Texas County Memorial Hospital
Texas County Memorial Hospital was paid $124K by Medicaid between Jan 2018 and Aug 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 79% of everything it billed.
MOUNTAIN GROVE, MO 65711
Next to other Rural Health Clinic/Center providers in Missouri
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 | 746 | $56K | |
| 2019 | 618 | $44K | |
| 2020 | 125 | $9K | |
| 2021 | 139 | $3K | |
| 2022 | 153 | $6K | |
| 2023 | 16 | $1K | |
| 2024incomplete | 54 | $4K |
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 | 79% | 1,310 | 1,149 | $98K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.2% | 191 | 175 | $11K |
| 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 | 4.3% | 66 | 63 | $5K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 4.2% | 139 | 120 | $5K |
| 99307 | 1.4% | 80 | 60 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 12 | 12 | $1K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 53 | 44 | $1K |
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 |
|---|---|---|
| Texas County Memorial Hospital | Houston, MO | $8.22M |
| Texas County Memorial Hospital | Houston, MO | $1.50M |
| Texas County Memorial Hospital | Houston, MO | $1.08M |
| Texas County Memorial Hospital | Houston, MO | $279K |
| Texas County Memorial Hospital | Licking, MO | $260K |
| Texas County Memorial Hospital | Cabool, MO | $221K |
| Texas County Memorial Hospital | Houston, MO | $169K |
| Texas County Memorial Hospital | Houston, MO | $27K |
| Texas County Memorial Hospital | Licking, MO | $12K |
| Texas County Memorial Hospital | Houston, MO | $4K |
| Texas County Memorial Hospital | Cabool, MO | $2K |
| Texas County Memorial Hospital | Mountain Grove, MO | $648.55 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.