Hospital
Texas Regional Medical Center, LLC
Texas Regional Medical Center, LLC was paid $2.37M by Medicaid between Jan 2020 and Dec 2024, across 44 billing codes. Its largest line is 99283, emergency room visit (moderate) — 29% of everything it billed.
33Billing provider infoTEXAS REGIONAL MEDICAL CENTER, LLC
SUNNYVALE, TX 75182
SUNNYVALE, TX 75182
33aNPI1255579389assigned 01/28/2009
33bProvider typeGeneral Acute Care Hospital
28Total paid$2.37M
24GClaims92,634
24DCodes billed44
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Texas
Rank by total paid#47 of 109
Median peer was paid$1.15M
This provider vs. median2.1×
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 | 3,629 | $86K | |
| 2021 | 21,792 | $551K | |
| 2022 | 29,539 | $719K | |
| 2023 | 26,522 | $679K | |
| 2024incomplete | 11,152 | $336K |
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 | 29% | 13,215 | 12,689 | $690K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 20% | 4,754 | 4,577 | $483K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 8.8% | 5,316 | 5,182 | $208K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 8.3% | 4,159 | 4,063 | $198K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 8.3% | 8,008 | 7,761 | $196K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 6.8% | 896 | 854 | $161K |
| 80053 | Comprehensive metabolic panel | 2.8% | 8,229 | 7,563 | $67K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 2.3% | 2,767 | 2,465 | $54K |
| 71045 | Radiologic examination, chest; single view | 2.1% | 3,675 | 3,422 | $50K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.8% | 3,131 | 3,054 | $43K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.8% | 9,633 | 8,585 | $42K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.3% | 186 | 176 | $30K |
32 more codes
| 70450 | Computed tomography, head or brain; without contrast material | 1.0% | 513 | $25K |
| 81025 | <1% | 3,366 | $18K | |
| 83880 | <1% | 1,301 | $18K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 2,142 | $13K |
| 84484 | <1% | 2,034 | $11K | |
| 81003 | <1% | 7,065 | $10K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 79 | $8K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 197 | $8K |
| 87634 | <1% | 292 | $8K | |
| 83690 | <1% | 1,850 | $7K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 321 | $4K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 1,227 | $4K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 265 | $3K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 855 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 532 | $2K |
| 81015 | <1% | 4,202 | $2K | |
| 99157 | <1% | 62 | $2K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 667 | $2K |
| 85610 | <1% | 579 | $983.21 | |
| 83605 | <1% | 139 | $782.68 | |
| 99156 | <1% | 60 | $683.58 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 18 | $393.01 |
| 85730 | <1% | 139 | $358.76 | |
| 82947 | <1% | 87 | $148.58 | |
| 84702 | <1% | 12 | $139.04 | |
| 82948 | <1% | 62 | $106.92 | |
| 87040 | <1% | 14 | $89.01 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 61 | $74.93 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 412 | $71.79 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 68 | $6.16 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 13 | $2.05 |
| 36415 | Collection of venous blood by venipuncture | 0% | 31 | $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 officialFLEMING, DONITA (AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Texas Spine and Joint Hospital, LLC | Tyler, TX | $1.24M |
| Heritage Park Surgical Hospital LLC | Sherman, TX | $241K |
| Paris Surgery Center, LLC | Paris, TX | $89K |
| MSH Partners, LLC | Dallas, TX | $41K |
| Midland Texas Surgical Center, LLC | Midland, TX | $5K |
| Fort Worth Surgicare Partners, LTD. | Fort Worth, TX | $0.00 |
| Garland Surgicare Partners, LTD. | Garland, TX | $0.00 |
| Metrocrest Surgery Center LP | Carrollton, TX | $0.00 |
| Physicians Surgical Center of FT. Worth LLP | Fort Worth, TX | $0.00 |
| Irving-Coppell Surgical Hospital LLP | Irving, TX | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.