TEXAS HEALTH HOSPITAL MANSFIELD
NPI: 1356960132
· MANSFIELD, TX 76063
· 261QA1903X
$758K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,013 |
$24K |
| 2022 |
2,642 |
$373K |
| 2023 |
2,423 |
$273K |
| 2024 |
1,456 |
$88K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
716 |
656 |
$394K |
| 99283 |
|
2,029 |
1,923 |
$277K |
| 87636 |
|
151 |
142 |
$19K |
| 87637 |
|
207 |
192 |
$18K |
| 99285 |
|
57 |
53 |
$14K |
| 80053 |
|
1,250 |
1,119 |
$10K |
| 87651 |
|
285 |
275 |
$7K |
| 85025 |
|
1,148 |
1,011 |
$6K |
| 93005 |
|
65 |
57 |
$4K |
| 87661 |
|
28 |
25 |
$1K |
| 85027 |
|
162 |
151 |
$1K |
| 71045 |
|
15 |
13 |
$878.54 |
| 81001 |
|
369 |
328 |
$774.44 |
| 80050 |
|
16 |
14 |
$690.69 |
| 87491 |
|
30 |
29 |
$635.93 |
| 87591 |
|
30 |
29 |
$555.93 |
| 96375 |
|
17 |
13 |
$487.87 |
| 96374 |
|
17 |
13 |
$372.80 |
| J2405 |
Ondansetron hcl injection |
76 |
67 |
$326.67 |
| J7050 |
Normal saline solution infus |
19 |
14 |
$267.61 |
| 83036 |
|
196 |
165 |
$196.98 |
| 84443 |
|
76 |
67 |
$177.36 |
| 87086 |
|
48 |
43 |
$165.27 |
| J7030 |
Normal saline solution infus |
14 |
13 |
$144.30 |
| 86780 |
|
12 |
12 |
$130.46 |
| 36415 |
|
352 |
305 |
$122.94 |
| J1885 |
Ketorolac tromethamine inj |
26 |
24 |
$102.56 |
| 80061 |
|
87 |
79 |
$95.85 |
| 83690 |
|
18 |
17 |
$95.61 |
| J2270 |
Morphine sulfate injection |
18 |
12 |
$61.68 |