Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Hospital Medicine Services of TX, PLLC

Hospital Medicine Services of TX, PLLC was paid $196K by Medicaid between Apr 2023 and Nov 2024, across 8 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 41% of everything it billed.

33Billing provider infoHOSPITAL MEDICINE SERVICES OF TX, PLLC
SAN ANTONIO, TX 78229
33aNPI1881392363assigned 02/23/2023
33bProvider typeHospitalist Physician
28Total paid$196K
24GClaims5,470
24DCodes billed8
24AFirst – last monthApr 2023 – Nov 2024
Compared with peers

Next to other Hospitalist Physician providers in Texas

Rank by total paid#10 of 71
Median peer was paid$6K
This provider vs. median32×

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.

Entity ProliferationAuthorized official DEROUEN, VYVYAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20232,937$74K
2024incomplete2,533$122K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 41% 1,398 1,097 $81K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 22% 1,735 621 $43K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 20% 971 358 $40K
99239 Hospital discharge day management, more than 30 minutes 10% 558 396 $20K
99222 Initial hospital care, per day, moderate complexity 3.5% 369 224 $7K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 1.7% 317 297 $3K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity <1% 108 100 $1K
99238 Hospital discharge day management, 30 minutes or less <1% 14 14 $535.35

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 officialDEROUEN, VYVYAN (PRESIDENT)
Same official

Other billing entities under DEROUEN, VYVYAN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.