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

Permian Premier Health Services INC

Permian Premier Health Services INC was paid $1.44M by Medicaid between Jun 2019 and Dec 2024, across 74 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoPERMIAN PREMIER HEALTH SERVICES INC
BIG SPRING, TX 79720
33aNPI1932664091assigned 02/04/2019
33bProvider typeAnesthesiology Physician
28Total paid$1.44M
24GClaims144,207
24DCodes billed74
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers

Next to other Anesthesiology Physician providers in Texas

Rank by total paid#20 of 134
Median peer was paid$34K
This provider vs. median42×

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 GUAY, AMY controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
2019836$3K
20202,993$35K
202124,118$292K
202244,895$385K
202345,540$430K
2024incomplete25,825$296K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 15,192 12,186 $441K
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% 7,664 6,683 $311K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8.4% 1,781 1,719 $121K
87428 6.6% 2,695 2,449 $95K
90460 Immunization administration through 18 years of age via any route, first or only component 6.4% 9,129 3,635 $92K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.8% 1,143 1,114 $84K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4.8% 6,382 5,713 $70K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3.1% 4,225 3,733 $44K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2.3% 830 756 $33K
99238 Hospital discharge day management, 30 minutes or less 1.3% 370 357 $19K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.2% 203 202 $17K
99443 <1% 337 291 $13K
62 more codes
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,413 $12K
87807 <1% 1,340 $12K
90461 <1% 3,045 $12K
J2010 Injection, lincomycin hcl, up to 300 mg <1% 1,020 $11K
81003 <1% 5,405 $9K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 92 $8K
90474 <1% 836 $7K
99000 <1% 628 $6K
99442 <1% 113 $3K
J0558 Injection, penicillin g benzathine and penicillin g procaine, 100,000 units <1% 385 $3K
99460 <1% 50 $3K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 203 $2K
99203 Doctor's office visit, new patient (routine) <1% 51 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 154 $2K
99308 Subsequent nursing facility care, per day, straightforward <1% 197 $2K
99215 Doctor's office visit, returning patient (complex) <1% 17 $1K
81025 <1% 189 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 962 $896.19
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 34 $726.61
92551 <1% 131 $647.61
83655 <1% 48 $457.65
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 44 $441.59
83036 Hemoglobin; glycosylated (A1C) <1% 51 $385.49
99441 <1% 42 $343.56
92567 <1% 40 $333.69
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 29 $254.22
90661 <1% 13 $212.12
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 380 $85.45
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 16 $10.12
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 134 $6.52
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 25 $3.77
90619 <1% 57 $0.23
90677 <1% 15 $0.02
90632 <1% 12 $0.02
90697 <1% 156 $0.01
90686 <1% 362 $0.01
1036F 0% 10,449 $0.00
90698 0% 947 $0.00
90716 0% 278 $0.00
3008F 0% 11,078 $0.00
3079F 0% 836 $0.00
3074F 0% 6,068 $0.00
3075F 0% 78 $0.00
90744 0% 368 $0.00
90680 0% 844 $0.00
90696 0% 25 $0.00
90723 0% 14 $0.00
1034F 0% 67 $0.00
90657 0% 41 $0.00
90651 0% 80 $0.00
90670 0% 1,502 $0.00
1159F 0% 17,954 $0.00
1160F 0% 19,364 $0.00
3078F 0% 5,473 $0.00
99173 0% 238 $0.00
90707 0% 287 $0.00
90633 0% 264 $0.00
90734 0% 37 $0.00
3725F 0% 127 $0.00
90715 0% 64 $0.00
96160 0% 72 $0.00
90648 0% 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.

From NPPES

Who's on the registration

Authorized officialGUAY, AMY (PRESIDENT)
Same official

Other billing entities under GUAY, AMY

Full network →
ProviderLocationPaid
Steward Medical Group, INCWatertown, MA$50.08M
Permian Premier Health Services INCOdessa, TX$3.55M
Permian Premier Health Services INCBeaumont, TX$652K
Steward Medical Group, INC.Hialeah, FL$212K
Steward Medical Group, INCWarren, OH$165K
Steward Medical Group, INC.Miami, FL$86K
Steward Medical Group, INC.Sunrise, FL$49K
Steward Medical Group, INC.Hialeah, FL$46K
Steward Medical Group, INC.Fort Lauderdale, FL$30K
Steward Medical Group, INC.Hialeah, FL$13K
Steward Medical Group, INC.Lauderdale Lakes, FL$7K
Steward Medical Group, INC.Miami, FL$866.81
Steward Medical Group, INC.Hialeah, FL$391.72
Steward Medical Group, INC.Hialeah, FL$177.07

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