Physician
Lion Star Nacogdoches Hospital, LLC
Lion Star Nacogdoches Hospital, LLC was paid $699K by Medicaid between Oct 2022 and Dec 2024, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoLION STAR NACOGDOCHES HOSPITAL, LLC
NACOGDOCHES, TX 75961
NACOGDOCHES, TX 75961
33aNPI1316616550assigned 09/10/2021
33bProvider typeInternal Medicine Physician
28Total paid$699K
24GClaims29,520
24DCodes billed62
24AFirst – last monthOct 2022 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#51 of 1,028
Median peer was paid$10K
This provider vs. median67×
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 | |
|---|---|---|---|
| 2022 | 351 | $2K | |
| 2023 | 18,361 | $436K | |
| 2024incomplete | 10,808 | $261K |
Box 24 · Service lines
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 | 29% | 6,821 | 5,642 | $201K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.8% | 4,891 | 2,003 | $62K |
| 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 | 8.2% | 1,426 | 1,251 | $58K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.5% | 962 | 921 | $53K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.0% | 698 | 681 | $49K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.1% | 797 | 780 | $43K |
| 76818 | 4.9% | 455 | 218 | $34K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.9% | 493 | 471 | $34K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 4.0% | 610 | 388 | $28K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 3.7% | 409 | 348 | $26K |
| 76820 | 2.7% | 734 | 361 | $19K | |
| 87428 | 1.9% | 423 | 404 | $13K |
50 more codes
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.6% | 136 | $11K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 584 | $8K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.1% | 129 | $8K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.0% | 177 | $7K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.0% | 1,049 | $7K |
| 81000 | <1% | 2,392 | $7K | |
| 59025 | Fetal non-stress test | <1% | 185 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 80 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 330 | $3K |
| 99381 | <1% | 42 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 115 | $2K |
| 83655 | <1% | 210 | $2K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 107 | $2K |
| 59430 | <1% | 19 | $2K | |
| 99235 | <1% | 14 | $2K | |
| 92588 | <1% | 64 | $1K | |
| 30802 | <1% | 12 | $1K | |
| 76801 | <1% | 31 | $1K | |
| 99236 | Prolong inpt eval add15 m | <1% | 13 | $1K |
| 99460 | <1% | 13 | $1K | |
| 92567 | <1% | 74 | $726.23 | |
| 92550 | <1% | 29 | $497.03 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 34 | $424.95 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 26 | $333.60 |
| 90461 | <1% | 1,451 | $231.15 | |
| 87807 | <1% | 20 | $220.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 124 | $137.71 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 106 | $111.21 |
| 96160 | <1% | 77 | $93.33 | |
| 85018 | <1% | 32 | $27.86 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 37 | $4.16 |
| 90677 | <1% | 348 | $0.54 | |
| 90658 | <1% | 73 | $0.04 | |
| 90656 | <1% | 35 | $0.02 | |
| 90686 | <1% | 555 | $0.01 | |
| 90651 | <1% | 125 | $0.01 | |
| 90670 | 0% | 366 | $0.00 | |
| 90648 | 0% | 488 | $0.00 | |
| 90633 | 0% | 269 | $0.00 | |
| 90710 | 0% | 61 | $0.00 | |
| 90681 | 0% | 198 | $0.00 | |
| 90700 | 0% | 28 | $0.00 | |
| 90621 | 0% | 12 | $0.00 | |
| 90734 | 0% | 88 | $0.00 | |
| 90715 | 0% | 19 | $0.00 | |
| 90723 | 0% | 303 | $0.00 | |
| 90698 | 0% | 39 | $0.00 | |
| 90696 | 0% | 58 | $0.00 | |
| 97169 | 0% | 12 | $0.00 | |
| 92587 | 0% | 12 | $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 officialMALLOY, MATTHEW (DIRECTOR OF OPERATIONS)
Parent organizationLION STAR NACOGDOCHES HOSPITAL, LLC