Hospital
Stephens Memorial Hospital District
Stephens Memorial Hospital District was paid $339K by Medicaid between Dec 2020 and Sep 2024, across 11 billing codes. Its largest line is 99283, emergency room visit (moderate) — 86% of everything it billed.
33Billing provider infoSTEPHENS MEMORIAL HOSPITAL DISTRICT
BRECKENRIDGE, TX 76424
BRECKENRIDGE, TX 76424
33aNPI1285065623assigned 12/11/2013
33bProvider typeCritical Access Hospital
28Total paid$339K
24GClaims3,186
24DCodes billed11
24AFirst – last monthDec 2020 – Sep 2024
Compared with peers
Next to other Critical Access Hospital providers in Texas
Rank by total paid#20 of 47
Median peer was paid$170K
This provider vs. median2.0×
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 | 37 | $5K | |
| 2021 | 1,128 | $71K | |
| 2022 | 709 | $102K | |
| 2023 | 887 | $131K | |
| 2024incomplete | 425 | $30K |
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 | 86% | 1,241 | 1,196 | $293K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 5.3% | 27 | 25 | $18K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 3.0% | 52 | 51 | $10K |
| 87428 | 2.4% | 124 | 123 | $8K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 37 | 36 | $4K |
| 80053 | Comprehensive metabolic panel | <1% | 548 | 493 | $2K |
| 87430 | <1% | 58 | 58 | $1K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 678 | 591 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 20 | 12 | $748.11 |
| 36415 | Collection of venous blood by venipuncture | <1% | 376 | 320 | $178.29 |
| 81000 | <1% | 25 | 24 | $31.99 |
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 officialSPEER, GENA (CEO)