Hospital
Decatur County General Hospital
Decatur County General Hospital was paid $216K by Medicaid between Jan 2018 and Mar 2020, across 32 billing codes. Its largest line is 99282, Emergency department visit for the evaluation and management, low to moderate severity — 68% of everything it billed.
33Billing provider infoDECATUR COUNTY GENERAL HOSPITAL
PARSONS, TN 38363
PARSONS, TN 38363
33aNPI1104804566assigned 01/05/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$216K
24GClaims10,414
24DCodes billed32
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other General Acute Care Hospital providers in Tennessee
Rank by total paid#68 of 71
Median peer was paid$6.96M
This provider vs. median0.0×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official HENSON, LARRY controls 15+ related entities in our dataset. Read more
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 | 5,223 | $101K | |
| 2019 | 4,643 | $99K | |
| 2020 | 548 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 68% | 3,935 | 1,961 | $147K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 12% | 485 | 235 | $26K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 5.7% | 214 | 105 | $12K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.4% | 1,110 | 973 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.0% | 560 | 444 | $4K |
| 80053 | Comprehensive metabolic panel | 1.8% | 1,188 | 1,039 | $4K |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed | 1.3% | 34 | 33 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 113 | 94 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,555 | 1,330 | $2K |
| 84484 | <1% | 177 | 156 | $1K | |
| 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 | <1% | 47 | 28 | $1K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 34 | 34 | $1K |
20 more codes
| 71045 | Radiologic examination, chest; single view | <1% | 144 | $780.62 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $750.41 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 182 | $638.89 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 40 | $623.95 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 35 | $502.18 |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 27 | $494.81 |
| G0378 | Hospital observation service, per hour | <1% | 27 | $415.36 |
| 99220 | <1% | 17 | $346.21 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 36 | $258.96 |
| 85027 | <1% | 72 | $251.49 | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 15 | $212.33 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 14 | $208.00 |
| 83690 | <1% | 13 | $136.08 | |
| 82150 | <1% | 13 | $127.86 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 56 | $111.05 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 16 | $87.99 |
| 99219 | <1% | 16 | $84.03 | |
| 81003 | <1% | 114 | $54.00 | |
| 81001 | <1% | 32 | $16.62 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 79 | $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 officialHENSON, LARRY (RCD)
| Provider | Location | Paid |
|---|---|---|
| Lexington Hospital Corporation | Lexington, TN | $4.74M |
| Lexington Hospital Corporation | Lexington, TN | $2.24M |
| Ambulance Services of Lexington, INC. | Lexington, TN | $2.02M |
| Roland Public Schools | Roland, OK | $574K |
| Haywood County Community Hospital INC | Brownsville, TN | $491K |
| Houston County Community Hospital | Erin, TN | $416K |
| Lexington Hospital Corporation | Lexington, TN | $379K |
| Shamrock Community Hospital INC | Erin, TN | $315K |
| Houston County Community Hospital | Erin, TN | $94K |
| Lexington Clinic Corp | Lexington, TN | $74K |
| Scotts Hill Clinic, INC. | Lexington, TN | $73K |
| Lexington Hospital Corporation | Brownsville, TN | $13K |
| Lexington Family Physicians LLC | Lexington, TN | $11K |
| Lexington Hospital Corporation | Lexington, TN | $953.55 |
| Shamrock Community Hospital INC | Erin, TN | $586.76 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.