Active NPI 1164685731 Individual Practitioner Male Practitioner

Dr. Billy Ray Gilbert , MD

Internal Medicine - Nephrology • Houston, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Billy Gilbert, MD is a certified Internal Medicine - Nephrology practicing in Houston, TX. With approximately 21 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 2005, Dr. Gilbert delivers high-quality medical care to the local community at 6624 FANNIN.

Dr. Gilbert is affiliated with Renal Specialists Of Houston, Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include dialysis services, subsequent hospital care with moderate levelof medical decision making, if using time, at least, dialysis services, 2-3 physician visits per month (20 years or older). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6624 Fannin
Suite 2510, Renal Specialists Of Houston, Pa

Houston, TX 770302337

Telephone 7137912648

Fax 7137950717

Associated Practice Facility / Clinic

🏢 Hall Garcia Cardiology Assoc Facility NPI 1457364119

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -5.7 yrs vs City Avg

City Avg: 26.7 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

224 Specialists

Practicing in Houston, TX (1192 Statewide)

Telehealth Adoption Rate

33.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gilbert (21 Years) 21 Yrs

Houston Specialty Average (26.7 Years) 26.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	228	67	$713.00	$346.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	109	60	$160.39	$78.88
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	78	41	$591.77	$290.86
99213 Established patient office or other outpatient visit, typically 15 minutes	60	47	$185.20	$88.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	32	$260.72	$116.14
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	49	38	$33.53	$16.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	44	$265.45	$128.05
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	44	12	$127.86	$61.97
90966 Home dialysis services per month, patient 20 years of age or older	43	13	$592.74	$290.78
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	28	12	$97.93	$47.68
90935 Hemodialysis procedure with physician evaluation	27	17	$142.78	$70.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$341.25	$167.51
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	12	$241.11	$118.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	241	54	$706.00	$356.20
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	111	49	$588.00	$296.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	48	$160.00	$79.09
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	21	$240.00	$120.64
99213 Established patient office or other outpatient visit, typically 15 minutes	28	25	$182.00	$89.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	18	$256.00	$105.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$262.00	$132.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	249	71	$760.77	$364.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	224	98	$148.86	$71.01
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	119	58	$567.83	$303.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	68	27	$235.59	$94.97
90935 Hemodialysis procedure with physician evaluation	59	36	$246.61	$74.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	51	$248.14	$137.64
90945 Dialysis procedure including 1 evaluation	34	12	$251.35	$88.43
99213 Established patient office or other outpatient visit, typically 15 minutes	33	28	$147.82	$85.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	15	$214.95	$130.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	461	108	$780.00	$371.87
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	142	65	$480.00	$307.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	86	51	$150.00	$73.66
90966 Home dialysis services per month, patient 20 years of age or older	71	12	$780.00	$307.52
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	44	20	$240.00	$105.86
99213 Established patient office or other outpatient visit, typically 15 minutes	44	32	$86.00	$84.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	17	$132.00	$131.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$240.00	$139.36
90935 Hemodialysis procedure with physician evaluation	18	14	$264.00	$75.15
90962 Dialysis services, 1 physician visit per month (20 years or older)	17	13	$360.00	$210.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	749	151	$780.00	$295.28
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	259	124	$480.00	$247.90
90966 Home dialysis services per month, patient 20 years of age or older	148	26	$780.00	$243.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	137	82	$150.00	$74.51
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	51	29	$240.00	$107.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	43	$240.00	$142.09
99213 Established patient office or other outpatient visit, typically 15 minutes	41	31	$86.00	$74.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	23	$132.00	$104.23
90962 Dialysis services, 1 physician visit per month (20 years or older)	39	26	$360.00	$191.08
90935 Hemodialysis procedure with physician evaluation	33	22	$264.00	$76.19
90945 Dialysis procedure including 1 evaluation	32	15	$264.00	$89.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	720	177	$780.00	$288.04
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	351	146	$480.00	$242.31
90966 Home dialysis services per month, patient 20 years of age or older	119	26	$780.00	$238.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	114	81	$150.00	$73.70
90970 Dialysis services, per day, less than full month service (20 years or older)	72	16	$24.00	$7.91
99213 Established patient office or other outpatient visit, typically 15 minutes	59	35	$86.00	$73.11
90945 Dialysis procedure including 1 evaluation	54	22	$264.00	$87.04
90962 Dialysis services, 1 physician visit per month (20 years or older)	45	36	$360.00	$187.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	40	$240.00	$138.70
90935 Hemodialysis procedure with physician evaluation	26	23	$264.00	$74.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	14	$132.00	$107.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$132.00	$73.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	13	$240.00	$105.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	755	159	$780.00	$287.89
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	344	135	$480.00	$242.24
90970 Dialysis services, per day, less than full month service (20 years or older)	201	30	$24.00	$7.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	152	99	$150.00	$73.97
90966 Home dialysis services per month, patient 20 years of age or older	140	20	$780.00	$239.78
99213 Established patient office or other outpatient visit, typically 15 minutes	40	26	$86.00	$72.32
90945 Dialysis procedure including 1 evaluation	34	19	$264.00	$86.96
90962 Dialysis services, 1 physician visit per month (20 years or older)	32	24	$360.00	$187.18
90935 Hemodialysis procedure with physician evaluation	28	19	$264.00	$74.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$240.00	$138.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$132.00	$107.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$210.00	$164.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	817	263	$780.00	$286.24
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	313	147	$480.00	$240.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	135	99	$150.00	$72.57
90970 Dialysis services, per day, less than full month service (20 years or older)	80	11	$24.00	$7.87
99213 Established patient office or other outpatient visit, typically 15 minutes	77	50	$86.00	$72.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	60	59	$240.00	$138.40
90966 Home dialysis services per month, patient 20 years of age or older	58	12	$780.00	$237.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	35	$132.00	$105.89
90962 Dialysis services, 1 physician visit per month (20 years or older)	43	36	$360.00	$182.60
90935 Hemodialysis procedure with physician evaluation	28	21	$264.00	$73.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$210.00	$163.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	11	$240.00	$105.54

Medical Specialties & State Licenses

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License TX BP10023256

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Internal Medicine - Nephrology

NUCC Taxonomy Code: 207RN0300X

State License TX N5688

Hospital & Practice Group Affiliations

Renal Specialists Of Houston, Pa

9449 Grogans Mill Rd, The Woodlands, TX 773803623

Phone: 7137912648

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Alyssa Maltby , APRN

Nurse Practitioner

NPI 1023536414

Advanced Practice Registered Nurse

Araceli Hernandez , MSN, FNP-C

Nurse Practitioner

NPI 1326426198

Master of Science in Nursing, Family Nurse Practitioner (Certified)

Dr. Anita Shah , MD

Internal Medicine - Nephrology

NPI 1992192272

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 09, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 09, 2012

Registered at 6624 FANNIN, SUITE 2510, RENAL SPECIALISTS OF HOUSTON, PA, HOUSTON, TX 770302337 (Tel: 7137912648)

📍

Updated Business Mailing Address February 09, 2012

Registered at 8876 GULF FREEWAY, SUITE 215, RENAL SPECIALISTS OF HOUSTON, PA, HOUSTON, TX 770176550 (Tel: 7139479509)

👤

Provider Name / Credentials Updated February 09, 2012

Recorded as BILLY GILBERT, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2012

Internal Medicine (License #BP10023256 in TX)

🟢

Initial NPI Registration & Enumeration July 03, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164685731

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 03, 2008

Last Update: February 09, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8876 Gulf Freeway, Suite 215, Renal Specialists Of Houston, Pa

Houston, TX 770176550

Phone: 7139479509

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.