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TEXAS JOINT INSTITUTE, PLLC

PAC 8325206584 Physician group
PHYSICIAN ASSISTANT · DALLAS, TX · hospital-affiliated
Specialty PHYSICIAN ASSISTANT — most common member specialty (multi-specialty groups carry one label; see Methods)
Footprint Registered in DALLAS, TX · bills Medicare in 3 states (CA, MN, TX)
Scale 39 providers on the CMS registry roster · 129 codes billed (five-year data window) · 65,898 services (all billed codes, CY2024)
Medicare paid $2.7M · across all billed codes, CY2024, attributed & disclosed
Affiliation Hospital-affiliated — at least one member holds a hospital affiliation in the CMS registry
Contact (972) 566-5255 — CMS registry listing
CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · figures are attributed (single-group clinicians) and disclosed fee-for-service — a subset, never complete totals · group series shown over the most recent 5 years (rosters archived from 2019)
Group analytics

Who's billing in this group, plus the paid volume analytics · CY2024

Clinician makeup · CY2024
Physicians 16Advanced-practice 16Other clinicians 0= 32 clinicians billed · CY2024
By clinician headcount, CY2024. 'Physician' follows Medicare's §1861(r) definition (MD/DO, podiatry, optometry, dental medicine, chiropractic); facility and supplier enrollments are not counted as clinicians. These 32 are the clinicians who billed in CY2024 — a subset of the all-time registry roster shown on the group's identity card.

Billed 96 of the group's 129 codes this year, across 2 states (CY2024).

The full analytics for this group

Premium

The billed-volume rank, trajectory, and economics behind this group — computed on the same disclosed Medicare Part B data.

What Medicare paid this group in CY2024 is on the group's identity card — free, on every tier. Premium breaks that figure down per code and per service, and puts the volume behind it in national and peer context.

  • Per-code payment breakdown & avg $/service — dollars behind the volume
  • Beneficiary-episode volume — reach, not just service counts
  • Office vs. facility setting mix — place-of-service code split
  • National billed-volume rank — percentile, cohort & year disclosed
  • Size-peer billed-volume benchmark — vs. groups of similar size
  • Top-3 clinician share — how volume distributes
  • 5-year volume trend — direction across the window
  • Business mix — largest codes by payment

Rank and benchmark figures are billed-volume positions among peers, not measures of care. All figures attributed (single-group clinicians) and disclosed Medicare Part B fee-for-service.

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Medicare Part B FFS · CY2024 · as published by CMS
Data year: CY2024 CY2023 CY2022  CY2021  CY2020 

Provider volumes, all codes · CY2024

NPIProviderCredentialsTypeCitySt Services (all codes)
1780895938 Toulson, Charles MD Orthopedic Surgery MckinneyTX
1588714661 Appleton, J M.D. Orthopedic Surgery DallasTX
1386098150 Ryan, James MD Orthopedic Surgery PlanoTX
1124175286 Tucker, William M.D. Orthopedic Surgery AddisonTX
1801235833 Hohman, Donald M.D. Orthopedic Surgery DallasTX
1699750323 Mckellar, Duncan MD Orthopedic Surgery MckinneyTX
1174889414 Dibra, Florian M.D Orthopedic Surgery FriscoTX
1689683674 Early, John MD Orthopedic Surgery DallasTX
1578058665 Stephenson, Samuel MD Orthopedic Surgery DallasTX
1518522788 Warren, Brenna Physician Assistant WaxahachieTX
1194955328 Ennin, Kwame MD Orthopedic Surgery PlanoTX
1013612340 Brown, Jana PA-C Physician Assistant DallasTX
1457746794 Greenstein, Alexander M.D. Orthopedic Surgery DallasTX
1295300200 Russell, Abigail NP Nurse Practitioner DallasTX
1174236590 Stewart, Joshua PA Physician Assistant DallasTX
1538823661 Janka, Lauren Physician Assistant DallasTX
1972218865 Bentley, Kelci PA-C Physician Assistant DallasTX
1457314536 Gemas, Terry M.D. Orthopedic Surgery DallasTX
1558891614 Neary, Kathryn PA-C Physician Assistant DallasTX
1477265593 Provenzano, Claire PA-C Physician Assistant DallasTX
1518632157 Akins, Anna Physician Assistant DallasTX
1003299439 Fewins, Trevor PA-C Physician Assistant MckinneyTX
1720645120 Fuhrmann, Leslie PA-C Physician Assistant MckinneyTX
1255026944 Meadows, Colton Physician Assistant MckinneyTX
1831451913 Eisenstein, Emmanuel M.D. Orthopedic Surgery MinneapolisMN
1013629138 Nash, Thomas PA Physician Assistant MckinneyTX
1215405279 Rushin, Kevin PA-C Physician Assistant RockwallTX
1265662100 Abbaschian, Cyrus · member of 2 groups MD Orthopedic Surgery PlanoTX
1912640202 Mravunich, Valerie · member of 2 groups Physician Assistant DallasTX
1700271194 Nwannunu, Brian · member of 2 groups M.D. Orthopedic Surgery DallasTX
1366965345 Yalamanchili, Dheeraj · member of 2 groups MD Sports Medicine DallasTX
1942710322 Young, Matthew · member of 2 groups PA-C Physician Assistant RockwallTX

Volumes are attributed to a group only for clinicians affiliated with exactly one group. Clinicians in several groups are listed ("member of N groups") but shown as "—" — their volume is not attributed to any single group. A "—" on a single-group clinician means CMS suppressed the figure (fewer than 11 beneficiaries), never zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average Medicare payment is the amount Medicare actually paid per service, weighted by service volume across office and facility settings. Where the roster is a single clinician, that clinician's service counts match the group's attributed volume shown on the ranked results, so they are shown here; the per-provider split across a larger roster is a premium feature. See Methods & Sources.