Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Memorial Hermann Hospital Based Physician Group (NPI 1295363497)

Field	Value
Entity Type	Organization
Organization	Memorial Hermann Hospital Based Physician Group
Address	929 Gessner Rd Ste 2700
City	Houston
State	TX
ZIP	77024
Taxonomy	Emergency Medicine Physician
NPI Enumerated	April 1, 2020

Payer Source	Total Paid
Medicaid	$27.4M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	162,240	$80	$13.3M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	143,450	$80	$11.5M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	52,900	$40	$2.2M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	1,650	$140	$228.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	44,990	$10	$224.9K
99053	The provider renders overnight services at a 24 hour facility.	60	$0	$0

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

Claims Volume vs. Texas Distribution

Memorial Hermann Hospital Based Physician Group — 4 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	6	710	1,790	$200	$2.1M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	32	730	1,960	$100	$1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	1	590	740	$170	$969.2K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	42	280	190	$130	$148.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	10	490	470	$1	$17.5K
99053	The provider renders overnight services at a 24 hour facility.	29	40	340	$1	$700

Related Providers

Other providers that share a Tax Identification Number (TIN) with Memorial Hermann Hospital Based Physician Group, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ingrid Roig	AL	Infectious Disease Physician	$695.9K	$0
Saleem Raslan	TX	Interventional Cardiology Physician	$672.6K	$0
Brian Harting	IL	Infectious Disease Physician	$266.4K	$249.5K
Sandip Desai	TX	Pulmonary Disease Physician	$432K	$0
Roger Carbajal Mendoza	TX	Hospitalist Physician	$341.9K	$42.6K
Adnann Polani	TX	Nephrology Physician	$363.4K	$0
Muhammad Syed	TX	Internal Medicine Physician	$208.6K	$153.3K
Claudia Taramona Espinoza	AL	Infectious Disease Physician	$360.5K	$0
Duc Vu	TX	Hospitalist Physician	$341.4K	$0
Daniel Hermann	TX	Cardiovascular Disease Physician	$334.2K	$0

Nearby Providers

Other providers in the same ZIP code as Memorial Hermann Hospital Based Physician Group, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Altru Diagnostics, Inc	TX	Clinical Medical Laboratory	$16.6M	$5.1M
Central Home Health Services Of Texas, LLC	TX	Home Health Agency	$0	$16.9M
Spring Branch Isd	TX	Local Education Agency (LEA)	$0	$12.2M
Philip Blum	TX	Neurology Physician	$2.5M	$0
Kevin Lisman	TX	Cardiovascular Disease Physician	$2.1M	$0
Ronjay Rakkhit	TX	Hematology & Oncology Physician	$1.6M	$0
Hedwig Asc	TX	Ambulatory Surgical Clinic/Center	$1.4M	$0
Todd Price	TX	Specialist	$1.1M	$0
Greg Pearson	TX	Dermatology Physician	$890.6K	$0
Sohail Jalal	TX	Clinical Cardiac Electrophysiology Physician	$579.1K	$0

Memorial Hermann Hospital Based Physician Group — Billing Profile & Reimbursement Data

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Memorial Hermann Hospital Based Physician Group — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References