Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

METHODIST HOSPITAL PLAINVIEW TEXAS

NPI: 1073580726 · PLAINVIEW, TX 79072 · General Acute Care Hospital · NPI assigned 03/01/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more

$4.00M
Total Medicaid Paid
88,192
Total Claims
78,831
Beneficiaries
90
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
NPI Enumeration Date03/01/2006

Related Entities

Other providers sharing the same authorized official: ANDERSON, DONALD

ProviderCityStateTotal Paid
PROVIDENCE HEALTH & SERVICES WASHINGTON ANCHORAGE AK $161.45M
KADLEC REGIONAL MEDICAL CENTER RICHLAND WA $151.60M
SWEDISH EDMONDS EDMONDS WA $30.06M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC EUREKA CA $28.68M
PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA TORRANCE CA $27.29M
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA SAN PEDRO CA $24.26M
PROVIDENCE HEALTH & SERVICES - WASHINGTON TUKWILA WA $21.98M
SWEDISH HEALTH SERVICES SEATTLE WA $21.06M
PROVIDENCE HEALTH & SERVICES WASHINGTON KODIAK AK $11.39M
SWEDISH HEALTH SERVICES SEATTLE WA $11.08M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC FORTUNA CA $8.55M
COLLABRIA CARE NAPA CA $8.20M
PROVIDENCE HEALTH & SERVICES OREGON SEASIDE OR $8.01M
PROVIDENCE HEALTH & SERVICES- WASHINGTON SPOKANE WA $8.01M
HOSPICE OF LUBBOCK INC LUBBOCK TX $6.48M
PROVIDENCE SAINT JOHN'S HEALTH CENTER SANTA MONICA CA $5.52M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.55M
COLLABRIA CARE NAPA CA $4.05M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.01M
PROVIDENCE MEDICAL INSTITUTE TORRANCE CA $3.57M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 612 $25K
2021 14,441 $869K
2022 29,983 $1.67M
2023 30,636 $986K
2024 12,520 $449K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 2,563 2,370 $883K
99283 Emergency department visit for the evaluation and management, moderate severity 3,498 3,406 $760K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 13,938 11,948 $702K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,453 1,335 $364K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,865 1,833 $135K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 7,817 7,485 $128K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,294 1,268 $111K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 8,922 7,902 $78K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,745 2,660 $62K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 875 861 $58K
71045 Radiologic examination, chest; single view 903 847 $57K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,041 996 $56K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,283 1,241 $51K
80053 Comprehensive metabolic panel 5,076 4,496 $36K
36415 Collection of venous blood by venipuncture 9,467 7,897 $36K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 221 208 $34K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 1,094 1,068 $33K
87081 2,689 2,622 $32K
86780 1,070 1,011 $31K
84443 Thyroid stimulating hormone (TSH) 1,490 1,429 $27K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 325 311 $25K
87634 187 185 $21K
81002 2,316 1,591 $20K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 191 171 $17K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 191 171 $17K
87420 648 626 $16K
87150 170 166 $15K
87070 651 629 $15K
CP007 77 48 $14K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 101 96 $14K
87086 Culture, bacterial; quantitative colony count, urine 966 880 $11K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 581 542 $11K
81003 3,019 2,125 $9K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 111 108 $9K
99282 Emergency department visit for the evaluation and management, low to moderate severity 37 37 $8K
71046 Radiologic examination, chest; 2 views 29 28 $7K
84144 87 80 $6K
81025 376 357 $5K
0353U 105 102 $5K
87660 86 74 $5K
86803 111 106 $4K
86762 86 82 $4K
83036 Hemoglobin; glycosylated (A1C) 1,062 1,041 $4K
86850 118 111 $4K
87510 100 86 $4K
0202U Oncology (prostate), multianalyte, gene expression profiling 12 12 $3K
87480 101 86 $3K
82947 371 352 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 138 122 $3K
87340 102 97 $3K
81001 1,161 1,041 $3K
73130 17 16 $3K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 12 12 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 126 125 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 257 73 $2K
80061 Lipid panel 828 809 $2K
73560 13 12 $2K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 44 37 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 252 224 $1K
87077 104 101 $1K
84439 219 216 $1K
84702 31 25 $1K
81000 204 177 $1K
86900 131 124 $968.04
86901 131 124 $951.59
J2405 Injection, ondansetron hydrochloride, per 1 mg 61 57 $921.92
96375 Therapeutic injection; each additional sequential IV push 126 108 $827.85
J0696 Injection, ceftriaxone sodium, per 250 mg 26 25 $806.87
82950 80 77 $805.23
97530 Therapeutic activities, direct patient contact, each 15 minutes 73 25 $792.84
80048 Basic metabolic panel (calcium, ionized) 851 767 $759.52
82728 33 29 $681.39
83735 107 105 $631.26
82951 29 25 $420.59
84484 282 206 $350.23
G0463 Hospital outpatient clinic visit for assessment and management of a patient 15 12 $268.81
83690 88 81 $209.72
J1885 Injection, ketorolac tromethamine, per 15 mg 70 65 $201.54
83880 110 97 $153.79
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 13 13 $90.56
82150 19 16 $61.70
86140 27 25 $33.07
85610 104 92 $26.91
85380 12 12 $13.94
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 426 321 $0.04
A9270 Non-covered item or service 259 177 $0.00
96361 Intravenous infusion, hydration; each additional hour 13 13 $0.00
83605 54 38 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 12 12 $0.00
80164 13 12 $0.00