Crockett Medical Center, LLC

Crockett Medical Center, LLC was paid $1.15M by Medicaid between Sep 2020 and Nov 2024, across 28 billing codes. Its largest line is 99283, emergency room visit (moderate) — 63% of everything it billed.

33Billing provider infoCROCKETT MEDICAL CENTER, LLC
CROCKETT, TX 75835

33aNPI1114435260assigned 01/10/2018

33bProvider typeGeneral Acute Care Hospital

28Total paid$1.15M

24GClaims9,618

24DCodes billed28

24AFirst – last monthSep 2020 – Nov 2024

Compared with peers

Next to other General Acute Care Hospital providers in Texas

Rank by total paid#55 of 109

Median peer was paid$1.15M

This provider vs. median1.0×

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
2020	247	$112K
2021	2,818	$395K
2022	3,245	$358K
2023	2,507	$216K
2024incomplete	801	$68K

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	63%	3,330	2,972	$723K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	27%	702	574	$315K
99282	Emergency department visit for the evaluation and management, low to moderate severity	3.2%	233	223	$37K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	1.8%	29	24	$20K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	1.1%	303	288	$13K
87400		<1%	513	477	$9K
87430		<1%	324	311	$7K
80053	Comprehensive metabolic panel	<1%	1,043	888	$5K
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	210	205	$4K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	982	831	$3K
86769		<1%	105	81	$3K
J7510	Prednisolone oral, per 5 mg	<1%	14	14	$3K

16 more codes

71045	Radiologic examination, chest; single view	<1%	73	$2K
87420		<1%	87	$2K
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	<1%	20	$1K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	66	$485.89
96375	Therapeutic injection; each additional sequential IV push	<1%	18	$228.60
81000		<1%	84	$203.09
84484		<1%	93	$160.69
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	15	$108.18
81003		<1%	31	$69.95
83880		<1%	14	$62.66
81001		<1%	26	$52.24
J7120	Ringers lactate infusion, up to 1000 cc	<1%	14	$22.66
36415	Collection of venous blood by venipuncture	<1%	1,244	$16.67
96361	Intravenous infusion, hydration; each additional hour	<1%	13	$16.53
83735		<1%	14	$5.35
J7030	Infusion, normal saline solution , 1000 cc	0%	18	$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 officialTJELMELAND, KELLY (CEO)

Same official

Other billing entities under TJELMELAND, KELLY

Full network →

Provider	Location	Paid
Crockett Medical Center, LLC	Crockett, TX	$185K
Crockett Medical Center, LLC	Crockett, TX	$986.11

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.