Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

PMC Hospital, LLC

PMC Hospital, LLC was paid $276K by Medicaid between Nov 2020 and Nov 2024, across 13 billing codes. Its largest line is 99283, emergency room visit (moderate) — 49% of everything it billed.

33Billing provider infoPMC HOSPITAL, LLC
PASADENA, TX 77505
33aNPI1407990088assigned 02/16/2007
28Total paid$276K
24GClaims7,658
24DCodes billed13
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers

Next to other General Acute Care Hospital providers in Texas

Rank by total paid#73 of 109
Median peer was paid$1.15M
This provider vs. median0.2×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
202016$694.88
20211,699$54K
20223,440$125K
20232,049$76K
2024incomplete454$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 49% 2,706 2,635 $135K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 27% 399 380 $74K
99282 Emergency department visit for the evaluation and management, low to moderate severity 16% 901 878 $43K
87400 2.4% 474 469 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.6% 999 935 $5K
80053 Comprehensive metabolic panel 1.6% 410 378 $4K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1.1% 192 183 $3K
83518 1.0% 290 289 $3K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 106 105 $1K
81001 <1% 109 105 $293.08
81025 <1% 28 27 $204.70
81003 <1% 39 39 $99.34
1 more codes
36415 Collection of venous blood by venipuncture <1% 1,005 $49.00

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 officialSIMMONS, WILLIAM (CEO)
Same official

Other billing entities under SIMMONS, WILLIAM

Full network →
ProviderLocationPaid
North Florida Pediatric Assoc., PATallahassee, FL$6.32M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.