Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

STEPHENS MEMORIAL HOSPITAL DISTRICT

NPI: 1285065623 · BRECKENRIDGE, TX 76424 · Critical Access Hospital · NPI assigned 12/11/2013

$339K
Total Medicaid Paid
3,186
Total Claims
2,929
Beneficiaries
11
Codes Billed
2020-12
First Month
2024-09
Last Month

Provider Details

Authorized OfficialSPEER, GENA (CEO)
NPI Enumeration Date12/11/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 37 $5K
2021 1,128 $71K
2022 709 $102K
2023 887 $131K
2024 425 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 1,241 1,196 $293K
99284 Emergency department visit for the evaluation and management, high severity 27 25 $18K
99282 Emergency department visit for the evaluation and management, low to moderate severity 52 51 $10K
87428 124 123 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37 36 $4K
80053 Comprehensive metabolic panel 548 493 $2K
87430 58 58 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 678 591 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 20 12 $748.11
36415 Collection of venous blood by venipuncture 376 320 $178.29
81000 25 24 $31.99