Ut Physicians Specialty Services
Ut Physicians Specialty Services was paid $1.22M by Medicaid between Feb 2018 and Jun 2024, across 52 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.
HOUSTON, TX 77030
Next to other Internal Medicine Physician providers in Texas
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 28 | $75.14 | |
| 2020 | 1,344 | $31K | |
| 2021 | 16,866 | $319K | |
| 2022 | 8,244 | $416K | |
| 2023 | 6,340 | $372K | |
| 2024incomplete | 1,233 | $80K |
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 | 58% | 10,502 | 9,711 | $712K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 8,312 | 7,731 | $358K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 402 | 393 | $28K |
| 0002A | 1.6% | 2,037 | 1,988 | $19K | |
| 0001A | 1.2% | 2,192 | 2,173 | $15K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,454 | 579 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 711 | 689 | $8K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 63 | 60 | $7K |
| 0071A | <1% | 175 | 172 | $7K | |
| 90686 | <1% | 560 | 539 | $6K | |
| 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 | <1% | 68 | 59 | $6K |
| 0072A | <1% | 143 | 141 | $6K |
40 more codes
| 0004A | <1% | 198 | $5K | |
| 99381 | <1% | 54 | $5K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 125 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 145 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 243 | $3K |
| 0003A | <1% | 106 | $2K | |
| 90682 | <1% | 28 | $1K | |
| 90461 | <1% | 187 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 151 | $1K |
| 0124A | <1% | 34 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $1K |
| 0064A | <1% | 90 | $1K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 13 | $708.08 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 19 | $625.65 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $507.40 |
| 0011A | <1% | 259 | $448.87 | |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 14 | $413.48 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 27 | $338.91 |
| 99460 | <1% | 13 | $323.79 | |
| 3044F | <1% | 290 | $240.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 13 | $185.04 |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 15 | $176.83 |
| 82947 | <1% | 13 | $42.61 | |
| 0012A | <1% | 173 | $32.97 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 28 | $17.99 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 16 | $10.92 |
| 91307 | <1% | 359 | $1.87 | |
| 91300 | <1% | 3,554 | $1.25 | |
| 91312 | <1% | 19 | $0.09 | |
| 91305 | <1% | 13 | $0.06 | |
| 91301 | <1% | 204 | $0.05 | |
| 91306 | <1% | 13 | $0.03 | |
| 3078F | 0% | 325 | $0.00 | |
| 90670 | 0% | 51 | $0.00 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 0% | 13 | $0.00 |
| 3074F | 0% | 335 | $0.00 | |
| 3079F | 0% | 109 | $0.00 | |
| 90680 | 0% | 27 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 15 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 119 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Ut Physicians | Houston, TX | $872K |
| Ut Physicians | Houston, TX | $579K |
| Ut Physicians | Houston, TX | $508K |
| Ut Physicians | Houston, TX | $453K |
| Ut Physicians | Houston, TX | $406K |
| Ut Physicians | Houston, TX | $348K |
| Ut Physicians | Houston, TX | $302K |
| Ut Physicians | Missouri City, TX | $279K |
| Ut Physicians | Houston, TX | $277K |
| Ut Physicians | Houston, TX | $210K |
| Ut Physicians | Katy, TX | $128K |
| Ut Physicians | Rosenberg, TX | $97K |
| Ut Physicians | Houston, TX | $80K |
| Ut Physicians | Houston, TX | $71K |
| Ut Physicians - Trauma Services | Houston, TX | $50K |
| Ut Physicians | Houston, TX | $34K |
| Ut Physicians | Houston, TX | $19K |
| Ut Physicians | Katy, TX | $10K |
| Ut Physicians Specialty Services | Houston, TX | $8K |
| Ut Physicians Specialty Services | Houston, TX | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.