Hospital
Decatur Hospital Authority
Decatur Hospital Authority was paid $2.16M by Medicaid between Nov 2020 and Mar 2024, across 60 billing codes. Its largest line is 99283, emergency room visit (moderate) — 43% of everything it billed.
33Billing provider infoDECATUR HOSPITAL AUTHORITY
DECATUR, TX 76234
DECATUR, TX 76234
33aNPI1124076401assigned 05/05/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$2.16M
24GClaims25,933
24DCodes billed60
24AFirst – last monthNov 2020 – Mar 2024
Compared with peers
Next to other General Acute Care Hospital providers in Texas
Rank by total paid#48 of 109
Median peer was paid$1.15M
This provider vs. median1.9×
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 | 226 | $23K | |
| 2021 | 7,200 | $578K | |
| 2022 | 9,778 | $848K | |
| 2023 | 8,543 | $709K | |
| 2024incomplete | 186 | $288.06 |
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 | 43% | 3,562 | 3,438 | $933K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 26% | 1,297 | 1,198 | $570K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 7.0% | 493 | 434 | $152K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 6.5% | 948 | 922 | $141K |
| 41899 | Unlisted procedure, dentoalveolar structures | 4.0% | 57 | 54 | $86K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.4% | 267 | 256 | $53K |
| 71045 | Radiologic examination, chest; single view | 1.9% | 874 | 789 | $40K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.6% | 84 | 79 | $33K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 1.4% | 1,036 | 814 | $31K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,992 | 2,492 | $14K |
| 80053 | Comprehensive metabolic panel | <1% | 2,151 | 1,823 | $13K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 215 | 190 | $12K |
48 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 208 | $11K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 698 | $11K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 390 | $8K |
| 0240U | <1% | 462 | $7K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 312 | $5K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 71 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 29 | $4K |
| 81001 | <1% | 1,634 | $4K | |
| 76801 | <1% | 15 | $4K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 145 | $4K |
| 84484 | <1% | 609 | $3K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 13 | $3K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 46 | $2K |
| 87400 | <1% | 104 | $2K | |
| 83735 | <1% | 477 | $1K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 74 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 71 | $1K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 114 | $1K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 26 | $1K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 348 | $774.16 |
| 83605 | <1% | 131 | $567.28 | |
| 83690 | <1% | 154 | $523.84 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 335 | $461.19 |
| 83880 | <1% | 61 | $387.17 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 16 | $357.90 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 13 | $330.63 |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 12 | $203.19 |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 30 | $191.90 |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,005 | $174.36 |
| 87088 | <1% | 39 | $162.32 | |
| 84030 | <1% | 12 | $125.02 | |
| 85610 | <1% | 84 | $121.53 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 57 | $92.05 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 29 | $68.48 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 44 | $46.70 |
| 84145 | <1% | 12 | $37.29 | |
| 80047 | <1% | 31 | $17.54 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 418 | $8.22 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 28 | $4.62 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 143 | $0.00 |
| 83970 | 0% | 14 | $0.00 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 49 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 0% | 160 | $0.00 |
| 82962 | 0% | 87 | $0.00 | |
| A9270 | Non-covered item or service | 0% | 26 | $0.00 |
| 85018 | 0% | 14 | $0.00 | |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | 0% | 30 | $0.00 |
| 85027 | 0% | 77 | $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 officialSCROGGINS, BRIAN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Decatur Hospital Authority | Bridgeport, TX | $980.58 |
| Decatur Hospital Authority | Fort Worth, TX | $0.00 |
| Decatur Hospital Authority | Decatur, TX | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.