Physician
Vanguard Inpatient Physician PLLC
Vanguard Inpatient Physician PLLC was paid $421K by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 32% of everything it billed.
33Billing provider infoVANGUARD INPATIENT PHYSICIAN PLLC
SUGAR LAND, TX 77479
SUGAR LAND, TX 77479
33aNPI1801339742assigned 11/27/2016
33bProvider typeGeriatric Medicine (Internal Medicine) Physician
28Total paid$421K
24GClaims26,977
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Geriatric Medicine (Internal Medicine) Physician providers in Texas
Rank by total paid#4 of 37
Median peer was paid$31K
This provider vs. median13×
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 | 463 | $2K | |
| 2019 | 947 | $2K | |
| 2020 | 2,736 | $26K | |
| 2021 | 5,048 | $94K | |
| 2022 | 5,211 | $96K | |
| 2023 | 5,781 | $69K | |
| 2024incomplete | 6,791 | $131K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 32% | 6,145 | 2,397 | $133K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 23% | 8,477 | 4,683 | $99K |
| 99091 | 9.7% | 284 | 282 | $41K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 7.2% | 3,675 | 2,249 | $30K |
| 99223 | Prolong inpt eval add15 m | 5.1% | 363 | 316 | $21K |
| 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 | 4.9% | 287 | 284 | $21K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.4% | 335 | 313 | $14K |
| 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 | 3.2% | 375 | 319 | $13K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.1% | 239 | 221 | $13K |
| 99205 | Prolong outpt/office vis | 1.9% | 86 | 84 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 200 | 187 | $6K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.1% | 119 | 55 | $5K |
24 more codes
| 99306 | Prolong nursin fac eval 15m | <1% | 230 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 86 | $3K |
| 99220 | <1% | 37 | $2K | |
| 99217 | <1% | 43 | $2K | |
| 99349 | <1% | 119 | $2K | |
| 99350 | Prolong home eval add 15m | <1% | 54 | $999.42 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 99 | $918.50 |
| 99219 | <1% | 13 | $800.80 | |
| 99490 | Ccm add 20min | <1% | 671 | $778.89 |
| 99310 | Prolong nursin fac eval 15m | <1% | 53 | $506.92 |
| 99497 | <1% | 1,562 | $335.17 | |
| 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% | 176 | $16.75 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,311 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 212 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 196 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 12 | $0.00 |
| 3078F | 0% | 128 | $0.00 | |
| 3077F | 0% | 13 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 200 | $0.00 |
| 3008F | 0% | 18 | $0.00 | |
| 3074F | 0% | 103 | $0.00 | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | 0% | 31 | $0.00 |
| 3079F | 0% | 13 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 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 officialBAVARE, ARUSHA (OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Thrity Desai MD PA | Houston, TX | $2.43M |
| Houston in Patient Physician Associates PLLC | Sugar Land, TX | $448K |
| Geriatric Home Care Physicians PA | Sugar Land, TX | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.