Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Stone Fort Inpatient Services PLLC

Stone Fort Inpatient Services PLLC was paid $49K by Medicaid between Jan 2018 and Mar 2024, across 6 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 73% of everything it billed.

33Billing provider infoSTONE FORT INPATIENT SERVICES PLLC
NACOGDOCHES, TX 75965
33aNPI1316481492assigned 12/08/2016
33bProvider typePhysician Assistant
28Total paid$49K
24GClaims2,369
24DCodes billed6
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers

Next to other Physician Assistant providers in Texas

Rank by total paid#79 of 161
Median peer was paid$43K
This provider vs. median1.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official VAUGHN, KAREN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
201885$405.25
2020240$2K
2021725$18K
2022632$14K
2023669$14K
2024incomplete18$913.04
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 73% 1,847 650 $36K
99223 Prolong inpt eval add15 m 15% 192 173 $8K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 8.8% 222 81 $4K
99239 Hospital discharge day management, more than 30 minutes 3.5% 78 74 $2K
1123F 0% 13 13 $0.00
99238 Hospital discharge day management, 30 minutes or less 0% 17 15 $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 officialVAUGHN, KAREN (OFFICER)
Same official

Other billing entities under VAUGHN, KAREN

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.