CROCKETT MEDICAL CENTER, LLC
NPI: 1114435260
· CROCKETT, TX 75835
· General Acute Care Hospital
· NPI assigned 01/10/2018
$1.15M
Total Medicaid Paid
Provider Details
| Authorized Official | TJELMELAND, KELLY (CEO) |
| NPI Enumeration Date | 01/10/2018 |
Related Entities
Other providers sharing the same authorized official: TJELMELAND, KELLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
247 |
$112K |
| 2021 |
2,818 |
$395K |
| 2022 |
3,245 |
$358K |
| 2023 |
2,507 |
$216K |
| 2024 |
801 |
$68K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
3,330 |
2,972 |
$723K |
| 99284 |
|
702 |
574 |
$315K |
| 99282 |
|
233 |
223 |
$37K |
| 99285 |
|
29 |
24 |
$20K |
| 87426 |
|
303 |
288 |
$13K |
| 87400 |
|
513 |
477 |
$9K |
| 87430 |
|
324 |
311 |
$7K |
| 80053 |
|
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 |
210 |
205 |
$4K |
| 85025 |
|
982 |
831 |
$3K |
| 86769 |
|
105 |
81 |
$3K |
| J7510 |
Prednisolone oral, per 5 mg |
14 |
14 |
$3K |
| 71045 |
|
73 |
64 |
$2K |
| 87420 |
|
87 |
85 |
$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 |
20 |
13 |
$1K |
| 93005 |
|
66 |
57 |
$485.89 |
| 96375 |
|
18 |
14 |
$228.60 |
| 81000 |
|
84 |
69 |
$203.09 |
| 84484 |
|
93 |
80 |
$160.69 |
| 93010 |
|
15 |
13 |
$108.18 |
| 81003 |
|
31 |
27 |
$69.95 |
| 83880 |
|
14 |
13 |
$62.66 |
| 81001 |
|
26 |
25 |
$52.24 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
14 |
12 |
$22.66 |
| 36415 |
|
1,244 |
1,032 |
$16.67 |
| 96361 |
|
13 |
12 |
$16.53 |
| 83735 |
|
14 |
12 |
$5.35 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
18 |
12 |
$0.00 |