Clinic
Scott & White Hospital - Marble Falls
Scott & White Hospital - Marble Falls was paid $4.41M by Medicaid between Jul 2020 and Dec 2024, across 80 billing codes. Its largest line is 99284, emergency room visit (serious) — 56% of everything it billed.
33Billing provider infoSCOTT & WHITE HOSPITAL - MARBLE FALLS
MARBLE FALLS, TX 78654
MARBLE FALLS, TX 78654
33aNPI1396138970assigned 03/06/2015
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$4.41M
24GClaims82,174
24DCodes billed80
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Texas
Rank by total paid#85 of 320
Median peer was paid$205K
This provider vs. median22×
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 | 1,115 | $60K | |
| 2021 | 22,152 | $1.30M | |
| 2022 | 24,363 | $1.25M | |
| 2023 | 24,263 | $1.33M | |
| 2024incomplete | 10,281 | $471K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 56% | 5,306 | 5,003 | $2.48M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 8,647 | 7,155 | $557K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 6.5% | 1,962 | 1,848 | $288K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 3.5% | 3,762 | 3,563 | $152K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 2.9% | 1,318 | 1,273 | $126K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 2.1% | 5,044 | 4,782 | $91K |
| 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 | 1.3% | 741 | 687 | $58K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.1% | 347 | 324 | $48K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,662 | 1,585 | $42K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 653 | 606 | $38K |
| 80053 | Comprehensive metabolic panel | <1% | 4,293 | 3,789 | $36K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 5,161 | 4,476 | $31K |
68 more codes
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 703 | $30K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 700 | $30K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 1,365 | $29K |
| 80074 | <1% | 480 | $25K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 180 | $24K |
| 86850 | <1% | 601 | $23K | |
| 81003 | <1% | 7,202 | $21K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 694 | $20K |
| 99285 | Emergency room visit (most serious) | <1% | 120 | $19K |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | <1% | 3,121 | $17K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 330 | $15K |
| 87428 | <1% | 262 | $15K | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 3,622 | $15K |
| 87632 | <1% | 47 | $14K | |
| 84703 | <1% | 1,368 | $12K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,163 | $12K |
| 71045 | Radiologic examination, chest; single view | <1% | 421 | $11K |
| 85027 | <1% | 1,157 | $10K | |
| 86762 | <1% | 552 | $9K | |
| 84702 | <1% | 720 | $9K | |
| 86787 | <1% | 551 | $8K | |
| 59025 | Fetal non-stress test | <1% | 54 | $8K |
| 81001 | <1% | 2,486 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 108 | $7K |
| 87653 | <1% | 126 | $6K | |
| 0001A | <1% | 332 | $5K | |
| 0002A | <1% | 352 | $5K | |
| 87081 | <1% | 465 | $4K | |
| 59430 | <1% | 26 | $4K | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 108 | $4K |
| 86780 | <1% | 200 | $3K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 469 | $3K |
| 86592 | <1% | 544 | $3K | |
| 86901 | <1% | 627 | $2K | |
| 86900 | <1% | 626 | $2K | |
| 92567 | <1% | 40 | $2K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 24 | $2K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 227 | $2K |
| 83690 | <1% | 664 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 538 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,908 | $2K |
| 87210 | <1% | 160 | $1K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 12 | $1K |
| 86803 | <1% | 51 | $1K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 24 | $1K |
| 82950 | <1% | 143 | $860.21 | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 25 | $813.99 |
| 84484 | <1% | 544 | $781.11 | |
| 90715 | <1% | 32 | $779.36 | |
| 87340 | <1% | 50 | $675.10 | |
| 83880 | <1% | 84 | $612.41 | |
| 80061 | Lipid panel | <1% | 504 | $597.59 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 211 | $565.75 |
| 90686 | <1% | 61 | $419.41 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 244 | $415.22 |
| 87430 | <1% | 15 | $336.54 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 145 | $280.35 |
| 85610 | <1% | 261 | $251.32 | |
| 90656 | <1% | 24 | $175.77 | |
| 83735 | <1% | 200 | $162.64 | |
| 81025 | <1% | 14 | $113.34 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 202 | $56.59 |
| 83605 | <1% | 16 | $31.70 | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 13 | $22.64 |
| 84439 | <1% | 13 | $12.35 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 20 | $11.59 |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | <1% | 898 | $0.01 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 0% | 29 | $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.