Physician
Utmb Faculty Group Practice
Utmb Faculty Group Practice was paid $98.72M by Medicaid between Jan 2018 and Dec 2024, across 294 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.
33Billing provider infoUTMB FACULTY GROUP PRACTICE
GALVESTON, TX 77555
GALVESTON, TX 77555
33aNPI1942241146assigned 06/09/2006
33bProvider typeDermatology Physician
28Total paid$98.72M
24GClaims2,181,393
24DCodes billed294
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dermatology Physician providers in Texas
Rank by total paid#1 of 56
Median peer was paid$8K
This provider vs. median13,080×
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 | 33,947 | $1.28M | |
| 2019 | 35,453 | $1.15M | |
| 2020 | 150,054 | $5.51M | |
| 2021 | 520,213 | $21.01M | |
| 2022 | 541,020 | $24.96M | |
| 2023 | 547,164 | $26.46M | |
| 2024incomplete | 353,542 | $18.36M |
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 | 18% | 469,567 | 409,030 | $18.20M |
| 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 | 13% | 229,694 | 210,950 | $12.36M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.9% | 83,232 | 80,775 | $6.76M |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 6.4% | 9,529 | 9,314 | $6.29M |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 6.3% | 15,351 | 3,957 | $6.20M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 58,319 | 57,669 | $5.02M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.3% | 299,285 | 121,939 | $3.29M |
| 59514 | 2.6% | 3,413 | 3,330 | $2.57M | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 23,720 | 23,284 | $2.21M |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | 2.2% | 7,441 | 7,293 | $2.21M |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 2.2% | 5,643 | 674 | $2.19M |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.1% | 24,290 | 23,751 | $2.08M |
282 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | 1.8% | 28,479 | $1.82M |
| 99203 | Doctor's office visit, new patient (routine) | 1.7% | 29,461 | $1.70M |
| 99460 | 1.5% | 17,067 | $1.44M | |
| 99381 | 1.4% | 16,703 | $1.34M | |
| 99468 | 1.2% | 1,285 | $1.23M | |
| 99215 | Doctor's office visit, returning patient (complex) | 1.2% | 13,107 | $1.21M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 11,710 | $1.21M |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 1.2% | 8,635 | $1.16M |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.1% | 27,782 | $1.07M |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 7,615 | $944K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 11,141 | $882K |
| 99464 | <1% | 8,643 | $815K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 5,467 | $760K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 18,806 | $614K |
| 59430 | <1% | 6,836 | $607K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 13,859 | $602K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 9,298 | $519K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 8,997 | $507K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 6,727 | $497K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18,592 | $483K |
| 76801 | <1% | 11,099 | $460K | |
| 90461 | <1% | 67,066 | $449K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 51,616 | $443K |
| 76825 | <1% | 5,468 | $401K | |
| 99205 | Prolong outpt/office vis | <1% | 2,920 | $378K |
| 99462 | <1% | 9,136 | $373K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 11,227 | $315K |
| 59025 | Fetal non-stress test | <1% | 11,859 | $270K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 48,318 | $265K |
| 90677 | <1% | 13,916 | $259K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 943 | $255K |
| 01961 | <1% | 521 | $254K | |
| 99243 | <1% | 2,558 | $239K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 2,080 | $237K |
| 90837 | Psychotherapy session, about an hour | <1% | 2,327 | $233K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 1,624 | $226K |
| 71045 | Radiologic examination, chest; single view | <1% | 35,120 | $210K |
| 99245 | <1% | 1,104 | $208K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 6,812 | $191K |
| 99417 | Prolong home eval add 15m | <1% | 6,038 | $173K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 3,057 | $171K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 3,489 | $168K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 490 | $161K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13,843 | $161K |
| 93320 | <1% | 9,301 | $150K | |
| 88141 | <1% | 7,667 | $149K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 3,702 | $146K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,920 | $141K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,164 | $135K |
| 17110 | <1% | 2,342 | $130K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 1,183 | $129K |
| 74018 | <1% | 17,665 | $126K | |
| 76770 | <1% | 3,283 | $104K | |
| 99221 | <1% | 1,541 | $103K | |
| 76827 | <1% | 4,047 | $101K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 11,336 | $88K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 6,424 | $82K |
| 92060 | <1% | 1,721 | $73K | |
| 20610 | <1% | 2,162 | $67K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 2,693 | $63K |
| 54150 | <1% | 746 | $59K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 2,503 | $57K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 577 | $54K |
| 99429 | <1% | 1,842 | $51K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 805 | $50K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,156 | $45K |
| 88307 | <1% | 528 | $43K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 1,559 | $43K |
| 95782 | <1% | 351 | $42K | |
| 93325 | <1% | 14,979 | $41K | |
| 95812 | <1% | 832 | $41K | |
| 0072A | <1% | 834 | $39K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 812 | $38K |
| 76820 | <1% | 1,703 | $38K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 1,563 | $37K |
| 76830 | Ultrasound, transvaginal | <1% | 1,349 | $37K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 566 | $35K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 356 | $34K |
| 0071A | <1% | 679 | $32K | |
| G0452 | Molecular pathology procedure; physician interpretation and report | <1% | 9,024 | $31K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 1,651 | $30K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 915 | $27K |
| 76506 | <1% | 1,185 | $26K | |
| 73630 | <1% | 3,556 | $24K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 165 | $24K |
| 54161 | <1% | 170 | $23K | |
| 88304 | <1% | 1,587 | $23K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 370 | $22K |
| 76813 | <1% | 405 | $21K | |
| V2020 | Frames, purchases | <1% | 1,665 | $19K |
| 76885 | <1% | 553 | $18K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 508 | $17K |
| 90674 | <1% | 19,490 | $17K | |
| 73610 | <1% | 2,254 | $17K | |
| 88302 | <1% | 1,617 | $15K | |
| 00126 | <1% | 68 | $15K | |
| 80502 | <1% | 322 | $14K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 269 | $14K |
| 73130 | <1% | 1,761 | $13K | |
| 96381 | <1% | 784 | $13K | |
| 99242 | <1% | 188 | $13K | |
| 86255 | <1% | 1,369 | $13K | |
| 73110 | <1% | 1,616 | $12K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 210 | $12K |
| 99383 | <1% | 139 | $12K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 614 | $11K |
| 0002A | <1% | 387 | $11K | |
| 80504 | <1% | 310 | $11K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 221 | $10K |
| 88720 | <1% | 2,687 | $10K | |
| 69210 | <1% | 362 | $10K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 79 | $9K |
| 54162 | <1% | 57 | $9K | |
| 73562 | <1% | 1,219 | $9K | |
| 11721 | <1% | 541 | $8K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 251 | $8K |
| 76641 | <1% | 279 | $8K | |
| 0001A | <1% | 421 | $7K | |
| 72100 | <1% | 818 | $7K | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 119 | $7K |
| 90651 | <1% | 2,320 | $7K | |
| V2025 | Deluxe frame | <1% | 214 | $6K |
| 73090 | <1% | 855 | $6K | |
| 93971 | <1% | 399 | $6K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 135 | $6K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 544 | $6K |
| 99384 | <1% | 58 | $5K | |
| 99253 | <1% | 54 | $5K | |
| 99255 | <1% | 31 | $5K | |
| 93970 | <1% | 268 | $5K | |
| 90474 | <1% | 450 | $5K | |
| 72081 | <1% | 390 | $4K | |
| 72141 | <1% | 78 | $4K | |
| 92504 | <1% | 538 | $4K | |
| 73590 | <1% | 597 | $4K | |
| 74230 | <1% | 169 | $4K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 440 | $4K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 67 | $3K |
| 99241 | <1% | 72 | $3K | |
| 01968 | <1% | 12 | $3K | |
| 72082 | <1% | 212 | $3K | |
| 17250 | <1% | 74 | $3K | |
| 82951 | <1% | 421 | $3K | |
| 90734 | <1% | 804 | $3K | |
| 73030 | <1% | 374 | $3K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 270 | $3K |
| 95811 | <1% | 24 | $3K | |
| 70496 | <1% | 38 | $2K | |
| 70498 | <1% | 42 | $2K | |
| 92134 | <1% | 228 | $2K | |
| 73070 | <1% | 319 | $2K | |
| 83020 | <1% | 211 | $2K | |
| 99465 | <1% | 14 | $2K | |
| 99235 | <1% | 12 | $2K | |
| 80503 | <1% | 205 | $2K | |
| 72040 | <1% | 238 | $2K | |
| 88342 | <1% | 69 | $2K | |
| 93298 | <1% | 124 | $2K | |
| 77080 | <1% | 359 | $2K | |
| 70491 | <1% | 34 | $2K | |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | <1% | 256 | $2K |
| 0054A | <1% | 38 | $2K | |
| 90686 | <1% | 20,087 | $2K | |
| 95886 | <1% | 39 | $2K | |
| 0052A | <1% | 55 | $2K | |
| 72170 | <1% | 209 | $2K | |
| 93790 | <1% | 91 | $2K | |
| 94726 | <1% | 163 | $2K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 16 | $1K |
| 00731 | <1% | 12 | $1K | |
| 99223 | Prolong inpt eval add15 m | <1% | 28 | $1K |
| 99382 | <1% | 27 | $1K | |
| 96112 | <1% | 12 | $1K | |
| 49083 | <1% | 13 | $1K | |
| 71250 | <1% | 37 | $1K | |
| 94729 | <1% | 164 | $1K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 441 | $1K |
| 90670 | <1% | 40,379 | $1K | |
| 84165 | <1% | 142 | $1K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 101 | $984.99 |
| 76536 | <1% | 39 | $940.15 | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 27 | $924.24 |
| 90620 | <1% | 214 | $913.85 | |
| 74240 | <1% | 25 | $911.40 | |
| 31231 | <1% | 16 | $873.84 | |
| 88173 | <1% | 12 | $833.57 | |
| 94010 | <1% | 122 | $820.95 | |
| 93976 | <1% | 28 | $807.09 | |
| 77072 | <1% | 96 | $790.86 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 49 | $779.70 |
| 74019 | <1% | 77 | $766.28 | |
| 93923 | <1% | 72 | $755.27 | |
| 73552 | <1% | 97 | $732.78 | |
| 11900 | <1% | 31 | $702.74 | |
| 76870 | <1% | 24 | $642.31 | |
| 31575 | <1% | 12 | $633.24 | |
| 11102 | <1% | 26 | $632.12 | |
| 0124A | <1% | 14 | $593.12 | |
| 93793 | <1% | 634 | $582.47 | |
| 73502 | <1% | 91 | $530.82 | |
| 0081A | <1% | 12 | $499.53 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 37 | $474.60 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 48 | $474.60 |
| 87481 | <1% | 35 | $474.60 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 48 | $474.60 |
| 93922 | <1% | 79 | $463.09 | |
| 71271 | <1% | 12 | $461.91 | |
| 81513 | <1% | 35 | $439.58 | |
| 76775 | <1% | 15 | $402.00 | |
| 72131 | <1% | 12 | $392.23 | |
| 93880 | <1% | 26 | $385.44 | |
| 77065 | Tomosynthesis, mammo | <1% | 13 | $385.44 |
| 74022 | <1% | 28 | $379.92 | |
| 90480 | <1% | 17 | $373.24 | |
| 99406 | <1% | 45 | $372.94 | |
| 73000 | <1% | 52 | $369.98 | |
| 73140 | <1% | 59 | $367.37 | |
| 93925 | <1% | 14 | $314.36 | |
| 92015 | Determination of refractive state | <1% | 50 | $284.42 |
| 86077 | <1% | 25 | $262.16 | |
| 96160 | <1% | 108 | $253.02 | |
| 88108 | <1% | 14 | $218.69 | |
| 0031A | <1% | 12 | $183.12 | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 49 | $169.05 |
| 90473 | <1% | 12 | $165.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 75 | $156.68 |
| 90661 | <1% | 2,592 | $145.72 | |
| 69209 | <1% | 52 | $138.63 | |
| 86850 | <1% | 70 | $125.68 | |
| 87210 | <1% | 43 | $122.92 | |
| 73080 | <1% | 14 | $121.06 | |
| 82677 | <1% | 15 | $118.82 | |
| 86780 | <1% | 24 | $115.11 | |
| 82105 | <1% | 19 | $114.82 | |
| 86900 | <1% | 123 | $114.15 | |
| 86901 | <1% | 123 | $114.15 | |
| 99051 | <1% | 60 | $105.84 | |
| 92202 | <1% | 14 | $103.28 | |
| 87653 | <1% | 24 | $103.18 | |
| 73560 | <1% | 13 | $97.38 | |
| 85390 | <1% | 28 | $93.60 | |
| 86336 | <1% | 14 | $76.65 | |
| 84702 | <1% | 24 | $73.96 | |
| 87040 | <1% | 16 | $59.82 | |
| 87220 | <1% | 16 | $57.82 | |
| 90633 | <1% | 14,911 | $43.48 | |
| 81001 | <1% | 47 | $36.72 | |
| 92551 | <1% | 12 | $33.39 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 379 | $32.74 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 20 | $32.72 |
| 90744 | <1% | 7,178 | $31.91 | |
| 99152 | <1% | 13 | $28.54 | |
| 90688 | <1% | 82 | $21.67 | |
| 90697 | <1% | 17,431 | $16.36 | |
| 92226 | <1% | 62 | $14.97 | |
| 85027 | <1% | 18 | $12.48 | |
| 90619 | <1% | 724 | $0.96 | |
| 90715 | <1% | 316 | $0.13 | |
| 90381 | <1% | 355 | $0.08 | |
| 91318 | <1% | 24 | $0.07 | |
| 91320 | <1% | 49 | $0.04 | |
| 90380 | <1% | 202 | $0.03 | |
| 90698 | <1% | 27,085 | $0.02 | |
| 90680 | <1% | 34,873 | $0.01 | |
| 91319 | <1% | 25 | $0.01 | |
| 90710 | 0% | 2,542 | $0.00 | |
| 90648 | 0% | 765 | $0.00 | |
| 90707 | 0% | 2,490 | $0.00 | |
| 90700 | 0% | 579 | $0.00 | |
| 90681 | 0% | 673 | $0.00 | |
| 90685 | 0% | 250 | $0.00 | |
| A9999 | Miscellaneous dme supply or accessory, not otherwise specified | 0% | 79 | $0.00 |
| 77061 | 0% | 12 | $0.00 | |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 0% | 13 | $0.00 |
| 90716 | 0% | 2,573 | $0.00 | |
| 90647 | 0% | 854 | $0.00 | |
| 85018 | 0% | 13 | $0.00 | |
| 90696 | 0% | 669 | $0.00 | |
| 90723 | 0% | 1,158 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 365 | $0.00 |
| 96127 | 0% | 122 | $0.00 | |
| 95806 | 0% | 13 | $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 officialVILLARREAL, GABRIELA (DIRECTOR)