Active NPI 1821100827 Individual Practitioner Male Practitioner

Dr. Carl A Hicks , MD

Orthopaedic Surgery • Sugar Land, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Carl Hicks, MD is a certified Orthopaedic Surgery practicing in Sugar Land, TX. With approximately 40 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 1986, Dr. Hicks delivers high-quality medical care to the local community at 16811 SOUTHWEST FWY.

Dr. Hicks maintains professional affiliations with Tmh Physician Associates Pllc, Houston Methodist Specialty Physicians and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, x-ray of knee, 3 views, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

16811 Southwest Fwy

Sugar Land, TX 774794728

Telephone 2816904678

Associated Practice Facility / Clinic

🏢 Tmhpo - Methodist Orthopaedic Specialists Of Texas Facility NPI 1700924172

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Sugar Land, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +14.4 yrs vs City Avg

City Avg: 25.6 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

20 Specialists

Practicing in Sugar Land, TX (1627 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hicks (40 Years) 40 Yrs

Sugar Land Specialty Average (25.6 Years) 25.6 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
J1010 Injection, methylprednisolone acetate, 1 mg	3,520	33	$0.30	$0.13
73562 X-ray of knee, 3 views	326	242	$77.56	$38.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	270	244	$236.00	$120.98
99213 Established patient office or other outpatient visit, typically 15 minutes	263	192	$159.00	$85.44
72170 X-ray of pelvis, 1-2 views	248	212	$62.00	$26.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	161	161	$238.00	$106.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	68	65	$316.00	$170.30
20610 Aspiration and/or injection of fluid from large joint	51	47	$175.69	$66.90
27130 Replacement of thigh bone and hip joint with prosthesis	39	39	$3246.00	$1200.72
73560 X-ray of knee, 1-2 views	39	28	$72.00	$32.12
J1030 Injection, methylprednisolone acetate, 40 mg	32	12	$10.00	$6.34
27447 Replacement of knee joint, both sides of knee	31	29	$3467.00	$1228.49
20985 Computer-assisted surgery for muscle and bone procedure	30	28	$343.00	$137.04
72190 X-ray of pelvis, minimum of 3 views	21	21	$99.00	$38.21
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$450.00	$211.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$363.00	$160.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	317	226	$76.37	$38.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	275	238	$236.00	$122.04
72170 X-ray of pelvis, 1-2 views	272	225	$62.00	$26.66
99213 Established patient office or other outpatient visit, typically 15 minutes	247	191	$159.00	$86.28
J1030 Injection, methylprednisolone acetate, 40 mg	242	89	$10.00	$7.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	142	142	$238.00	$107.35
20610 Aspiration and/or injection of fluid from large joint	142	112	$179.72	$69.00
73560 X-ray of knee, 1-2 views	96	73	$67.88	$32.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	95	89	$316.00	$170.46
73565 X-ray of both knees while standing	65	65	$82.00	$38.47
27130 Replacement of thigh bone and hip joint with prosthesis	49	49	$3246.00	$1205.75
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	43	19	$450.00	$126.14
27447 Replacement of knee joint, both sides of knee	34	32	$3467.00	$1222.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$363.00	$159.70
72190 X-ray of pelvis, minimum of 3 views	31	30	$99.00	$40.67
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$450.00	$206.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	425	149	$10.00	$6.37
73560 X-ray of knee, 1-2 views	384	269	$64.22	$33.25
72170 X-ray of pelvis, 1-2 views	359	298	$62.00	$27.02
20610 Aspiration and/or injection of fluid from large joint	332	198	$191.81	$74.39
99213 Established patient office or other outpatient visit, typically 15 minutes	311	231	$159.00	$86.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	296	266	$236.00	$124.21
73565 X-ray of both knees while standing	292	267	$82.00	$39.50
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	219	46	$450.00	$144.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	175	175	$238.00	$106.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	79	76	$316.00	$170.56
27130 Replacement of thigh bone and hip joint with prosthesis	67	65	$3246.00	$1217.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$363.00	$161.42
72190 X-ray of pelvis, minimum of 3 views	45	45	$99.00	$40.62
27447 Replacement of knee joint, both sides of knee	35	33	$3467.00	$1220.83
J1040 Injection, methylprednisolone acetate, 80 mg	16	13	$18.00	$11.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	409	150	$10.00	$5.61
20610 Aspiration and/or injection of fluid from large joint	396	211	$187.27	$72.08
73560 X-ray of knee, 1-2 views	387	264	$64.74	$33.32
99213 Established patient office or other outpatient visit, typically 15 minutes	323	242	$159.00	$88.80
72170 X-ray of pelvis, 1-2 views	306	249	$62.00	$27.00
73565 X-ray of both knees while standing	304	266	$82.00	$39.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	296	255	$236.00	$126.50
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	295	67	$450.00	$136.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	200	200	$238.00	$108.58
27130 Replacement of thigh bone and hip joint with prosthesis	62	59	$3246.00	$1230.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	52	52	$316.00	$176.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	48	$363.00	$163.39
27447 Replacement of knee joint, both sides of knee	41	39	$3467.00	$1241.82
72190 X-ray of pelvis, minimum of 3 views	29	28	$99.00	$40.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$96.00	$54.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	382	139	$10.00	$6.07
99213 Established patient office or other outpatient visit, typically 15 minutes	335	248	$159.00	$72.98
20610 Aspiration and/or injection of fluid from large joint	307	172	$187.62	$70.86
73560 X-ray of knee, 1-2 views	284	195	$65.79	$32.13
72170 X-ray of pelvis, 1-2 views	256	211	$62.00	$27.39
73565 X-ray of both knees while standing	222	190	$82.00	$37.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	221	192	$236.00	$105.68
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	208	42	$450.00	$133.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	152	152	$238.00	$104.32
27130 Replacement of thigh bone and hip joint with prosthesis	59	57	$3246.00	$1322.70
72190 X-ray of pelvis, minimum of 3 views	41	41	$99.00	$38.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$363.00	$160.00
27447 Replacement of knee joint, both sides of knee	38	37	$3467.00	$1296.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	26	$316.00	$142.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$96.00	$44.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	514	178	$10.02	$6.25
99213 Established patient office or other outpatient visit, typically 15 minutes	434	301	$159.18	$71.16
73560 X-ray of knee, 1-2 views	404	259	$64.34	$30.51
20610 Aspiration and/or injection of fluid from large joint	375	227	$187.95	$67.11
73565 X-ray of both knees while standing	296	258	$82.00	$35.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	284	255	$236.00	$102.63
72170 X-ray of pelvis, 1-2 views	252	213	$62.00	$30.79
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	228	50	$450.00	$307.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	153	153	$238.00	$103.70
27130 Replacement of thigh bone and hip joint with prosthesis	68	65	$3246.00	$1286.23
27447 Replacement of knee joint, both sides of knee	57	54	$3467.00	$1319.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$363.00	$158.34
72190 X-ray of pelvis, minimum of 3 views	30	30	$99.00	$36.65
73030 X-ray of shoulder, minimum of 2 views	21	15	$68.57	$28.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$96.00	$43.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$316.00	$140.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	509	181	$10.00	$6.66
99213 Established patient office or other outpatient visit, typically 15 minutes	448	298	$159.00	$70.18
20610 Aspiration and/or injection of fluid from large joint	418	231	$183.16	$65.69
73560 X-ray of knee, 1-2 views	340	241	$65.22	$29.42
73565 X-ray of both knees while standing	271	240	$82.00	$33.80
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	264	65	$450.00	$141.78
72170 X-ray of pelvis, 1-2 views	224	202	$62.00	$30.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	212	195	$236.00	$103.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	188	188	$238.00	$102.63
27447 Replacement of knee joint, both sides of knee	44	43	$3467.00	$1294.97
27130 Replacement of thigh bone and hip joint with prosthesis	43	42	$3246.00	$1291.69
73030 X-ray of shoulder, minimum of 2 views	37	29	$69.08	$26.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$363.00	$159.06
72190 X-ray of pelvis, minimum of 3 views	22	22	$99.00	$36.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$96.00	$42.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	584	375	$159.14	$69.45
J1030 Injection, methylprednisolone acetate, 40 mg	488	163	$10.00	$5.68
20610 Aspiration and/or injection of fluid from large joint	405	211	$186.27	$66.66
73560 X-ray of knee, 1-2 views	313	214	$64.64	$28.49
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	280	57	$450.00	$146.72
72170 X-ray of pelvis, 1-2 views	242	190	$62.00	$29.92
73565 X-ray of both knees while standing	237	209	$82.00	$33.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	175	158	$236.00	$100.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	159	159	$238.00	$102.34
27130 Replacement of thigh bone and hip joint with prosthesis	57	55	$3246.00	$1317.96
27447 Replacement of knee joint, both sides of knee	39	38	$3467.00	$1295.49
73030 X-ray of shoulder, minimum of 2 views	36	32	$71.00	$27.39
72190 X-ray of pelvis, minimum of 3 views	35	33	$99.00	$35.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$363.00	$157.09
20985 Computer-assisted surgery for muscle and bone procedure	12	12	$343.00	$143.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$96.00	$41.46

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX H3576

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

104542901 (TX)

Medicaid State Provider ID

104542908 (TX)

Medicaid State Provider ID

104542904 (TX)

Medicaid State Provider ID

104542905 (TX)

Medicaid State Provider ID

104542906 (TX)

Medicaid State Provider ID

104542903 (TX)

Commercial Insurance / Payer ID Blue Cross Blue Shield

8BP178 (TX)

Commercial Insurance / Payer ID Railroad Medicare

P00732733 (TX)

Commercial Insurance / Payer ID Us Dept Of Labor

610119705 (TX)

Commercial Insurance / Payer ID Rr Medicare

P01055718 (TX)

Hospital & Practice Group Affiliations

Houston Methodist Specialty Physicians

16811 Southwest Fwy, Sugar Land, TX 774794728

Phone: 2816904678

Tmh Physician Associates Pllc

16655 Southwest Fwy, Sugar Land, TX 774792329

Tmh Physician Associates Pllc

16605 Sw Fwy 410, Sugar Land, TX 774793500

Phone: 2812740148

Tmh Physician Associates Pllc

16811 Southwest Fwy, Sugar Land, TX 774794728

Tmh Physician Associates Pllc

16605 Southwest Fwy 400 Mob3, Sugar Land, TX 774793500

Phone: 2812750800

Tmh Physician Associates Pllc

16605 Southwest Fwy, Sugar Land, TX 774793500

Phone: 2812750800

Practice Associates & Co-Workers

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

40 Associated Practitioners

Christina Placker , PA-C

Physician Assistant

NPI 1053668061

Physician Assistant (Certified)

Dr. Gia Luat Vo , PT, DPT

Physical Therapist

NPI 1083532931

Physical Therapist, Doctor of Physical Therapy

Dr. Timothy Sitter , MD

Orthopaedic Surgery - Sports Medicine

NPI 1104813252

Doctor of Medicine (M.D.)

Roy Rodriguez , APRN, FNP-C

Nurse Practitioner - Family

NPI 1124688288

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Madison Edmonds , PA

Physician Assistant

NPI 1134881360

Physician Assistant

Regina Bautista , PT

Physical Therapist

NPI 1164458378

Physical Therapist

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 30, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 30, 2016

Registered at 16811 SOUTHWEST FWY, SUGAR LAND, TX 774794728 (Tel: 2816904678)

📍

Updated Business Mailing Address August 30, 2016

Registered at 16811 SOUTHWEST FWY, SUGAR LAND, TX 774794728 (Tel: 2816904678)

👤

Provider Name / Credentials Updated August 30, 2016

Recorded as CARL HICKS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2016

Orthopaedic Surgery (License #H3576 in TX)

🟢

Initial NPI Registration & Enumeration August 31, 2006

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: 1821100827

Entity Type:

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

Enumeration Date: August 31, 2006

Last Update: August 30, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

16811 Southwest Fwy

Sugar Land, TX 774794728

Phone: 2816904678

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.