GREENVILLE MEDICAL CLINIC LLC
NPI 1972015337, organization, Mckinney, TX, Internal Medicine
- Listed on the Medicare revocation list since October 21, 2019.
- Medicaid still paid claims in 3 later months, $624 in total.
Public list actions
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion) | Exact NPI, name verified | Oct 21, 2019 | Oct 21, 2029 | 3 | Nov 2019 | Jan 2020 | $624 | $1K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | GREENVILLE MEDICAL CLINIC LLC |
| Type | Organization |
| Status | Active |
| NPI issued | October 25, 2017, last updated December 13, 2017 |
| Practice location | 4201 MEDICAL CENTER DR STE 200, Mckinney, TX 75069-1769, 214-717-8119 |
| Mailing address | 6516 JAMESTOWN RD, Frisco, TX 75035-0399 |
| Authorized official | SYED AZIZ (Owner) |
| Specialties | Internal Medicine (207R00000X, primary, license L9612 TX) |
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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $2K | 100% | $13 | $60 (top 5% from $133) | too few months to rank |
In this area
61 providers in Collin County, TX carry an indicator in the public record, with $20.6M at stake between them. The most common is part of a provider network, on 54 of them, followed by named in an enforcement record on 3. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | TRUE HEALTH DIAGNOSTICS, LLC Frisco, TX, ranked 481 | $0 |
|
| 1 | MICHAEL TABA Plano, TX, ranked 509 | $0 |
|
| 3 | JOAB HOME HEALTH AGENCY LLC Plano, TX, ranked 869 | $691K |
|
| 3 | REGENCY PROVIDER SERVICES INC Parker, TX, ranked 872 | $592K |
|
| 3 | LUCENT HOME HEALTH LLC Plano, TX, ranked 920 | $5.0M |
|
| 3 | ANOINTED HHC INC. DBA ANOINTED HOME HEALTHCARE INC. Plano, TX, ranked 1023 | $1.3M |
|
| 3 | DOVER HEALTHCARE SERVICES LLC Mckinney, TX, ranked 1024 | $1.3M |
|
| 3 | EDITION HEALTH SERVICES INC Plano, TX, ranked 1032 | $1.2M |
|
Recent enforcement in TX
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.