Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

METHODIST CHILDREN'S HOSPITAL

NPI: 1437171568 · LUBBOCK, TX 79410 · Ambulatory Surgical Clinic/Center · NPI assigned 07/25/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more

$12.69M
Total Medicaid Paid
163,925
Total Claims
145,870
Beneficiaries
145
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
NPI Enumeration Date07/25/2006

Related Entities

Other providers sharing the same authorized official: ANDERSON, DONALD

ProviderCityStateTotal Paid
PROVIDENCE HEALTH & SERVICES WASHINGTON ANCHORAGE AK $161.45M
KADLEC REGIONAL MEDICAL CENTER RICHLAND WA $151.60M
SWEDISH EDMONDS EDMONDS WA $30.06M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC EUREKA CA $28.68M
PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA TORRANCE CA $27.29M
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA SAN PEDRO CA $24.26M
PROVIDENCE HEALTH & SERVICES - WASHINGTON TUKWILA WA $21.98M
SWEDISH HEALTH SERVICES SEATTLE WA $21.06M
PROVIDENCE HEALTH & SERVICES WASHINGTON KODIAK AK $11.39M
SWEDISH HEALTH SERVICES SEATTLE WA $11.08M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC FORTUNA CA $8.55M
COLLABRIA CARE NAPA CA $8.20M
PROVIDENCE HEALTH & SERVICES OREGON SEASIDE OR $8.01M
PROVIDENCE HEALTH & SERVICES- WASHINGTON SPOKANE WA $8.01M
HOSPICE OF LUBBOCK INC LUBBOCK TX $6.48M
PROVIDENCE SAINT JOHN'S HEALTH CENTER SANTA MONICA CA $5.52M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.55M
COLLABRIA CARE NAPA CA $4.05M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.01M
METHODIST HOSPITAL PLAINVIEW TEXAS PLAINVIEW TX $4.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,021 $20K
2019 961 $15K
2020 2,905 $200K
2021 29,347 $2.53M
2022 46,982 $3.82M
2023 48,394 $3.85M
2024 34,315 $2.25M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 8,416 8,161 $2.93M
99283 Emergency department visit for the evaluation and management, moderate severity 25,312 24,780 $2.17M
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 3,337 1,398 $1.36M
G0378 Hospital observation service, per hour 1,858 1,139 $1.01M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,854 1,819 $979K
41899 Unlisted procedure, dentoalveolar structures 378 274 $548K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,532 3,443 $278K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3,205 3,174 $254K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 19,545 16,670 $228K
42820 Tonsillectomy and adenoidectomy; younger than age 12 72 71 $209K
80053 Comprehensive metabolic panel 12,769 10,951 $204K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 842 512 $199K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 3,089 3,028 $154K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,342 1,310 $153K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 4,795 4,204 $135K
76770 539 513 $133K
86780 3,193 3,053 $85K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,888 597 $80K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 2,915 2,814 $79K
36415 Collection of venous blood by venipuncture 15,770 13,653 $78K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 471 390 $74K
84443 Thyroid stimulating hormone (TSH) 2,201 2,133 $70K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 605 178 $69K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 577 511 $62K
84702 2,114 1,722 $58K
96375 Therapeutic injection; each additional sequential IV push 947 597 $58K
0202U Oncology (prostate), multianalyte, gene expression profiling 493 484 $52K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 773 762 $41K
86762 1,281 1,247 $37K
36591 867 563 $36K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 367 299 $36K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 841 831 $36K
86850 1,941 1,842 $35K
87340 1,651 1,616 $34K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 27 26 $34K
71046 Radiologic examination, chest; 2 views 792 783 $33K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 444 433 $28K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 445 434 $28K
86803 801 778 $26K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 531 526 $26K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 463 446 $25K
0353U 711 683 $25K
87086 Culture, bacterial; quantitative colony count, urine 1,586 1,544 $24K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,572 1,544 $24K
88305 Level IV - Surgical pathology, gross and microscopic examination 191 174 $24K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 40 37 $19K
74018 385 351 $19K
80061 Lipid panel 648 647 $17K
86900 1,877 1,767 $17K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,149 1,743 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 400 335 $15K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 297 285 $15K
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,891 1,404 $15K
82950 1,181 1,174 $14K
D2930 Prefabricated stainless steel crown - primary tooth 12 12 $14K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 493 463 $14K
70551 Magnetic resonance imaging, brain; without contrast material 43 43 $13K
86705 450 447 $13K
84439 888 864 $13K
83655 447 445 $13K
86787 413 403 $12K
86901 1,858 1,753 $11K
83036 Hemoglobin; glycosylated (A1C) 460 456 $9K
96367 154 90 $9K
84144 191 143 $9K
81001 1,648 1,585 $8K
86140 925 876 $7K
J0561 Injection, penicillin g benzathine, 100,000 units 32 32 $7K
88313 65 51 $6K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 518 256 $6K
85027 350 333 $6K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 218 216 $5K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 46 14 $5K
83615 799 718 $5K
99220 24 24 $5K
80050 General health panel 46 42 $5K
81002 742 618 $4K
82728 326 296 $4K
86300 166 154 $4K
81000 598 555 $3K
88342 61 51 $3K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 38 38 $3K
J2704 Injection, propofol, 10 mg 701 634 $3K
88312 49 37 $3K
71045 Radiologic examination, chest; single view 56 56 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited 14 13 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 170 80 $3K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 169 158 $3K
96417 21 12 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 30 26 $2K
J3490 Unclassified drugs 55 53 $2K
87070 353 346 $2K
74019 39 39 $2K
81025 270 257 $2K
70450 Computed tomography, head or brain; without contrast material 15 15 $2K
96361 Intravenous infusion, hydration; each additional hour 18 16 $2K
J0690 Injection, cefazolin sodium, 500 mg 334 256 $2K
81003 482 475 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material 13 13 $2K
83550 186 181 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 24 12 $2K
J2270 Injection, morphine sulfate, up to 10 mg 156 112 $1K
86706 53 52 $1K
83540 202 196 $1K
J3010 Injection, fentanyl citrate, 0.1 mg 119 118 $1K
90834 Psychotherapy, 45 minutes with patient 56 30 $990.63
J1885 Injection, ketorolac tromethamine, per 15 mg 130 89 $989.20
87040 89 86 $944.66
82570 96 71 $923.19
87634 13 13 $881.62
96376 17 12 $815.60
77067 Screening mammography, bilateral, including computer-aided detection 36 36 $809.88
82784 71 64 $804.51
87807 84 84 $767.85
86364 24 24 $725.35
85018 122 121 $715.93
85014 122 121 $715.93
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 117 99 $663.67
76642 12 12 $653.59
J2795 Injection, ropivacaine hydrochloride, 1 mg 59 45 $638.08
85652 136 123 $617.63
J0735 Injection, clonidine hydrochloride, 1 mg 12 12 $570.58
84156 84 68 $552.00
82378 74 63 $492.51
90837 Psychotherapy, 53 minutes with patient 20 12 $359.70
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 75 69 $357.68
85046 30 26 $348.63
83735 29 24 $302.50
J7510 Prednisolone oral, per 5 mg 134 126 $285.54
J0131 Injection, acetaminophen, not otherwise specified,10 mg 16 13 $223.80
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 19 12 $159.30
82657 14 12 $153.70
83690 15 13 $150.99
84550 13 13 $143.57
82951 13 13 $143.18
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 46 44 $127.35
77063 Screening digital breast tomosynthesis, bilateral 12 12 $123.11
85045 17 13 $80.14
S0020 Injection, bupivicaine hydrochloride, 30 ml 15 12 $73.95
80143 13 13 $43.69
80179 13 13 $43.69
82952 12 12 $43.62
87077 12 12 $43.17
82077 13 13 $40.48
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 289 232 $0.00