Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Beaumont › NPI 1093744187
Hospital

Baptist Hospitals of Southeast Texas

Baptist Hospitals of Southeast Texas was paid $15.22M by Medicaid between Dec 2019 and Dec 2024, across 134 billing codes. Its largest line is 99284, emergency room visit (serious) — 34% of everything it billed.

33Billing provider infoBAPTIST HOSPITALS OF SOUTHEAST TEXAS
BEAUMONT, TX 77701
33aNPI1093744187assigned 07/01/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$15.22M
24GClaims320,692
24DCodes billed134
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Texas

Rank by total paid#8 of 109
Median peer was paid$1.15M
This provider vs. median13×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201926$101.50
202010,124$487K
202177,705$3.14M
202299,435$4.15M
202385,906$4.98M
2024incomplete47,496$2.46M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 34% 22,517 21,365 $5.19M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 13% 7,635 7,086 $1.99M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 8.2% 19,706 18,990 $1.24M
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4.9% 13,992 13,587 $743K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4.2% 10,358 10,044 $642K
71045 Radiologic examination, chest; single view 4.0% 13,935 13,281 $616K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3.6% 5,693 5,083 $548K
70450 Computed tomography, head or brain; without contrast material 2.4% 2,855 2,713 $363K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.1% 33,243 27,611 $319K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.7% 4,771 4,654 $252K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.5% 3,517 2,799 $228K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.5% 7,470 7,300 $225K
122 more codes
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.4% 3,734 $217K
80053 Comprehensive metabolic panel 1.3% 15,308 $200K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1.2% 4,379 $176K
86703 1.0% 8,620 $153K
80047 <1% 9,288 $152K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 554 $151K
84702 <1% 5,933 $143K
G0378 Hospital observation service, per hour <1% 1,149 $134K
76801 <1% 696 $107K
86803 <1% 5,790 $88K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 2,019 $80K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 155 $69K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 4,564 $64K
97597 <1% 1,237 $61K
81001 <1% 12,729 $58K
99215 Doctor's office visit, returning patient (complex) <1% 516 $55K
87420 <1% 2,094 $53K
71046 Radiologic examination, chest; 2 views <1% 944 $51K
80048 Basic metabolic panel (calcium, ionized) <1% 5,494 $48K
80076 <1% 4,314 $42K
77067 Screening mammography, bilateral, including computer-aided detection <1% 604 $39K
87081 <1% 3,657 $39K
78815 Positron emission tomography (PET) for limited area imaging <1% 29 $39K
83690 <1% 4,419 $37K
84484 <1% 3,440 $37K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 727 $34K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 3,599 $30K
82728 <1% 1,856 $25K
82550 <1% 4,181 $24K
85014 <1% 7,339 $22K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 761 $22K
83880 <1% 1,326 $22K
84443 Thyroid stimulating hormone (TSH) <1% 1,367 $17K
87040 <1% 1,162 $17K
96361 Intravenous infusion, hydration; each additional hour <1% 197 $17K
82553 <1% 2,450 $17K
J7030 Infusion, normal saline solution , 1000 cc <1% 1,848 $17K
82805 <1% 418 $17K
87428 <1% 606 $16K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 2,051 $15K
83550 <1% 1,662 $15K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 342 $13K
80061 Lipid panel <1% 1,341 $12K
77063 Screening digital breast tomosynthesis, bilateral <1% 388 $11K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 948 $11K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 96 $10K
J0897 Injection, denosumab, 1 mg <1% 39 $9K
86769 <1% 187 $9K
81003 <1% 3,123 $9K
76819 Fetal biophysical profile; without non-stress testing <1% 45 $7K
80306 <1% 349 $7K
83735 <1% 1,934 $7K
84703 <1% 822 $7K
86901 <1% 2,436 $7K
86900 <1% 2,435 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 142 $7K
72125 Computed tomography, cervical spine; without contrast material <1% 148 $7K
83036 Hemoglobin; glycosylated (A1C) <1% 809 $6K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,076 $5K
74018 <1% 167 $5K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 13 $5K
82607 <1% 338 $5K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 670 $5K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 703 $5K
J1756 Injection, iron sucrose, 1 mg <1% 126 $5K
86885 <1% 1,181 $4K
96375 Therapeutic injection; each additional sequential IV push <1% 1,142 $4K
76641 <1% 28 $3K
87088 <1% 649 $3K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 1,179 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 27 $3K
85610 <1% 1,134 $3K
85730 <1% 878 $3K
36600 <1% 174 $3K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 58 $2K
J2270 Injection, morphine sulfate, up to 10 mg <1% 395 $2K
83605 <1% 295 $2K
J7050 Infusion, normal saline solution, 250 cc <1% 444 $2K
82746 <1% 127 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 89 $2K
99214 Doctor's office visit, returning patient (more involved) <1% 32 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 22 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 17 $1K
J1650 Injection, enoxaparin sodium, 10 mg <1% 72 $1K
86300 <1% 85 $1K
87340 <1% 71 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,808 $1K
84439 <1% 258 $987.92
J7120 Ringers lactate infusion, up to 1000 cc <1% 810 $844.66
94664 <1% 208 $822.41
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 66 $782.71
72110 <1% 12 $719.50
87186 <1% 153 $689.17
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 310 $516.08
86593 <1% 70 $492.42
71250 <1% 13 $363.57
84030 <1% 37 $346.91
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 1,082 $304.37
96415 <1% 28 $279.77
83520 <1% 46 $274.68
82565 <1% 147 $233.08
80321 <1% 12 $190.23
85379 <1% 26 $157.02
94760 <1% 46 $153.26
87070 <1% 39 $131.76
J2060 Injection, lorazepam, 2 mg <1% 28 $116.61
83615 <1% 33 $115.78
85652 <1% 37 $103.74
84100 <1% 32 $69.16
J0690 Injection, cefazolin sodium, 500 mg <1% 30 $40.59
86140 <1% 27 $33.15
82272 <1% 13 $32.80
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 1,047 $30.90
36415 Collection of venous blood by venipuncture <1% 5,942 $14.78
87075 <1% 13 $7.95
82962 <1% 1,527 $5.37
J7510 Prednisolone oral, per 5 mg <1% 160 $3.03
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 0% 663 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 0% 29 $0.00
J2704 Injection, propofol, 10 mg 0% 106 $0.00
J3490 Unclassified drugs 0% 127 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 23 $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 officialDOSS, JUSTIN (CEO)