Hospital
Wilbarger County Hospital District
Wilbarger County Hospital District was paid $983K by Medicaid between Feb 2018 and Dec 2024, across 39 billing codes. Its largest line is 99283, emergency room visit (moderate) — 54% of everything it billed.
33Billing provider infoWILBARGER COUNTY HOSPITAL DISTRICT
VERNON, TX 76384
VERNON, TX 76384
33aNPI1316931835assigned 09/12/2005
33bProvider typeMedicare Defined Swing Bed Hospital Unit
28Total paid$983K
24GClaims24,940
24DCodes billed39
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Medicare Defined Swing Bed Hospital Unit providers in Texas
Rank by total paid#4 of 6
Median peer was paid$983K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2018 | 32 | $645.48 | |
| 2019 | 29 | $606.62 | |
| 2020 | 534 | $16K | |
| 2021 | 6,171 | $252K | |
| 2022 | 8,406 | $377K | |
| 2023 | 6,256 | $215K | |
| 2024incomplete | 3,512 | $121K |
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 | 54% | 3,503 | 3,260 | $531K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 20% | 762 | 679 | $201K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.8% | 1,002 | 835 | $37K |
| 86769 | 3.7% | 872 | 764 | $37K | |
| 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 | 3.2% | 1,043 | 852 | $32K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.7% | 300 | 284 | $26K |
| 87276 | 1.8% | 975 | 937 | $18K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 824 | 713 | $17K |
| 87430 | 1.6% | 852 | 819 | $16K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.4% | 101 | 95 | $14K |
| 87275 | 1.4% | 992 | 951 | $14K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 300 | 285 | $10K |
27 more codes
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 52 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 153 | $5K |
| 80053 | Comprehensive metabolic panel | <1% | 2,433 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 72 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,328 | $3K |
| 71045 | Radiologic examination, chest; single view | <1% | 63 | $2K |
| 87634 | <1% | 29 | $2K | |
| 99285 | Emergency room visit (most serious) | <1% | 29 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 138 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 127 | $1K |
| 87280 | <1% | 70 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,022 | $519.49 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 492 | $239.47 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 637 | $163.35 |
| 81001 | <1% | 906 | $143.49 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 54 | $126.43 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 508 | $100.78 |
| 80061 | Lipid panel | <1% | 218 | $38.13 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 28 | $34.77 |
| J7510 | Prednisolone oral, per 5 mg | <1% | 13 | $12.56 |
| 87186 | <1% | 141 | $7.57 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 47 | $0.00 |
| 0011A | 0% | 17 | $0.00 | |
| A9270 | Non-covered item or service | 0% | 2,724 | $0.00 |
| 87088 | 0% | 80 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 15 | $0.00 |
| 0012A | 0% | 18 | $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 officialPRICE, TONYA (COO/CNO)