Physician
Usps Medical Associates, PLLC
Usps Medical Associates, PLLC was paid $6K by Medicaid between Jan 2018 and Oct 2018, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.
33Billing provider infoUSPS MEDICAL ASSOCIATES, PLLC
HOUSTON, TX 77074
HOUSTON, TX 77074
33aNPI1881085595assigned 02/17/2015
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$6K
24GClaims1,049
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in Texas
Rank by total paid#38 of 64
Median peer was paid$7K
This provider vs. median0.9×
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 | 1,049 | $6K |
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 | 62% | 429 | 419 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 546 | 538 | $2K |
| 98960 | 0% | 46 | 45 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 12 | 12 | $0.00 |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed | 0% | 16 | 16 | $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 officialBAUMGARTNER, EDWARD (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Edward Baumgartner JR MD LLC | Houston, TX | $685.66 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.