Columbia Valley Healthcare System, L.P.

Columbia Valley Healthcare System, L.P. was paid $8.43M by Medicaid between Mar 2019 and Dec 2024, across 92 billing codes. Its largest line is 99284, emergency room visit (serious) — 39% of everything it billed.

33Billing provider infoCOLUMBIA VALLEY HEALTHCARE SYSTEM, L.P.
BROWNSVILLE, TX 78526

33aNPI1043267701assigned 05/28/2006

33bProvider typeGeneral Acute Care Hospital

28Total paid$8.43M

24GClaims157,899

24DCodes billed92

24AFirst – last monthMar 2019 – Dec 2024

Compared with peers

Next to other General Acute Care Hospital providers in Texas

Rank by total paid#18 of 109

Median peer was paid$1.15M

This provider vs. median7.3×

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
2019	37	$27.10
2020	2,012	$110K
2021	28,035	$1.37M
2022	45,660	$2.13M
2023	52,255	$3.05M
2024incomplete	29,900	$1.77M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	39%	13,833	13,118	$3.25M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	21%	15,972	15,464	$1.76M
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	4.1%	5,530	5,154	$347K
80053	Comprehensive metabolic panel	3.7%	7,142	6,513	$310K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	2.5%	1,255	1,121	$211K
80048	Basic metabolic panel (calcium, ionized)	2.2%	8,496	7,654	$183K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	2.1%	1,610	1,464	$173K
85027		2.0%	19,848	17,729	$165K
71045	Radiologic examination, chest; single view	1.8%	7,587	7,248	$151K
87400		1.7%	5,765	5,602	$146K
J3490	Unclassified drugs	1.7%	383	266	$143K
80305		1.6%	1,863	1,754	$132K

80 more codes

U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	1.3%	4,151	$112K
99282	Emergency department visit for the evaluation and management, low to moderate severity	1.3%	1,000	$106K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	1.1%	5,168	$96K
84443	Thyroid stimulating hormone (TSH)	1.1%	1,049	$94K
74177	Computed tomography, abdomen and pelvis; with contrast material	1.1%	771	$93K
70450	Computed tomography, head or brain; without contrast material	1.0%	1,380	$88K
76819	Fetal biophysical profile; without non-stress testing	1.0%	656	$87K
80061	Lipid panel	1.0%	805	$86K
82746		<1%	798	$65K
82607		<1%	839	$64K
80076		<1%	3,000	$51K
G0330	Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room	<1%	84	$49K
76801		<1%	414	$34K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	277	$30K
42820	Tonsillectomy and adenoidectomy; younger than age 12	<1%	14	$28K
86756		<1%	1,017	$27K
77067	Screening mammography, bilateral, including computer-aided detection	<1%	664	$27K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	1,093	$25K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	971	$25K
81025		<1%	1,361	$22K
77063	Screening digital breast tomosynthesis, bilateral	<1%	667	$21K
70553	Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences	<1%	14	$18K
83690		<1%	4,473	$17K
74176	Computed tomography, abdomen and pelvis; without contrast material	<1%	438	$17K
81003		<1%	2,542	$16K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	92	$15K
30140		<1%	53	$15K
86850		<1%	792	$14K
84702		<1%	1,001	$9K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	6,980	$9K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	359	$9K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed	<1%	42	$8K
82248		<1%	1,716	$7K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	182	$6K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	68	$6K
82247		<1%	223	$6K
83036	Hemoglobin; glycosylated (A1C)	<1%	94	$5K
84484		<1%	2,389	$5K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	67	$5K
87088		<1%	860	$4K
96361	Intravenous infusion, hydration; each additional hour	<1%	186	$4K
85610		<1%	2,015	$3K
85730		<1%	1,930	$3K
86901		<1%	1,449	$3K
86900		<1%	1,450	$3K
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	454	$3K
36415	Collection of venous blood by venipuncture	<1%	2,873	$2K
83880		<1%	870	$1K
96375	Therapeutic injection; each additional sequential IV push	<1%	1,938	$1K
76641		<1%	15	$1K
J2270	Injection, morphine sulfate, up to 10 mg	<1%	780	$834.80
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	95	$783.65
J7050	Infusion, normal saline solution, 250 cc	<1%	338	$705.75
83605		<1%	700	$672.42
74018		<1%	12	$565.95
87077		<1%	217	$537.13
82652		<1%	30	$525.42
J7120	Ringers lactate infusion, up to 1000 cc	<1%	175	$485.54
87040		<1%	301	$302.65
87430		<1%	13	$185.70
J1200	Injection, diphenhydramine hcl, up to 50 mg	<1%	118	$156.97
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	876	$149.44
87186		<1%	96	$124.52
84703		<1%	54	$119.86
83735		<1%	135	$99.55
77080		<1%	12	$73.91
J3010	Injection, fentanyl citrate, 0.1 mg	<1%	48	$52.10
J2405	Injection, ondansetron hydrochloride, per 1 mg	<1%	379	$50.26
J2250	Injection, midazolam hydrochloride, per 1 mg	<1%	145	$42.58
J2765	Injection, metoclopramide hcl, up to 10 mg	<1%	25	$40.25
J2704	Injection, propofol, 10 mg	<1%	69	$19.91
A9270	Non-covered item or service	0%	1,740	$0.00
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	0%	20	$0.00
J1100	Injection, dexamethasone sodium phosphate, 1 mg	0%	16	$0.00
C1769	Guide wire	0%	12	$0.00
80320		0%	12	$0.00
G1003	Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program	0%	376	$0.00
82565		0%	13	$0.00
A9575	Injection, gadoterate meglumine, 0.1 ml	0%	52	$0.00
84520		0%	12	$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 officialPUENTE, DANIEL (CFO)