Physician
Southeast Texas Medical Associates, LLP
Southeast Texas Medical Associates, LLP was paid $51K by Medicaid between Jan 2018 and Dec 2018, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoSOUTHEAST TEXAS MEDICAL ASSOCIATES, LLP
BEAUMONT, TX 77702
BEAUMONT, TX 77702
33aNPI1922001312assigned 05/31/2005
33bProvider typeRheumatology Physician
28Total paid$51K
24GClaims26,533
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Rheumatology Physician providers in Texas
Rank by total paid#14 of 45
Median peer was paid$12K
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 | 26,533 | $51K |
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 | 68% | 1,975 | 1,884 | $34K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 13% | 896 | 752 | $7K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 7.5% | 745 | 647 | $4K |
| 99307 | 5.4% | 1,108 | 1,048 | $3K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 119 | 116 | $1K |
| 99318 | 1.6% | 79 | 79 | $823.91 | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 152 | 69 | $359.70 |
| 99334 | <1% | 15 | 14 | $346.13 | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 212 | 93 | $178.28 |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 14 | 13 | $162.70 |
| 80053 | Comprehensive metabolic panel | <1% | 1,813 | 1,494 | $44.71 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 515 | 510 | $38.72 |
27 more codes
| 77080 | <1% | 40 | $31.01 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 67 | $28.55 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,271 | $25.07 |
| 80061 | Lipid panel | <1% | 882 | $22.98 |
| 90674 | <1% | 76 | $22.66 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 992 | $6.20 |
| G0008 | Administration of influenza virus vaccine | 0% | 101 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 6,288 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 634 | $0.00 |
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | 0% | 4,505 | $0.00 |
| 82550 | 0% | 139 | $0.00 | |
| 86140 | 0% | 192 | $0.00 | |
| 85652 | 0% | 193 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 82 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 142 | $0.00 |
| 84436 | 0% | 25 | $0.00 | |
| 81015 | 0% | 152 | $0.00 | |
| 84480 | 0% | 25 | $0.00 | |
| 99335 | 0% | 14 | $0.00 | |
| 99239 | Hospital discharge day management, more than 30 minutes | 0% | 12 | $0.00 |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | 0% | 590 | $0.00 |
| 90756 | 0% | 17 | $0.00 | |
| 80076 | 0% | 295 | $0.00 | |
| 80164 | 0% | 55 | $0.00 | |
| 82248 | 0% | 51 | $0.00 | |
| 81003 | 0% | 12 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 38 | $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 officialHOLLY, JAMES (CHIEF EXECUTIVE OFFICER)