | $3K | |
| 93016 | <1% | 245 | $3K | |
| 93018 | <1% | 325 | $3K | |
| 77334 | <1% | 33 | $3K | |
| 93295 | <1% | 107 | $3K | |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | <1% | 220 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 29 | $2K |
| 99243 | <1% | 26 | $2K | |
| 94010 | <1% | 379 | $2K | |
| 64494 | <1% | 61 | $2K | |
| 99442 | <1% | 172 | $2K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 12 | $2K |
| 95874 | <1% | 131 | $2K | |
| 11721 | <1% | 66 | $2K | |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | <1% | 91 | $2K |
| 77338 | <1% | 12 | $1K | |
| 93880 | <1% | 75 | $1K | |
| 90837 | Psychotherapy session, about an hour | <1% | 13 | $1K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 21 | $1K |
| 93297 | <1% | 80 | $1K | |
| 95911 | <1% | 14 | $1K | |
| 73630 | <1% | 35 | $854.96 | |
| 90945 | <1% | 23 | $782.74 | |
| 99221 | <1% | 12 | $756.54 | |
| 99078 | <1% | 3,268 | $589.85 | |
| 95819 | <1% | 17 | $584.48 | |
| 99080 | <1% | 13 | $550.00 | |
| 93290 | <1% | 39 | $534.42 | |
| 92504 | <1% | 131 | $466.56 | |
| 99406 | <1% | 47 | $460.20 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 47 | $376.86 |
| 99497 | <1% | 112 | $310.48 | |
| 96161 | <1% | 1,051 | $299.09 | |
| 94060 | <1% | 40 | $258.64 | |
| 93925 | <1% | 15 | $246.96 | |
| 99225 | <1% | 14 | $151.85 | |
| 99349 | <1% | 99 | $149.46 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 17 | $133.52 |
| 93294 | <1% | 16 | $119.78 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 15 | $89.73 |
| 99441 | <1% | 13 | $87.75 | |
| 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) | <1% | 31 | $32.18 |
| 3044F | <1% | 43,409 | $20.01 | |
| 3008F | <1% | 88,172 | $0.04 | |
| 3078F | 0% | 3,868 | $0.00 | |
| 2022F | 0% | 989 | $0.00 | |
| 3077F | 0% | 29 | $0.00 | |
| 1159F | 0% | 13 | $0.00 | |
| 1160F | 0% | 13 | $0.00 | |
| 99358 | Prolong nursin fac eval 15m | 0% | 13 | $0.00 |
| 3074F | 0% | 3,467 | $0.00 | |
| 1111F | 0% | 1,071 | $0.00 | |
| 1126F | 0% | 72 | $0.00 | |
| 99024 | 0% | 222 | $0.00 | |
| 3079F | 0% | 367 | $0.00 | |
| 3075F | 0% | 85 | $0.00 | |
| 95806 | 0% | 185 | $0.00 | |
| 3061F | 0% | 39 | $0.00 | |
| 1220F | 0% | 13 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 15 | $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 officialEDWARDS, ASHLEY (PROVIDER ENROLLMENT)
| Provider | Location | Paid |
|---|---|---|
| Community Emergency Corps | Ballston Spa, NY | $757K |
| Mindright Health | Newark, NJ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.