Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Galen Inpatient Physicians, PC

Galen Inpatient Physicians, PC was paid $834K by Medicaid between Jun 2022 and Oct 2024, across 7 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 42% of everything it billed.

33Billing provider infoGALEN INPATIENT PHYSICIANS, PC
CLEARLAKE, CA 95422
33aNPI1801536867assigned 03/29/2022
33bProvider typeHospitalist Physician
28Total paid$834K
24GClaims18,740
24DCodes billed7
24AFirst – last monthJun 2022 – Oct 2024
Compared with peers

Next to other Hospitalist Physician providers in California

Rank by total paid#34 of 208
Median peer was paid$20K
This provider vs. median42×

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 KOURY, THEOPHILE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
20223,913$172K
20238,682$386K
2024incomplete6,145$277K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 42% 10,319 4,985 $353K
99223 Prolong inpt eval add15 m 31% 3,838 3,773 $255K
99239 Hospital discharge day management, more than 30 minutes 15% 3,047 2,988 $125K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 7.9% 616 294 $66K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 3.0% 794 463 $25K
99222 Initial hospital care, per day, moderate complexity 1.2% 114 113 $10K
99238 Hospital discharge day management, 30 minutes or less <1% 12 12 $360.96

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 officialKOURY, THEOPHILE (PRESIDENT/CFO)
Same official

Other billing entities under KOURY, THEOPHILE

Full network →
ProviderLocationPaid
Vituity - Nevada Koury & Partners PLLCLas Vegas, NV$6.72M
Cep America-Arizona, PCSun City, AZ$5.32M
Cep America-Arizona, PCSun City, AZ$4.93M
Cep America LLCPortland, OR$2.91M
Vituity Hospitalists PCRedding, CA$2.50M
Vituity Hospitalists PCSan Francisco, CA$1.93M
Cep America - Kansas LLCWichita, KS$1.76M
Vituity - Nevada Koury & Partners PLLCHenderson, NV$1.57M
Vituity - Nevada Koury & Partners PLLCHenderson, NV$1.33M
Cep America - Kansas LLCWichita, KS$1.18M
Cep America, LLCSaint Louis, MO$265K
Cep America, LLCKansas City, MO$99K
Cep America - CaliforniaSan Clemente, CA$59K
Vituity Hospitalists PCFresno, CA$46K
Galen Inpatient Physicians, INC.Passaic, NJ$46K
Cep America - Kansas LLCWichita, KS$43K
Cep America - Neurology PCColton, CA$43K
Cep America - Neurology PCRiverside, CA$23K
Cep America - Neurology PCWest Covina, CA$7K
Cep America- Neurology, PCModesto, CA$5K

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