Scarborough, Terry

Scarborough, Terry was paid $6K by Medicaid between Feb 2021 and Jun 2021, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoSCARBOROUGH, TERRY
HOUSTON, TX 77004

33aNPI1871522557assigned 07/03/2006

33bProvider typeSurgery Physician

28Total paid$6K

24GClaims193

24DCodes billed3

24AFirst – last monthFeb 2021 – Jun 2021

Compared with peers

Next to other Surgery Physician providers in Texas

Rank by total paid#56 of 98

Median peer was paid$8K

This provider vs. median0.7×

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
2021	193	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	61%	126	112	$4K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	39%	51	46	$2K
99401		0%	16	12	$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.