Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Pasadena › NPI 1801458708
Physician

Integrative Emergency Services Physician Group-Houston PLLC

Integrative Emergency Services Physician Group-Houston PLLC was paid $8.02M by Medicaid between Apr 2020 and Dec 2024, across 6 billing codes. Its largest line is 99284, emergency room visit (serious) — 67% of everything it billed.

33Billing provider infoINTEGRATIVE EMERGENCY SERVICES PHYSICIAN GROUP-HOUSTON PLLC
PASADENA, TX 77505
33aNPI1801458708assigned 07/01/2019
28Total paid$8.02M
24GClaims152,249
24DCodes billed6
24AFirst – last monthApr 2020 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Texas

Rank by total paid#14 of 344
Median peer was paid$25K
This provider vs. median321×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official ZENAROSA, NESTOR controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
20204,336$96K
202126,840$1.23M
202251,565$2.38M
202342,439$2.57M
2024incomplete27,069$1.74M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 67% 93,642 80,134 $5.40M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 22% 29,015 24,394 $1.75M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 10% 23,674 20,090 $833K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 5,806 4,793 $19K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 80 66 $9K
99406 <1% 32 26 $100.62

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 officialZENAROSA, NESTOR (FOUNDER AND CHIEF MEDICAL OFFICER)
Same official

Other billing entities under ZENAROSA, NESTOR

Full network →
ProviderLocationPaid
Century Integrated Partners, INCDallas, TX$27.91M
Ies Arizona PLLCTucson, AZ$12.59M
Integrative Emergency Services Physician Group PAFort Worth, TX$4.23M
Ies Missouri LLCWest Plains, MO$1.48M
Ies Central Texas PLLCHillsboro, TX$913K
Ies South Carolina LLCHartsville, SC$807K
Ies Arkansas PLLCDallas, TX$735K
Ies Carrollton PLLCCarrollton, TX$640K
Ies Alabama PLLCFoley, AL$458K
Ies Florida PLLCVenice, FL$441K
Ies Colorado PLLCDenver, CO$368K
Ias Arizona PLLCTucson, AZ$273K
Ies HSP Missouri LLCWest Plains, MO$239K
Ies Obs Arizona PLLCTucson, AZ$215K
Ies Oklahoma LLCLawton, OK$80K
Ies HSP Arkansas PLLCDallas, TX$12K
Ias Oklahoma LLCLawton, OK$10K
Mydas PAFt Worth, TX$6K
Ies Hospitalists PLLCDallas, TX$2K
Ies Mobile Medicine PLLCDallas, TX$613.70

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.