Grayson County Hospital Foundation INC

Grayson County Hospital Foundation INC was paid $11.85M by Medicaid between Jan 2018 and Jun 2021, across 214 billing codes. Its largest line is 99284, emergency room visit (serious) — 35% of everything it billed.

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	113,200	$4.03M
2019	106,804	$3.76M
2020	85,959	$3.02M
2021	42,172	$1.04M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	35%	17,462	14,191	$4.15M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	12%	10,122	8,543	$1.39M
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	4.6%	2,459	1,714	$545K
74176	Computed tomography, abdomen and pelvis; without contrast material	2.9%	2,011	1,633	$340K
74177	Computed tomography, abdomen and pelvis; with contrast material	2.1%	1,155	926	$250K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	1.8%	7,761	5,731	$217K
G0378	Hospital observation service, per hour	1.7%	1,363	794	$207K
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	1.5%	1,965	765	$184K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	1.5%	5,221	1,278	$175K
99282	Emergency department visit for the evaluation and management, low to moderate severity	1.4%	1,353	1,196	$168K
70553	Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences	1.4%	341	272	$166K
70450	Computed tomography, head or brain; without contrast material	1.4%	1,782	1,412	$163K

202 more codes

72148	Magnetic resonance imaging, lumbar spine; without contrast material	1.3%	381	$155K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	1.3%	4,385	$153K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	1.1%	5,296	$133K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	1.1%	2,777	$133K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	1.0%	20,608	$124K
36415	Collection of venous blood by venipuncture	1.0%	45,352	$120K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	1,097	$110K
80053	Comprehensive metabolic panel	<1%	20,313	$106K
71046	Radiologic examination, chest; 2 views	<1%	5,147	$106K
81220	CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants	<1%	404	$105K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	879	$103K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	8,337	$103K
77067	Screening mammography, bilateral, including computer-aided detection	<1%	1,205	$102K
96361	Intravenous infusion, hydration; each additional hour	<1%	3,654	$102K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	903	$91K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	625	$86K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	823	$86K
71260	Computed tomography, thorax, diagnostic; with contrast material	<1%	477	$79K
81001		<1%	10,502	$70K
99218		<1%	1,003	$69K
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%	536	$68K
84443	Thyroid stimulating hormone (TSH)	<1%	5,204	$68K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	5,498	$60K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	1,052	$57K
71045	Radiologic examination, chest; single view	<1%	2,554	$53K
73721	Magnetic resonance imaging, any joint of lower extremity; without contrast material	<1%	94	$46K
80055		<1%	957	$44K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	<1%	1,155	$44K
73630		<1%	2,261	$42K
99213	Doctor's office visit, returning patient (routine)	<1%	1,542	$42K
80061	Lipid panel	<1%	3,824	$41K
99214	Doctor's office visit, returning patient (more involved)	<1%	845	$37K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	4,463	$34K
96375	Therapeutic injection; each additional sequential IV push	<1%	2,379	$32K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	1,666	$32K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,104	$30K
81025		<1%	3,048	$30K
73610		<1%	1,562	$29K
87070		<1%	6,467	$28K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	2,268	$26K
87086	Culture, bacterial; quantitative colony count, urine	<1%	6,340	$25K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	1,221	$24K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	1,981	$24K
76536		<1%	243	$22K
80048	Basic metabolic panel (calcium, ionized)	<1%	5,665	$21K
64493		<1%	54	$21K
73110		<1%	1,384	$20K
73030		<1%	1,040	$20K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	921	$20K
86769		<1%	1,095	$20K
83036	Hemoglobin; glycosylated (A1C)	<1%	2,970	$20K
71275	Computed tomographic angiography, chest, with contrast material	<1%	80	$19K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	4,049	$19K
J2405	Injection, ondansetron hydrochloride, per 1 mg	<1%	3,459	$18K
73221		<1%	40	$17K
74018		<1%	940	$17K
87186		<1%	2,145	$17K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	1,170	$16K
73130		<1%	1,062	$16K
82607		<1%	1,501	$16K
97162		<1%	340	$16K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	<1%	85	$15K
84484		<1%	3,241	$14K
84439		<1%	1,703	$13K
84702		<1%	1,297	$13K
87040		<1%	1,350	$13K
12001		<1%	119	$12K
82728		<1%	1,158	$12K
82746		<1%	968	$12K
83880		<1%	865	$11K
72100		<1%	559	$11K
82248		<1%	4,976	$11K
86803		<1%	934	$11K
77063	Screening digital breast tomosynthesis, bilateral	<1%	1,063	$11K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	30	$11K
82948		<1%	1,550	$10K
93017		<1%	104	$10K
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	1,124	$10K
A9585	Injection, gadobutrol, 0.1 ml	<1%	516	$10K
82553		<1%	2,136	$10K
72125	Computed tomography, cervical spine; without contrast material	<1%	98	$10K
96376		<1%	642	$9K
73562		<1%	574	$9K
85379		<1%	1,809	$9K
71250		<1%	49	$8K
83690		<1%	2,749	$8K
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour	<1%	311	$8K
73502		<1%	440	$8K
86140		<1%	3,279	$7K
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	4,487	$7K
62323		<1%	12	$6K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	761	$6K
90715		<1%	316	$6K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	177	$6K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	183	$6K
83605		<1%	1,632	$6K
83735		<1%	1,453	$6K
85610		<1%	2,300	$5K
85730		<1%	948	$5K
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	<1%	688	$5K
87088		<1%	1,250	$5K
87077		<1%	857	$5K
78227		<1%	19	$4K
72110		<1%	147	$4K
80081		<1%	56	$4K
74022		<1%	131	$4K
73560		<1%	277	$4K
70486		<1%	31	$4K
96523		<1%	112	$4K
82950		<1%	824	$4K
85018		<1%	861	$3K
93880		<1%	30	$3K
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	<1%	148	$3K
76642		<1%	36	$3K
73590		<1%	129	$3K
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	44	$3K
J2704	Injection, propofol, 10 mg	<1%	1,019	$2K
90686		<1%	248	$2K
80320		<1%	510	$2K
86757		<1%	103	$2K
76801		<1%	45	$2K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	55	$2K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	18	$2K
76830	Ultrasound, transvaginal	<1%	29	$2K
97014		<1%	205	$2K
85045		<1%	656	$2K
J3010	Injection, fentanyl citrate, 0.1 mg	<1%	1,707	$2K
86900		<1%	439	$2K
87807		<1%	488	$2K
83516		<1%	77	$2K
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	317	$2K
85651		<1%	646	$2K
82550		<1%	649	$2K
82803		<1%	235	$2K
J2360	Injection, orphenadrine citrate, up to 60 mg	<1%	332	$2K
J0131	Injection, acetaminophen, not otherwise specified,10 mg	<1%	247	$2K
73140		<1%	123	$1K
76770		<1%	15	$1K
86618		<1%	112	$1K
85014		<1%	865	$1K
84153		<1%	108	$1K
86666		<1%	51	$1K
72131		<1%	16	$1K
72040		<1%	57	$1K
82247		<1%	263	$1K
J1170	Injection, hydromorphone, up to 4 mg	<1%	386	$1K
84550		<1%	411	$1K
82570		<1%	237	$1K
J3490	Unclassified drugs	<1%	8,633	$1K
Q3014	Telehealth originating site facility fee	<1%	83	$1K
80074		<1%	37	$1K
59025	Fetal non-stress test	<1%	26	$1K
73090		<1%	104	$1K
95816		<1%	14	$990.26
84146		<1%	58	$944.10
J7050	Infusion, normal saline solution, 250 cc	<1%	302	$922.42
72070		<1%	68	$919.53
74019		<1%	32	$903.15
87339		<1%	16	$901.25
84481		<1%	53	$895.82
A4217	Sterile water/saline, 500 ml	<1%	137	$889.54
86850		<1%	185	$682.55
84703		<1%	159	$675.04
72081		<1%	30	$668.48
97161		<1%	15	$659.59
83540		<1%	136	$655.25
87046		<1%	29	$642.26
84436		<1%	109	$630.13
82565		<1%	165	$593.73
86038		<1%	58	$592.29
87389	Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies	<1%	24	$570.88
86376		<1%	43	$566.59
83550		<1%	77	$565.51
80329		<1%	41	$561.37
73564		<1%	16	$550.78
71101		<1%	18	$543.08
36600		<1%	164	$524.81
82043		<1%	107	$487.47
82150		<1%	132	$480.74
73565		<1%	39	$464.20
82274		<1%	42	$375.21
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	261	$367.93
72050		<1%	16	$358.84
93226		<1%	13	$357.42
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	<1%	46	$321.57
J1200	Injection, diphenhydramine hcl, up to 50 mg	<1%	148	$319.64
73070		<1%	14	$307.62
84450		<1%	61	$304.12
64494		<1%	46	$294.24
87045		<1%	50	$291.35
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	55	$274.81
80076		<1%	34	$196.07
A9537	Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries	<1%	14	$177.23
J0330	Injection, succinylcholine chloride, up to 20 mg	<1%	125	$164.70
84520		<1%	67	$160.90
84156		<1%	50	$160.15
83874		<1%	39	$133.56
A6223	Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing	<1%	13	$97.69
84479		<1%	14	$75.24
84460		<1%	24	$60.84
86308		<1%	13	$35.52
A9270	Non-covered item or service	0%	231	$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 officialBAILEY, CYNTHIA (REIMBURSEMENT ANALYST)

Parent organizationGRAYSON COUNTY HOSPITAL FOUNDATION