Lion Star Nacogdoches Hospital, LLC

Lion Star Nacogdoches Hospital, LLC was paid $1.65M by Medicaid between Jun 2022 and May 2024, across 32 billing codes. Its largest line is 99284, emergency room visit (serious) — 47% of everything it billed.

33Billing provider infoLION STAR NACOGDOCHES HOSPITAL, LLC
NACOGDOCHES, TX 75961

33aNPI1073183141assigned 06/30/2021

33bProvider typeAmbulatory Surgical Clinic/Center

28Total paid$1.65M

24GClaims13,361

24DCodes billed32

24AFirst – last monthJun 2022 – May 2024

Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Texas

Rank by total paid#120 of 320

Median peer was paid$205K

This provider vs. median8.0×

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
2022	980	$26K
2023	10,763	$1.34M
2024incomplete	1,618	$279K

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	47%	1,639	1,586	$777K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	36%	2,479	2,410	$596K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	6.2%	250	223	$102K
71045	Radiologic examination, chest; single view	3.3%	596	570	$55K
87428		1.8%	899	887	$29K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.5%	802	796	$25K
99282	Emergency department visit for the evaluation and management, low to moderate severity	1.1%	167	166	$18K
80053	Comprehensive metabolic panel	<1%	1,428	1,269	$12K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	1,524	1,361	$9K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	166	147	$9K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	65	50	$5K
76818		<1%	18	12	$4K

20 more codes

81001		<1%	840	$2K
0202U	Oncology (prostate), multianalyte, gene expression profiling	<1%	224	$1K
87807		<1%	30	$974.25
59025	Fetal non-stress test	<1%	83	$918.62
83690		<1%	58	$312.82
87430		<1%	14	$280.95
84484		<1%	55	$229.87
82728		<1%	14	$216.82
81025		<1%	27	$173.88
83735		<1%	40	$166.97
83880		<1%	13	$158.30
83550		<1%	14	$139.01
83540		<1%	14	$102.89
71046	Radiologic examination, chest; 2 views	<1%	12	$98.25
87086	Culture, bacterial; quantitative colony count, urine	<1%	40	$93.56
85730		<1%	13	$70.05
85610		<1%	13	$50.00
36415	Collection of venous blood by venipuncture	<1%	1,798	$25.48
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	0%	13	$0.00
42820	Tonsillectomy and adenoidectomy; younger than age 12	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 officialBOYD, BRANDY (CHIEF FINANCIAL OFFICER)