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    Texas Health Physicians Group — Billing Profile & Reimbursement Data

    NPI 1760781082 · Euless, TX · Clinical Medical Laboratory

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    Texas Health Physicians Group is a clinical medical laboratory provider located in Euless, Texas. This profile covers 81 Medicare and 34 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationTexas Health Physicians Group
    Address251 Westpark Way Ste 212
    CityEuless
    StateTX
    ZIP76040
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedMarch 25, 2011

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$5.1M
    Medicaid$7K

    Key Findings

    TEXAS HEALTH PHYSICIANS GROUP is primarily operating as a high-volume clinical laboratory: its top Medicare revenue drivers are classic lab panels and analytes (80053, 80061, 84443) and the top three Medicare codes account for 47.6% of the provider's Medicare revenue, which indicates concentrated service-line activity around routine chemistry, lipid, and thyroid testing rather than diverse procedural care. The detailed code mix — CMP, lipid panel, TSH, CBC, vitamin D, A1C — is consistent with a reference or outpatient draw-site lab handling large volumes of routine screening and chronic disease monitoring tests.

    Medicare revenue dwarfs Medicaid for this NPI: total Medicare revenue is $5.1M versus total Medicaid revenue of $7K, so the practice is effectively single-payer dominant by scale with Medicaid making a de minimis contribution to lifetime revenue. This imbalance suggests the provider’s operational focus and payer contracting are targeted primarily at Medicare populations and fee schedules.

    Several individual Medicare codes show exceptional national standing and very high volumes: 80053 (CMP) ranks #49 of 26416 and is labeled an "extreme outlier," 80061 (lipid panel) ranks #41 of 21671 as an "extreme outlier," and 84443 (TSH) ranks #47 of 19722 as an "extreme outlier." These ranks and percentile notes indicate TEXAS HEALTH PHYSICIANS GROUP performs far higher claim volumes for those common lab tests than virtually all national peers, supporting the characterization of the provider as a major volume laboratory for routine testing.

    Beyond the top three, numerous other Medicare CPTs also appear well above typical national volumes: 85025 (CBC), 82306 (vitamin D), and 83036 (A1C) each rank in the 100th percentile or near it and are described as "extreme outlier" or notably above typical national volume. This broad set of highly ranked routine tests reinforces that the operation processes sustained, high-throughput inpatient or outpatient lab testing across metabolic, hematology, endocrine, and kidney-related assays.

    Despite very low Medicaid revenue overall, the small set of Medicaid billings is concentrated: the precomputed top three Medicaid codes account for 100.0% of Medicaid revenue, with 83970 (parathyroid hormone) listed as the Medicaid revenue-generating code (only $52). The Medicaid claims list shows many common lab codes with claims but $0 reported revenue for Medicaid, indicating either negligible reimbursement amounts on file or that Medicaid payments are not materially contributing to lifetime revenue.

    This NPI has substantive tenure in the registry: it was enumerated on 2011-03-25 (approximately 15 years ago). The sustained, high-volume Medicare billing across many routine lab codes over that span suggests an established laboratory presence rather than a transient or new entrant.

    Competitive positioning differs dramatically by payer: nationally, the provider is a dominant volume player for several core Medicare lab codes (multiple codes rank in the top 1–2 percent or are called "extreme outlier"), while in-state Medicaid rankings are modest to low for most codes (many codes appear in mid-percentiles and Medicaid revenue ranks are not notable). This pattern points to strong national Medicare throughput but limited impact within Texas Medicaid reimbursement.

    The revenue concentration within a small set of routine tests (top 3 Medicare codes = 47.6% of Medicare revenue) indicates business risk if utilization or reimbursement for those panels changes. Because nearly half of Medicare revenue is driven by three high-volume panels (80053, 80061, 84443), any shifts in clinical screening guidelines, site-of-service policies, or reimbursement for those CPTs could disproportionately affect the provider’s Medicare revenue base.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    81 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.81,500$10$815K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.62,450$10$811.9K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…42,490$20$679.8K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…63,710$10$509.6K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…15,960$30$462.8K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…41,060$10$369.6K
    G0103Prostate cancer screening; prostate specific antigen test (psa)8,390$20$159.3K
    82043The lab analyst quantitates a timed or random urine specimen for the measurement of albumin. Random means the specimen collection may occur without respect to the time of day. This is a valuable…19,570$10$117.4K
    82607The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.7,210$20$108.2K
    82570The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…19,220$10$96.1K

    Showing 1–10 of 81

    • More pages

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 81 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    81 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    87481142270150$30$68.8K
    8151351090$140$34K
    839701324040$40$31.2K
    87491226070$30$23.6K
    87591225080$30$23.5K
    8301382030$70$20.9K
    8007493050$50$19.4K
    826701910040$30$17.5K
    83880824030$40$17.1K
    87661265090$30$15.8K

    Showing 1–10 of 81

    • More pages

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    83970Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.30$1$50
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.20$0$0
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…990$0$0
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.16,780$0$0
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.11,650$0$0
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…3,370$0$0
    82043The lab analyst quantitates a timed or random urine specimen for the measurement of albumin. Random means the specimen collection may occur without respect to the time of day. This is a valuable…4,230$0$0
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…3,890$0$0
    82550The lab analyst measures the amount of total creatine kinase in a patient specimen. Creatine kinase, or CK, is an enzyme found in various tissue and cell types such as the heart, brain, or muscles…180$0$0
    82570The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…3,970$0$0

    Showing 1–10 of 34

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Texas median

    34 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.687301,270$10$84.8K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…37380130$10$66.4K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.25570380$10$52.5K
    87086Culture, bacterial; quantitative, colony count, urine.97330530$10$49.1K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…1261,0701,090$10$47.6K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…29480400$10$43.8K
    84439The lab analyst performs a test to measure free thyroxine, or free T4, typically in patient serum.49280220$10$29.3K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…168360730$10$28.7K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…30670340$1$27.4K
    85027The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…236310470$1$25.7K

    Showing 1–10 of 34

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Texas Health Physicians Group, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Anita TharianTXMedical Oncology Physician$938.6K$0
    Tony DasTXInterventional Cardiology Physician$845.2K$0
    Mandar JoshiTXDiagnostic Radiology Physician$740.2K$0
    John BarringtonTXAdult Reconstructive Orthopaedic Surgery Physician$568.1K$0
    Tulika JainTXCardiovascular Disease Physician$556.2K$0
    Shane StoneTXFamily Medicine Physician$531.1K$0
    Patrick KeehanTXDermatology Physician$446.8K$0
    Brian LeTXClinical Cardiac Electrophysiology Physician$439.6K$0
    Matthew DicksonTXCardiovascular Disease Physician$385K$0
    Sukesh BurjonroppaTXInterventional Cardiology Physician$354.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Texas Health Physicians Group, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Legent Outpatient Surgery Euless, LLCTXAmbulatory Surgical Clinic/Center$1.4M$0
    Seema KaziTXPsychiatry Physician$245.3K$0
    Jeffrey TaylorTXFoot & Ankle Surgery Podiatrist$231.6K$0
    Nataly YokhanisTXFoot & Ankle Surgery Podiatrist$137.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Texas Health Physicians Group — 21 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas
    Medicaid Revenue by Year vs. Texas Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Texas Health Physicians Group — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas