Clinic
Gainesville Community Hospital, INC.
Gainesville Community Hospital, INC. was paid $6.53M by Medicaid between Jan 2020 and Dec 2024, across 33 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 91% of everything it billed.
33Billing provider infoGAINESVILLE COMMUNITY HOSPITAL, INC.
GAINESVILLE, TX 76240
GAINESVILLE, TX 76240
33aNPI1033687900assigned 11/08/2018
33bProvider typeRural Health Clinic/Center
28Total paid$6.53M
24GClaims34,442
24DCodes billed33
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Texas
Rank by total paid#9 of 225
Median peer was paid$428K
This provider vs. median15×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 813 | $171K | |
| 2021 | 6,380 | $1.48M | |
| 2022 | 7,939 | $1.73M | |
| 2023 | 10,912 | $1.52M | |
| 2024incomplete | 8,398 | $1.63M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 91% | 24,600 | 19,819 | $5.97M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.3% | 1,603 | 1,161 | $214K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.5% | 1,161 | 856 | $162K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 417 | 334 | $54K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 495 | 331 | $54K |
| 99381 | <1% | 282 | 207 | $25K | |
| 99383 | <1% | 165 | 109 | $10K | |
| 99382 | <1% | 160 | 107 | $7K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 35 | 35 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 552 | 426 | $6K |
| 99384 | <1% | 45 | 35 | $5K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 55 | 49 | $5K |
21 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 893 | $2K |
| 90680 | <1% | 561 | $1K | |
| 90723 | <1% | 332 | $1K | |
| 90633 | <1% | 200 | $556.82 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | $510.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 66 | $390.34 |
| 90677 | <1% | 213 | $278.41 | |
| 90698 | 0% | 82 | $0.00 | |
| 90619 | 0% | 24 | $0.00 | |
| 90474 | 0% | 41 | $0.00 | |
| 90696 | 0% | 19 | $0.00 | |
| 90651 | 0% | 18 | $0.00 | |
| 90670 | 0% | 575 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 691 | $0.00 |
| 90461 | 0% | 260 | $0.00 | |
| 90710 | 0% | 187 | $0.00 | |
| 99173 | 0% | 119 | $0.00 | |
| 90648 | 0% | 491 | $0.00 | |
| 90715 | 0% | 18 | $0.00 | |
| 90734 | 0% | 49 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSLEDGE, THOMAS (CEO)
| Provider | Location | Paid |
|---|---|---|
| Gainesville Community Hospital, INC. | Gainesville, TX | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.