Cook Childrens Medical Center - Prosper
Cook Childrens Medical Center - Prosper was paid $1.16M by Medicaid between Mar 2023 and Nov 2024, across 17 billing codes. Its largest line is 99283, emergency room visit (moderate) — 39% of everything it billed.
PROSPER, TX 75078
Next to other Ambulatory Surgical Clinic/Center providers in Texas
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 2,440 | $439K | |
| 2024incomplete | 2,156 | $726K |
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 | 39% | 1,048 | 977 | $452K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 30% | 1,488 | 1,351 | $353K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 24% | 299 | 266 | $279K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.2% | 12 | 12 | $25K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.5% | 490 | 430 | $17K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.1% | 230 | 224 | $13K |
| 87631 | <1% | 105 | 84 | $10K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 55 | 52 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 289 | 278 | $4K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 322 | 315 | $2K |
| 80053 | Comprehensive metabolic panel | <1% | 81 | 65 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 53 | 48 | $193.35 |
5 more codes
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Cook Children's Medical Center | Fort Worth, TX | $286.65M |
| Cook Children's Medical Center | Fort Worth, TX | $21.29M |
| Cook Children's Medical Center | Mansfield, TX | $4.64M |
| Cook Children's Medical Center | Fort Worth, TX | $4.59M |
| Cook Children's Medical Center | Fort Worth, TX | $3.84M |
| Cook Children's Medical Center | Hurst, TX | $3.41M |
| Cook Children's Medical Center | Southlake, TX | $2.15M |
| Cook Children's Medical Center | Aledo, TX | $1.97M |
| Cook Children's Medical Center | Fort Worth, TX | $1.97M |
| Cook Children's Medical Center | Prosper, TX | $934K |
| Cook Children's Medical Center | Fort Worth, TX | $900K |
| Child Study Center | Fort Worth, TX | $117K |
| Cook Children's Medical Center | Fort Worth, TX | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.