Providers
SAMIR ATIEH, MD
NPI 1306048715, individual, Wichita Falls, TX, Family Medicine
5
Evidence tier
informational
- Medicaid dollars per patient on code 99203 ($214 per patient-month) sit in the top 5% of every provider billing that code.
score 35 of 100, rank 10051, $1.3M at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SAMIR ATIEH, MD |
| Type | Individual |
| Status | Active |
| NPI issued | June 5, 2007, last updated July 8, 2007 |
| Practice location | 1301 3RD ST, Wichita Falls, TX 76301-2245, 940-767-5145 |
| Mailing address | 5402 TEXAS STAR LN, Wichita Falls, TX 76310-3348 |
| Specialties | Family Medicine (207Q00000X, primary, license 32233 KS) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $1.5M | 66% | $211 | $44 (top 5% from $110) | 99th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $279K | 12% | $214 | $67 (top 5% from $121) | 99th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $73K | 3% | $29 | $60 (top 5% from $133) | 15th percentile | |
| 96372 | Injection of drug or substance under skin or into muscle | $60K | 3% | $48 | $12 (top 5% from $49) | 95th percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $47K | 2% | $40 | $95 (top 5% from $171) | 7th percentile | |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | $46K | 2% | $72 | $44 (top 5% from $70) | 96th percentile | |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | $42K | 2% | $47 | $22 (top 5% from $33) | 98th percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $33K | 1% | $143 | $28 (top 5% from $147) | 95th percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 74 | 71 | $4K | $645 | $95 | 6.8x | 2.3x (90th percentile 3.8x) |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 21 | 21 | $2K | $1K | $130 | 7.8x | 2.4x (90th percentile 3.9x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 37 | 35 | $1K | $436 | $64 | 6.8x | 2.2x (90th percentile 3.8x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
3 providers in Wichita County, TX carry an indicator in the public record, with $426K at stake between them. The most common is part of a provider network, on 3 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | BEYONDFAITH HOSPICE OF JACKSBORO, LLC Wichita Falls, TX, ranked 1181 | $426K |
|
| 3 | WISE COUNTY HOME HEALTH Wichita Falls, TX, ranked 5099 | $0 |
|
| 3 | 27 HHA, INC. Wichita Falls, TX, ranked 6876 | $0 |
|
Recent enforcement in TX
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementAug 26, 2026
Dallas medical clinic to pay $7.5 million to resolve COVID-19 testing overbilling allegations
Aymancare billed the federal government's HRSA Uninsured Program for separate evaluation and management services in addition to COVID-19 specimen collection and testing at pop-up testing sites when no such separate services were performed.
DOJConvictedAug 12, 2026
Scammer pharmacist guilty in $20 million healthcare kickback scheme
Thomas paid over $2 million in kickbacks to the owner of a Houston clinic in exchange for referrals of DOL-OWCP insured patients prescribed high-reimbursement compounded medications, which his pharmacy then billed to DOL-OWCP, receiving more than $20 million in reimbursements.
DOJIndictedJun 24, 2026
U.S. Attorney Announces Major Health Care Fraud Cases in Western District of Texas
Charles is alleged to have received illegal kickbacks for referring patients to San Antonio area hospice companies, causing over $9 million in Medicare claims, while Dr. Duncan settled allegations of billing Medicare and TRICARE for an unapproved amniotic-based product and Trevor's Place settled allegations of submitting inflated TRICARE claims for services not provided.
DOJIndictedJun 23, 2026
Nine charged in SDTX as part of national health care fraud takedown
Nine defendants were indicted in the Southern District of Texas for operating pill mill clinics and a pharmacy that unlawfully distributed controlled substances, billing Medicaid $16 million for mental health services for minors that did not occur, and billing Medicare and TRICARE approximately $906 million for medically unnecessary amniotic wound allografts procured through kickbacks.
DOJChargedJun 23, 2026
Northern District of Texas Charges 13 Health Care Fraudsters for Loss Over $360 Million
Thirteen defendants in the Northern District of Texas were charged in seven cases involving more than $365 million in fraudulent billing to federally-funded programs and other insurers, including laboratory and genetic testing claims procured through kickbacks, transcranial magnetic stimulation treatments billed to TRICARE, medically unnecessary EEG testing, and hospice services never provided.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.