Josier M. Nisnisan MD, PLLC

Josier M. Nisnisan MD, PLLC was paid $45K by Medicaid between Feb 2018 and Sep 2024, across 5 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 67% of everything it billed.

33Billing provider infoJOSIER M. NISNISAN MD, PLLC
SUGAR LAND, TX 77478

33aNPI1841229911assigned 07/01/2006

33bProvider typeInternal Medicine Physician

28Total paid$45K

24GClaims4,559

24DCodes billed5

24AFirst – last monthFeb 2018 – Sep 2024

Compared with peers

Next to other Internal Medicine Physician providers in Texas

Rank by total paid#314 of 1,028

Median peer was paid$10K

This provider vs. median4.3×

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	593	$2K
2019	824	$974.39
2020	879	$2K
2021	1,348	$25K
2022	421	$8K
2023	303	$4K
2024incomplete	191	$3K

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	67%	3,543	881	$30K
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	22%	581	493	$10K
99223	Prolong inpt eval add15 m	8.0%	141	133	$4K
99238	Hospital discharge day management, 30 minutes or less	2.6%	103	94	$1K
99421		0%	191	53	$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 officialNISNISAN, JOSIER (MEDICAL DIRECTOR)