Clinic
Scott & White Hospital - Marble Falls
Scott & White Hospital - Marble Falls was paid $4.41M by Medicaid between Mar 2020 and Dec 2024, across 34 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 66% of everything it billed.
33Billing provider infoSCOTT & WHITE HOSPITAL - MARBLE FALLS
MARBLE FALLS, TX 78654
MARBLE FALLS, TX 78654
33aNPI1376844936assigned 11/12/2010
33bProvider typeRural Health Clinic/Center
28Total paid$4.41M
24GClaims50,643
24DCodes billed34
24AFirst – last monthMar 2020 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Texas
Rank by total paid#16 of 225
Median peer was paid$428K
This provider vs. median10×
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 | |
|---|---|---|---|
| 2020 | 2,531 | $370K | |
| 2021 | 9,209 | $722K | |
| 2022 | 15,225 | $1.19M | |
| 2023 | 13,901 | $1.22M | |
| 2024incomplete | 9,777 | $909K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 66% | 17,944 | 16,511 | $2.90M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 3,128 | 3,059 | $521K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 2,941 | 2,721 | $487K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.2% | 1,875 | 1,839 | $317K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.6% | 954 | 923 | $157K |
| 99381 | <1% | 185 | 163 | $25K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 447 | 444 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 11,538 | 4,851 | $2K |
| 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 | <1% | 27 | 26 | $180.52 |
| 90686 | <1% | 1,438 | 1,378 | $75.09 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 388 | 276 | $73.26 |
| 90633 | 0% | 983 | 953 | $0.00 |
22 more codes
| 90648 | 0% | 352 | $0.00 | |
| 90700 | 0% | 289 | $0.00 | |
| 90707 | 0% | 350 | $0.00 | |
| 99173 | 0% | 13 | $0.00 | |
| 90461 | 0% | 1,209 | $0.00 | |
| 90670 | 0% | 1,451 | $0.00 | |
| 90715 | 0% | 88 | $0.00 | |
| 90710 | 0% | 191 | $0.00 | |
| 90661 | 0% | 45 | $0.00 | |
| 90734 | 0% | 81 | $0.00 | |
| 90680 | 0% | 1,489 | $0.00 | |
| 90716 | 0% | 351 | $0.00 | |
| 90677 | 0% | 592 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 798 | $0.00 |
| 90651 | 0% | 278 | $0.00 | |
| 90697 | 0% | 781 | $0.00 | |
| 90723 | 0% | 66 | $0.00 | |
| 90619 | 0% | 60 | $0.00 | |
| 90696 | 0% | 191 | $0.00 | |
| 90620 | 0% | 16 | $0.00 | |
| 90656 | 0% | 90 | $0.00 | |
| 90698 | 0% | 14 | $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 officialOLS, TIMOTHY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Scott & White Hospital - Marble Falls | Marble Falls, TX | $4.41M |
| Scott & White Hospital - Marble Falls | San Saba, TX | $855K |
| Scott & White Hospital - Marble Falls | Kingsland, TX | $843K |
| Scott & White Hospital - Marble Falls | Llano, TX | $789K |
| Scott & White Hospital - Marble Falls | Johnson City, TX | $211K |
| Scott & White Hospital - Marble Falls | Marble Falls, TX | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.