Baylor Scott & White Medical Centers - Greater North Texas

Baylor Scott & White Medical Centers - Greater North Texas was paid $1.04M by Medicaid between Jan 2020 and Dec 2024, across 52 billing codes. Its largest line is 99284, emergency room visit (serious) — 58% of everything it billed.

33Billing provider infoBAYLOR SCOTT & WHITE MEDICAL CENTERS - GREATER NORTH TEXAS
MCKINNEY, TX 75071

33aNPI1124305065assigned 11/07/2011

33bProvider typeAmbulatory Surgical Clinic/Center

28Total paid$1.04M

24GClaims37,043

24DCodes billed52

24AFirst – last monthJan 2020 – Dec 2024

Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Texas

Rank by total paid#129 of 320

Median peer was paid$205K

This provider vs. median5.1×

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	873	$12K
2021	8,762	$287K
2022	11,358	$411K
2023	9,495	$218K
2024incomplete	6,555	$113K

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	58%	2,987	2,693	$600K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	11%	843	773	$113K
80053	Comprehensive metabolic panel	4.0%	4,083	3,422	$42K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	3.7%	1,247	1,159	$38K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	3.3%	1,654	1,418	$35K
71045	Radiologic examination, chest; single view	2.9%	1,797	1,624	$30K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	2.6%	4,526	3,592	$27K
70450	Computed tomography, head or brain; without contrast material	2.3%	675	617	$24K
99282	Emergency department visit for the evaluation and management, low to moderate severity	2.1%	673	613	$21K
74177	Computed tomography, abdomen and pelvis; with contrast material	1.8%	184	170	$18K
87636	Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B	1.7%	331	308	$18K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	1.2%	434	398	$12K

40 more codes

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%	867	$8K
84484		<1%	1,401	$6K
74176	Computed tomography, abdomen and pelvis; without contrast material	<1%	59	$6K
96361	Intravenous infusion, hydration; each additional hour	<1%	88	$5K
36415	Collection of venous blood by venipuncture	<1%	4,831	$4K
81001		<1%	1,550	$4K
87633	Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets	<1%	14	$3K
84703		<1%	658	$3K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	487	$3K
83690		<1%	1,346	$3K
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%	70	$3K
83880		<1%	243	$3K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	267	$1K
80048	Basic metabolic panel (calcium, ionized)	<1%	286	$1K
85610		<1%	715	$926.11
U0005	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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2	<1%	69	$877.50
81025		<1%	133	$743.06
85730		<1%	276	$559.14
72125	Computed tomography, cervical spine; without contrast material	<1%	29	$554.72
87486		<1%	27	$508.92
87581		<1%	26	$500.07
96375	Therapeutic injection; each additional sequential IV push	<1%	131	$446.80
81003		<1%	237	$382.89
J2270	Injection, morphine sulfate, up to 10 mg	<1%	322	$367.15
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	13	$359.74
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	12	$329.93
J2405	Injection, ondansetron hydrochloride, per 1 mg	<1%	1,041	$289.20
87798	Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism	<1%	14	$288.92
84702		<1%	32	$250.91
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	529	$163.34
G1004	Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program	<1%	1,448	$97.04
84443	Thyroid stimulating hormone (TSH)	<1%	12	$67.71
87430		<1%	13	$53.64
85027		<1%	13	$48.33
83735		<1%	31	$45.81
86900		<1%	14	$24.58
86901		<1%	12	$22.20
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	14	$13.89
J3010	Injection, fentanyl citrate, 0.1 mg	<1%	12	$12.31
82962		<1%	267	$6.16

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 officialBOWEN, TIMOTHY (CEO)