Physician
Nacogdoches County Hospital District
Nacogdoches County Hospital District was paid $1.27M by Medicaid between Jan 2018 and Nov 2023, across 63 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoNACOGDOCHES COUNTY HOSPITAL DISTRICT
NACOGDOCHES, TX 75961
NACOGDOCHES, TX 75961
33aNPI1053711804assigned 08/29/2014
33bProvider typeFamily Medicine Physician
28Total paid$1.27M
24GClaims53,330
24DCodes billed63
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#85 of 1,204
Median peer was paid$31K
This provider vs. median41×
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 | |
|---|---|---|---|
| 2018 | 190 | $2K | |
| 2019 | 97 | $2K | |
| 2020 | 4,482 | $72K | |
| 2021 | 24,816 | $564K | |
| 2022 | 21,738 | $567K | |
| 2023 | 2,007 | $60K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 13,168 | 11,286 | $502K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 9.5% | 2,428 | 2,105 | $120K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.9% | 7,568 | 3,342 | $62K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 4.9% | 1,113 | 632 | $62K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 4.7% | 734 | 652 | $59K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.9% | 965 | 958 | $49K |
| 76820 | 3.8% | 1,410 | 725 | $48K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.6% | 1,510 | 1,501 | $45K |
| 76818 | 3.5% | 503 | 221 | $44K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 3.3% | 670 | 460 | $42K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 691 | 679 | $32K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.2% | 1,211 | 1,194 | $28K |
51 more codes
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.8% | 227 | $23K |
| 81000 | 1.6% | 6,901 | $21K | |
| 76819 | Fetal biophysical profile; without non-stress testing | 1.5% | 272 | $19K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.2% | 398 | $15K |
| 59430 | 1.0% | 173 | $13K | |
| 90461 | <1% | 2,203 | $12K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 880 | $11K |
| 76801 | <1% | 141 | $11K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,654 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 541 | $7K |
| 87428 | <1% | 98 | $6K | |
| 83655 | <1% | 327 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 302 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 125 | $3K |
| 99381 | <1% | 40 | $2K | |
| 59025 | Fetal non-stress test | <1% | 73 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 38 | $2K |
| 99235 | <1% | 15 | $2K | |
| 99382 | <1% | 60 | $2K | |
| 92551 | <1% | 685 | $1K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 69 | $1K |
| J0561 | Injection, penicillin g benzathine, 100,000 units | <1% | 12 | $902.40 |
| 90715 | <1% | 83 | $602.33 | |
| 81025 | <1% | 96 | $577.11 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $574.03 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 72 | $440.98 |
| 99383 | <1% | 13 | $332.12 | |
| 87807 | <1% | 27 | $286.00 | |
| 90651 | <1% | 138 | $244.67 | |
| 90688 | <1% | 18 | $216.72 | |
| 81002 | <1% | 59 | $148.92 | |
| 90707 | <1% | 38 | $88.20 | |
| 81003 | <1% | 85 | $82.46 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 28 | $40.47 |
| 90686 | <1% | 1,267 | $17.93 | |
| 85018 | <1% | 26 | $15.92 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 13 | $14.56 |
| 96160 | <1% | 14 | $6.99 | |
| 90710 | 0% | 70 | $0.00 | |
| 90670 | 0% | 1,179 | $0.00 | |
| 99173 | 0% | 701 | $0.00 | |
| 90648 | 0% | 796 | $0.00 | |
| 90633 | 0% | 391 | $0.00 | |
| 90681 | 0% | 280 | $0.00 | |
| 90734 | 0% | 131 | $0.00 | |
| 90700 | 0% | 43 | $0.00 | |
| 90723 | 0% | 389 | $0.00 | |
| 90716 | 0% | 37 | $0.00 | |
| 90696 | 0% | 54 | $0.00 | |
| 90698 | 0% | 52 | $0.00 | |
| 91301 | 0% | 13 | $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 officialLOWERY, JOHNICA (DIRECTOR OF OPERATIONS)
Parent organizationNACOGDOCHES COUNTY HOSPITAL DISTRICT