Behavioral
Falls Community Hospital and Clinic
Falls Community Hospital and Clinic was paid $239K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99283, emergency room visit (moderate) — 62% of everything it billed.
33Billing provider infoFALLS COMMUNITY HOSPITAL AND CLINIC
MARLIN, TX 76660
MARLIN, TX 76660
33aNPI1093743783assigned 06/29/2006
33bProvider typePsychologist
28Total paid$239K
24GClaims6,705
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Psychologist providers in Texas
Rank by total paid#41 of 95
Median peer was paid$177K
This provider vs. median1.4×
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 | 1,035 | $6K | |
| 2019 | 120 | $4K | |
| 2020 | 138 | $5K | |
| 2021 | 1,331 | $55K | |
| 2022 | 2,082 | $84K | |
| 2023 | 1,126 | $46K | |
| 2024incomplete | 873 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 62% | 3,679 | 3,490 | $147K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 26% | 1,108 | 1,049 | $61K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.8% | 495 | 425 | $11K |
| 99349 | 3.6% | 477 | 472 | $9K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 69 | 56 | $4K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.1% | 94 | 93 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 40 | 30 | $2K |
| 99348 | <1% | 45 | 45 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 51 | 27 | $219.99 |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 404 | 400 | $0.00 |
| 90686 | 0% | 28 | 28 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 34 | 34 | $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 officialLYLE, JEFF (ADMINISTRATOR)
Parent organizationFALLS COMMUNITY HOSPITAL AND CLINIC