Physician
Houston Rheumatology Consultants, PLLC
Houston Rheumatology Consultants, PLLC was paid $65K by Medicaid between Feb 2018 and Dec 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 96% of everything it billed.
33Billing provider infoHOUSTON RHEUMATOLOGY CONSULTANTS, PLLC
HOUSTON, TX 77089
HOUSTON, TX 77089
33aNPI1811169220assigned 03/25/2008
33bProvider typeRheumatology Physician
28Total paid$65K
24GClaims21,117
24DCodes billed16
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Rheumatology Physician providers in Texas
Rank by total paid#11 of 45
Median peer was paid$12K
This provider vs. median5.5×
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 | 285 | $40.26 | |
| 2019 | 902 | $1K | |
| 2020 | 2,038 | $4K | |
| 2021 | 7,585 | $21K | |
| 2022 | 4,886 | $16K | |
| 2023 | 5,262 | $16K | |
| 2024incomplete | 159 | $7K |
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 | 96% | 1,490 | 1,425 | $62K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.6% | 40 | 38 | $2K |
| 3095F | 0% | 891 | 822 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 1,992 | 1,836 | $0.00 |
| G8635 | Pharmacologic therapy for osteoporosis was not prescribed, reason not given | 0% | 1,626 | 1,486 | $0.00 |
| 3455F | 0% | 1,451 | 1,321 | $0.00 | |
| 4187F | 0% | 543 | 484 | $0.00 | |
| 3096F | 0% | 1,405 | 1,272 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,103 | 1,030 | $0.00 |
| 4040F | 0% | 859 | 797 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,008 | 1,848 | $0.00 |
| 1170F | 0% | 2,013 | 1,846 | $0.00 |
4 more codes
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 officialEISENBERG, MICHELLE (OWNER)