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.

Acclaim Physician Group, Inc (NPI 1780076562)

Field	Value
Entity Type	Organization
Organization	Acclaim Physician Group, Inc
Address	1500 S Main St
City	Fort Worth
State	TX
ZIP	76104
Taxonomy	Internal Medicine Physician
NPI Enumerated	March 3, 2015

Payer Source	Total Paid
Medicaid	$30.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

142 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	139,640	$40	$5.9M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	157,370	$30	$5M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	53,020	$80	$4.1M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	24,920	$80	$2M
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	2,440	$580	$1.4M
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…	19,900	$60	$1.1M
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	13,970	$80	$1.1M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	11,690	$90	$993.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	6,360	$90	$591K
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	4,210	$130	$530.5K

Showing 1–10 of 142

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

Acclaim Physician Group, Inc — 18 of 25 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

142 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	29	30	1,410	$340	$2.5M
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.	241	710	1,790	$200	$2.1M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	14	30	3,360	$120	$1.2M
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.	348	730	1,960	$100	$1M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	21	40	1,860	$110	$997.5K
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.	409	590	740	$170	$969.2K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	35	60	340	$590	$491.5K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	7	270	130	$570	$318.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	105	370	360	$120	$279.5K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	20	370	550	$80	$249.6K

Showing 1–10 of 142

Related Providers

Other providers that share a Tax Identification Number (TIN) with Acclaim Physician Group, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Magella Medical Associates Billing, Inc.	TX	Neonatal-Perinatal Medicine Physician	$0	$69.1M
Scott & White Memorial Hospital	TX	General Acute Care Hospital	$0	$55.1M
Scott & White Clinic	TX	Internal Medicine Physician	$0	$45.6M
Obstetrix Medical Group Of Texas Billing, Inc.	TX	Maternal & Fetal Medicine Physician	$0	$25.7M
Behavior Health & Wellness Center, LLC	VA	Behavior Analyst	$0	$15.8M
Ira Schachar	CA	Retina Specialist (Ophthalmology) Physician	$3.9M	$4.1M
Robyn Olney	TX	Anatomic Pathology & Clinical Pathology Physician	$7.7M	$0
Victor Burgos	TX	Family Medicine Physician	$1.6M	$0
Harshal Broker	TX	Vascular Surgery Physician	$1.2M	$0
Christopher Jordan	CO	Hematology & Oncology Physician	$970.8K	$0

Nearby Providers

Other providers in the same ZIP code as Acclaim Physician Group, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cook Children's Medical Center	TX	Children's Hospital	$0	$286.6M
Cook Children's Physician Network	TX	Pediatrics Physician	$0	$106.2M
Cook Childrens Home Health	TX	Durable Medical Equipment & Medical Supplies	$0	$64.4M
Tarrant County Hospital District	TX	General Acute Care Hospital	$0	$61.8M
Cook Children's Physician Network	TX	Pediatric Emergency Medicine (Emergency Medicine) Physician	$0	$25.7M
Cook Children's Medical Center	TX	Pediatrics Physician	$0	$21.3M
Texas Health Harris Methodist Hospital Fort Worth	TX	General Acute Care Hospital	$0	$13.8M
James Haden	TX	Allergy & Immunology (Internal Medicine) Physician	$819.3K	$2.5M
Physicians Surgical Center Of Ft. Worth LLP	TX	Ambulatory Surgical Clinic/Center	$2.9M	$0
Sleep Telemedicine Services, Inc	TX	Sleep Disorder Diagnostic Clinic/Center	$187.3K	$2M

Acclaim Physician Group, Inc — Billing Profile & Reimbursement Data

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Acclaim Physician Group, Inc — 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