SHERMAN GRAYSON HOSPITAL LLC
NPI: 1013957836
· SHERMAN, TX 75092
· 273R00000X
$436K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
429 |
$20K |
| 2021 |
3,803 |
$129K |
| 2022 |
5,159 |
$130K |
| 2023 |
2,540 |
$128K |
| 2024 |
322 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
2,365 |
2,200 |
$125K |
| 99284 |
|
770 |
676 |
$117K |
| 41899 |
|
51 |
50 |
$69K |
| G0378 |
Hospital observation per hr |
197 |
141 |
$30K |
| 99282 |
|
431 |
417 |
$24K |
| 80053 |
|
1,430 |
1,190 |
$11K |
| G0379 |
Direct refer hospital observ |
151 |
101 |
$11K |
| 93005 |
|
327 |
259 |
$11K |
| 87804 |
|
554 |
368 |
$9K |
| 87426 |
|
277 |
264 |
$8K |
| 85025 |
|
1,202 |
1,058 |
$7K |
| 59025 |
|
72 |
53 |
$5K |
| 71045 |
|
116 |
105 |
$2K |
| 81001 |
|
715 |
651 |
$1K |
| 87880 |
|
122 |
110 |
$1K |
| 85027 |
|
265 |
216 |
$1K |
| 70450 |
|
16 |
14 |
$1K |
| 96374 |
|
126 |
116 |
$515.89 |
| 87420 |
|
24 |
24 |
$382.46 |
| 96375 |
|
45 |
41 |
$358.83 |
| 84484 |
|
60 |
38 |
$246.44 |
| 36415 |
|
2,620 |
2,183 |
$152.24 |
| 85610 |
|
51 |
49 |
$137.37 |
| 85730 |
|
24 |
24 |
$125.79 |
| 80306 |
|
14 |
12 |
$107.00 |
| 96361 |
|
28 |
26 |
$100.30 |
| 80048 |
|
13 |
13 |
$58.46 |
| 84703 |
|
12 |
12 |
$50.88 |
| J0696 |
Ceftriaxone sodium injection |
14 |
13 |
$26.83 |
| J1885 |
Ketorolac tromethamine inj |
15 |
15 |
$6.54 |
| J2405 |
Ondansetron hcl injection |
46 |
46 |
$4.80 |
| J7040 |
Normal saline solution infus |
13 |
13 |
$3.66 |
| J1100 |
Dexamethasone sodium phos |
20 |
20 |
$2.88 |
| A9270 |
Non-covered item or service |
53 |
43 |
$0.00 |
| 96372 |
|
14 |
14 |
$0.00 |