Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UTMB FACULTY GROUP PRACTICE

NPI: 1942241146 · GALVESTON, TX 77555 · Dermatology Physician · NPI assigned 06/09/2006

$98.72M
Total Medicaid Paid
2,181,393
Total Claims
1,815,110
Beneficiaries
294
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVILLARREAL, GABRIELA (DIRECTOR)
NPI Enumeration Date06/09/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 353,542 $18.36M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 469,567 409,030 $18.20M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 229,694 210,950 $12.36M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 83,232 80,775 $6.76M
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 9,529 9,314 $6.29M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 15,351 3,957 $6.20M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 58,319 57,669 $5.02M
90460 Immunization administration through 18 years of age via any route, first or only component 299,285 121,939 $3.29M
59514 3,413 3,330 $2.57M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 23,720 23,284 $2.21M
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 7,441 7,293 $2.21M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 5,643 674 $2.19M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 24,290 23,751 $2.08M
99238 Hospital discharge day management, 30 minutes or less 28,479 28,182 $1.82M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 29,461 28,832 $1.70M
99460 17,067 16,965 $1.44M
99381 16,703 16,476 $1.34M
99468 1,285 1,268 $1.23M
99215 Prolong outpt/office vis 13,107 12,632 $1.21M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 11,710 11,431 $1.21M
99479 Subsequent intensive care, per day, very low birth weight infant 8,635 2,010 $1.16M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 27,782 26,969 $1.07M
99480 Subsequent intensive care, per day, low birth weight infant 7,615 1,932 $944K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 11,141 10,853 $882K
99464 8,643 8,599 $815K
99244 Office or other outpatient consultation, moderate to high complexity 5,467 5,323 $760K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 18,806 18,188 $614K
59430 6,836 6,655 $607K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 13,859 13,533 $602K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 9,298 8,701 $519K
88305 Level IV - Surgical pathology, gross and microscopic examination 8,997 8,715 $507K
74177 Computed tomography, abdomen and pelvis; with contrast material 6,727 6,500 $497K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18,592 16,165 $483K
76801 11,099 10,634 $460K
90461 67,066 58,635 $449K
96110 Developmental screening, with scoring and documentation, per standardized instrument 51,616 37,920 $443K
76825 5,468 5,300 $401K
99205 Prolong outpt/office vis 2,920 2,845 $378K
99462 9,136 8,341 $373K
70450 Computed tomography, head or brain; without contrast material 11,227 10,485 $315K
59025 Fetal non-stress test 11,859 6,670 $270K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 48,318 42,709 $265K
90677 13,916 13,860 $259K
42820 Tonsillectomy and adenoidectomy; younger than age 12 943 931 $255K
01961 521 513 $254K
99243 2,558 2,333 $239K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 2,080 1,100 $237K
90837 Psychotherapy, 53 minutes with patient 2,327 1,822 $233K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,624 1,552 $226K
71045 Radiologic examination, chest; single view 35,120 27,263 $210K
99245 1,104 1,094 $208K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 6,812 6,317 $191K
99417 Prolong home eval add 15m 6,038 5,456 $173K
90834 Psychotherapy, 45 minutes with patient 3,057 2,266 $171K
99232 Subsequent hospital care, per day, moderate complexity 3,489 1,614 $168K
00170 Anesthesia for intraoral procedures, including biopsy 490 483 $161K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13,843 13,718 $161K
93320 9,301 8,704 $150K
88141 7,667 7,488 $149K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,702 3,617 $146K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,920 1,881 $141K
99222 Initial hospital care, per day, moderate complexity 1,164 1,110 $135K
17110 2,342 2,265 $130K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,183 1,167 $129K
74018 17,665 9,675 $126K
76770 3,283 3,220 $104K
99221 1,541 1,536 $103K
76827 4,047 3,929 $101K
71046 Radiologic examination, chest; 2 views 11,336 11,049 $88K
90472 Immunization administration, each additional vaccine (list separately) 6,424 5,974 $82K
92060 1,721 1,409 $73K
20610 2,162 1,851 $67K
77067 Screening mammography, bilateral, including computer-aided detection 2,693 2,656 $63K
54150 746 723 $59K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,503 2,415 $57K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 577 562 $54K
99429 1,842 1,827 $51K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 805 725 $50K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,156 1,137 $45K
88307 528 506 $43K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,559 1,529 $43K
95782 351 345 $42K
93325 14,979 14,129 $41K
95812 832 805 $41K
0072A 834 833 $39K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 812 709 $38K
76820 1,703 1,396 $38K
S0620 Routine ophthalmological examination including refraction; new patient 1,563 1,050 $37K
76830 Ultrasound, transvaginal 1,349 1,321 $37K
70551 Magnetic resonance imaging, brain; without contrast material 566 534 $35K
99239 Hospital discharge day management, more than 30 minutes 356 352 $34K
0071A 679 676 $32K
G0452 Molecular pathology procedure; physician interpretation and report 9,024 8,045 $31K
77063 Screening digital breast tomosynthesis, bilateral 1,651 1,625 $30K
S0621 Routine ophthalmological examination including refraction; established patient 915 729 $27K
76506 1,185 924 $26K
73630 3,556 3,100 $24K
90792 Psychiatric diagnostic evaluation with medical services 165 161 $24K
54161 170 168 $23K
88304 1,587 1,566 $23K
74176 Computed tomography, abdomen and pelvis; without contrast material 370 358 $22K
76813 405 392 $21K
V2020 Frames, purchases 1,665 1,396 $19K
76885 553 545 $18K
72125 Computed tomography, cervical spine; without contrast material 508 479 $17K
90674 19,490 19,298 $17K
73610 2,254 2,034 $17K
88302 1,617 1,578 $15K
00126 68 68 $15K
80502 322 317 $14K
99233 Prolong inpt eval add15 m 269 105 $14K
73130 1,761 1,587 $13K
96381 784 775 $13K
99242 188 185 $13K
86255 1,369 1,339 $13K
73110 1,616 1,449 $12K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 210 206 $12K
99383 139 133 $12K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 614 577 $11K
0002A 387 385 $11K
80504 310 284 $11K
71260 Computed tomography, thorax, diagnostic; with contrast material 221 213 $10K
88720 2,687 2,396 $10K
69210 362 347 $10K
90791 Psychiatric diagnostic evaluation 79 78 $9K
54162 57 56 $9K
73562 1,219 1,031 $9K
11721 541 527 $8K
99231 Subsequent hospital care, per day, straightforward or low complexity 251 94 $8K
76641 279 245 $8K
0001A 421 416 $7K
72100 818 807 $7K
71275 Computed tomographic angiography, chest, with contrast material 119 110 $7K
90651 2,320 2,287 $7K
V2025 Deluxe frame 214 211 $6K
73090 855 762 $6K
93971 399 388 $6K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 135 119 $6K
V2784 Lens, polycarbonate or equal, any index, per lens 544 489 $6K
99384 58 56 $5K
99253 54 52 $5K
99255 31 29 $5K
93970 268 253 $5K
90474 450 448 $5K
72081 390 386 $4K
72141 78 77 $4K
92504 538 490 $4K
73590 597 510 $4K
74230 169 159 $4K
99309 Subsequent nursing facility care, per day, low to moderate complexity 440 378 $4K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 67 64 $3K
99241 72 68 $3K
01968 12 12 $3K
72082 212 208 $3K
17250 74 72 $3K
82951 421 391 $3K
90734 804 799 $3K
73030 374 351 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 270 215 $3K
95811 24 24 $3K
70496 38 37 $2K
70498 42 41 $2K
92134 228 208 $2K
73070 319 286 $2K
83020 211 204 $2K
99465 14 14 $2K
99235 12 12 $2K
80503 205 177 $2K
72040 238 234 $2K
88342 69 69 $2K
93298 124 123 $2K
77080 359 352 $2K
70491 34 34 $2K
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 256 169 $2K
0054A 38 38 $2K
90686 20,087 19,850 $2K
95886 39 38 $2K
0052A 55 42 $2K
72170 209 205 $2K
93790 91 90 $2K
94726 163 161 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 16 13 $1K
00731 12 12 $1K
99223 Prolong inpt eval add15 m 28 28 $1K
99382 27 27 $1K
96112 12 12 $1K
49083 13 12 $1K
71250 37 36 $1K
94729 164 162 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 441 301 $1K
90670 40,379 40,009 $1K
84165 142 139 $1K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 101 101 $984.99
76536 39 39 $940.15
76819 Fetal biophysical profile; without non-stress testing 27 24 $924.24
90620 214 209 $913.85
74240 25 25 $911.40
31231 16 16 $873.84
88173 12 12 $833.57
94010 122 121 $820.95
93976 28 26 $807.09
77072 96 96 $790.86
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 49 49 $779.70
74019 77 76 $766.28
93923 72 71 $755.27
73552 97 75 $732.78
11900 31 29 $702.74
76870 24 24 $642.31
31575 12 12 $633.24
11102 26 25 $632.12
0124A 14 14 $593.12
93793 634 433 $582.47
73502 91 89 $530.82
0081A 12 12 $499.53
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 37 37 $474.60
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 48 48 $474.60
87481 35 35 $474.60
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 48 48 $474.60
93922 79 77 $463.09
71271 12 12 $461.91
81513 35 35 $439.58
76775 15 15 $402.00
72131 12 12 $392.23
93880 26 26 $385.44
77065 Tomosynthesis, mammo 13 12 $385.44
74022 28 28 $379.92
90480 17 17 $373.24
99406 45 38 $372.94
73000 52 41 $369.98
73140 59 58 $367.37
93925 14 14 $314.36
92015 Determination of refractive state 50 41 $284.42
86077 25 24 $262.16
96160 108 104 $253.02
88108 14 12 $218.69
0031A 12 12 $183.12
90935 Hemodialysis procedure with single evaluation by a physician 49 28 $169.05
90473 12 12 $165.00
87086 Culture, bacterial; quantitative colony count, urine 75 75 $156.68
90661 2,592 2,587 $145.72
69209 52 51 $138.63
86850 70 69 $125.68
87210 43 40 $122.92
73080 14 14 $121.06
82677 15 15 $118.82
86780 24 24 $115.11
82105 19 19 $114.82
86900 123 113 $114.15
86901 123 112 $114.15
99051 60 60 $105.84
92202 14 14 $103.28
87653 24 24 $103.18
73560 13 13 $97.38
85390 28 27 $93.60
86336 14 14 $76.65
84702 24 23 $73.96
87040 16 13 $59.82
87220 16 16 $57.82
90633 14,911 14,776 $43.48
81001 47 47 $36.72
92551 12 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) 379 366 $32.74
80048 Basic metabolic panel (calcium, ionized) 20 16 $32.72
90744 7,178 7,131 $31.91
99152 13 12 $28.54
90688 82 82 $21.67
90697 17,431 17,306 $16.36
92226 62 39 $14.97
85027 18 14 $12.48
90619 724 711 $0.96
90715 316 307 $0.13
90381 355 351 $0.08
91318 24 24 $0.07
91320 49 49 $0.04
90380 202 179 $0.03
90698 27,085 26,888 $0.02
90680 34,873 34,600 $0.01
91319 25 25 $0.01
90710 2,542 2,517 $0.00
90648 765 764 $0.00
90707 2,490 2,471 $0.00
90700 579 574 $0.00
90681 673 672 $0.00
90685 250 249 $0.00
A9999 Miscellaneous dme supply or accessory, not otherwise specified 79 64 $0.00
77061 12 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 13 13 $0.00
90716 2,573 2,556 $0.00
90647 854 850 $0.00
85018 13 13 $0.00
90696 669 664 $0.00
90723 1,158 1,157 $0.00
36415 Collection of venous blood by venipuncture 365 356 $0.00
96127 122 121 $0.00
95806 13 13 $0.00