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.

Hospitalist Medicine Physicians Of Texas, PLLC (NPI 1629307095)

Field	Value
Entity Type	Organization
Organization	Hospitalist Medicine Physicians Of Texas, PLLC
Address	18951 N Memorial Dr
City	Humble
State	TX
ZIP	77338
Taxonomy	Internal Medicine Physician
NPI Enumerated	December 15, 2009

Payer Source	Total Paid
Medicaid	$16.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	194,800	$40	$7.4M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	55,520	$70	$4M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	92,400	$20	$2.1M
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	42,180	$40	$1.8M
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…	3,200	$140	$438.4K
99220	N/A	4,810	$60	$278.9K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	3,600	$40	$147.5K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	2,980	$40	$107.2K
99226	N/A	310	$30	$8.9K
99217	N/A	760	$10	$6.1K

Showing 1–10 of 26

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

Hospitalist Medicine Physicians Of Texas, PLLC — 6 of 18 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	5,705	5,810	540	$50	$155.5K
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…	19	280	190	$130	$148.6K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1	960	310	$40	$88.6K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	45	530	120	$60	$86.8K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	764	1,010	140	$70	$77.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	1	1,460	410	$30	$61K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1	830	100	$80	$46.2K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	1	420	150	$60	$41K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	13	580	100	$70	$35.4K
99225	N/A	11	20	50	$40	$29.8K

Showing 1–10 of 26

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hospitalist Medicine Physicians Of Texas, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vishnu Madireddy	IL	Internal Medicine Physician	$389K	$3.1M
Paul Zito	OK	Hematology & Oncology Physician	$2.2M	$0
Nhue Ho	TX	Hospitalist Physician	$1.8M	$0
Muhammad Saad Khan	IL	Hematology & Oncology Physician	$1.3M	$0
Samer Roy	LA	Specialist	$312.8K	$530.2K
Randolph Torres Ramos	TX	Internal Medicine Physician	$840.6K	$0
Madhavi Machineni	TX	Internal Medicine Physician	$792.9K	$0
Syed Shariq Saghir	TX	Nephrology Physician	$766.9K	$0
Abeer Kaldas	TX	Nephrology Physician	$735.6K	$0
Jared Petty	TX	Internal Medicine Physician	$609K	$0

Nearby Providers

Other providers in the same ZIP code as Hospitalist Medicine Physicians Of Texas, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Memorial Hermann Health System	TX	General Acute Care Hospital	$0	$26.8M
Comfort & Care Medical Supplies, Inc	TX	Durable Medical Equipment & Medical Supplies	$0	$26.8M
Munoz Pediatrics (dba) Weekare Pediatrics	TX	Pediatrics Physician	$0	$17.6M
Groveway Pharmacy, Inc.	TX	Pharmacotherapy Pharmacist	$6.8M	$0
Rajiv Agarwal	TX	Cardiovascular Disease Physician	$3.3M	$0
Tri County Pharmacy LLC	TX	Community/Retail Pharmacy	$3M	$3.8K
Armita Atashband	TX	Interventional Cardiology Physician	$2.5M	$0
Humble Vascular Surgical Center LLC	TX	Ambulatory Surgical Clinic/Center	$1.8M	$12.8K
Stefano Sdringola-maranga	TX	Interventional Cardiology Physician	$1.6M	$0
Deerbrook Asc LLC	TX	Ambulatory Surgical Clinic/Center	$918.4K	$0

Hospitalist Medicine Physicians Of Texas, PLLC — Billing Profile & Reimbursement Data

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Hospitalist Medicine Physicians Of Texas, PLLC — 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