Hood Medical Group
Hood Medical Group was paid $6.40M by Medicaid between Jan 2018 and Dec 2024, across 118 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
GRANBURY, TX 76048
Next to other Anesthesiology Physician 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 | |
|---|---|---|---|
| 2018 | 1,670 | $14K | |
| 2019 | 1,578 | $16K | |
| 2020 | 11,656 | $247K | |
| 2021 | 129,081 | $1.58M | |
| 2022 | 128,589 | $1.85M | |
| 2023 | 112,104 | $1.75M | |
| 2024incomplete | 54,464 | $952K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 53,832 | 44,821 | $2.40M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 19% | 19,822 | 18,504 | $1.19M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.5% | 7,144 | 6,735 | $542K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.0% | 6,469 | 6,408 | $511K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.5% | 33,690 | 15,168 | $351K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.5% | 3,443 | 3,419 | $290K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.8% | 2,299 | 2,144 | $182K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 1,341 | 1,314 | $120K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 8,943 | 8,444 | $107K |
| 87428 | 1.1% | 1,586 | 1,486 | $73K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 6,057 | 2,849 | $71K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.0% | 1,797 | 1,726 | $65K |
106 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,561 | $61K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 581 | $54K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 6,130 | $50K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 88 | $49K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,466 | $48K |
| 90461 | <1% | 9,272 | $40K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 3,408 | $30K |
| 76818 | <1% | 265 | $22K | |
| 99381 | <1% | 252 | $19K | |
| 81025 | <1% | 3,083 | $18K | |
| 83655 | <1% | 1,544 | $14K | |
| 59430 | <1% | 157 | $13K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 178 | $9K |
| 92551 | <1% | 1,474 | $6K | |
| 87807 | <1% | 560 | $6K | |
| 99460 | <1% | 71 | $5K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 88 | $5K |
| 76821 | <1% | 74 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 81 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 63 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 351 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 86 | $3K |
| 99383 | <1% | 36 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 36 | $2K |
| 90715 | <1% | 119 | $2K | |
| 76820 | <1% | 73 | $2K | |
| 81002 | <1% | 836 | $2K | |
| 86580 | <1% | 3,124 | $2K | |
| 96160 | <1% | 936 | $2K | |
| 99463 | <1% | 13 | $1K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 14 | $1K |
| 81003 | <1% | 942 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 30 | $1K |
| 80061 | Lipid panel | <1% | 107 | $1K |
| 20610 | <1% | 25 | $1K | |
| 76830 | Ultrasound, transvaginal | <1% | 12 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 126 | $1K |
| 96380 | <1% | 51 | $984.04 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 39 | $936.06 |
| 99152 | <1% | 126 | $771.25 | |
| 99318 | <1% | 28 | $685.58 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,029 | $583.57 |
| 85018 | <1% | 359 | $423.71 | |
| 90677 | <1% | 1,330 | $260.23 | |
| 94726 | <1% | 29 | $244.09 | |
| 82947 | <1% | 74 | $238.18 | |
| 90688 | <1% | 17 | $198.67 | |
| 94729 | <1% | 29 | $168.55 | |
| 93000 | <1% | 12 | $119.68 | |
| 3074F | <1% | 40,040 | $118.02 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 14 | $87.69 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 19 | $82.16 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 14 | $79.84 |
| 90686 | <1% | 3,287 | $70.52 | |
| 84030 | <1% | 152 | $19.50 | |
| 3078F | <1% | 35,830 | $18.02 | |
| 90697 | <1% | 907 | $2.90 | |
| 90630 | <1% | 237 | $0.40 | |
| 90619 | <1% | 76 | $0.39 | |
| 90756 | <1% | 113 | $0.31 | |
| 90381 | <1% | 35 | $0.10 | |
| 90689 | <1% | 15 | $0.08 | |
| 90656 | <1% | 222 | $0.02 | |
| 3008F | <1% | 47,512 | $0.02 | |
| 1036F | <1% | 45,413 | $0.01 | |
| 99173 | 0% | 5,080 | $0.00 | |
| 1160F | 0% | 27,502 | $0.00 | |
| 90670 | 0% | 3,685 | $0.00 | |
| 1159F | 0% | 17,785 | $0.00 | |
| 90700 | 0% | 140 | $0.00 | |
| 90648 | 0% | 277 | $0.00 | |
| 90633 | 0% | 1,805 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 573 | $0.00 |
| 3077F | 0% | 465 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 51 | $0.00 |
| 90710 | 0% | 645 | $0.00 | |
| 90655 | 0% | 59 | $0.00 | |
| 3725F | 0% | 192 | $0.00 | |
| 90707 | 0% | 25 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 59 | $0.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 77 | $0.00 |
| 90685 | 0% | 59 | $0.00 | |
| 90658 | 0% | 84 | $0.00 | |
| 90734 | 0% | 27 | $0.00 | |
| 90621 | 0% | 13 | $0.00 | |
| 1126F | 0% | 2,616 | $0.00 | |
| 3080F | 0% | 43 | $0.00 | |
| 3079F | 0% | 4,253 | $0.00 | |
| 1034F | 0% | 2,066 | $0.00 | |
| 90744 | 0% | 913 | $0.00 | |
| 90698 | 0% | 2,121 | $0.00 | |
| 1125F | 0% | 2,750 | $0.00 | |
| 90651 | 0% | 359 | $0.00 | |
| 90680 | 0% | 3,319 | $0.00 | |
| 90716 | 0% | 26 | $0.00 | |
| 90657 | 0% | 16 | $0.00 | |
| 3075F | 0% | 657 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 37 | $0.00 |
| 3048F | 0% | 62 | $0.00 | |
| 36416 | 0% | 75 | $0.00 | |
| 90723 | 0% | 30 | $0.00 | |
| 99024 | 0% | 226 | $0.00 | |
| 90696 | 0% | 28 | $0.00 | |
| 96127 | 0% | 149 | $0.00 | |
| 3066F | 0% | 13 | $0.00 | |
| 1111F | 0% | 86 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Lutheran Medical Group LLC | Fort Wayne, IN | $21.97M |
| LA Porte Clinic Company LLC | Valparaiso, IN | $18.77M |
| Vicksburg Clinic LLC | Vicksburg, MS | $15.98M |
| Northwest Allied Physicians LLC | Tucson, AZ | $10.30M |
| Kosciusko Medical Group LLC | Warsaw, IN | $8.81M |
| Knoxville Hma Physician Management, LLC | Knoxville, TN | $8.70M |
| Wesley Physician Services LLC | Hattiesburg, MS | $8.20M |
| Porter Physician Services LLC | Valparaiso, IN | $6.44M |
| Northwest Physicians LLC | Springdale, AR | $5.81M |
| QHG of Fort Wayne Company LLC | Fort Wayne, IN | $4.24M |
| Vicksburg Clinic LLC | Vicksburg, MS | $4.10M |
| Dukes Physician Services LLC | Peru, IN | $3.72M |
| Bluffton Physician Services LLC | Bluffton, IN | $3.45M |
| Bullhead City Clinic Corp | Bullhead City, AZ | $3.13M |
| Northwest Urgent Care LLC | Tucson, AZ | $2.64M |
| River Oaks Management Company LLC | Jackson, MS | $2.56M |
| Scranton Quincy Clinic Company LLC | Scranton, PA | $2.03M |
| Foley Clinic Corp | Gulf Shores, AL | $2.01M |
| Mat Su Valley Medical Center LLC | Wasilla, AK | $1.95M |
| Medstat LLC | Warsaw, IN | $1.76M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.