Clinic
Seminole Hospital District of Gaines County Texas
Seminole Hospital District of Gaines County Texas was paid $9.70M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 52% of everything it billed.
33Billing provider infoSEMINOLE HOSPITAL DISTRICT OF GAINES COUNTY TEXAS
SEMINOLE, TX 79360
SEMINOLE, TX 79360
33aNPI1467879569assigned 03/26/2014
33bProvider typeRural Health Clinic/Center
28Total paid$9.70M
24GClaims74,362
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Texas
Rank by total paid#2 of 225
Median peer was paid$428K
This provider vs. median23×
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 | |
|---|---|---|---|
| 2018 | 1,987 | $407K | |
| 2019 | 2,040 | $381K | |
| 2020 | 5,189 | $608K | |
| 2021 | 16,524 | $2.02M | |
| 2022 | 18,374 | $2.23M | |
| 2023 | 16,862 | $2.09M | |
| 2024incomplete | 13,386 | $1.97M |
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 | 52% | 24,769 | 20,941 | $5.07M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 8,857 | 7,227 | $1.43M |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 7.6% | 3,725 | 2,898 | $735K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.1% | 4,006 | 3,863 | $686K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.6% | 3,192 | 3,086 | $545K |
| 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 | 4.8% | 3,114 | 2,834 | $462K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 1,183 | 1,156 | $216K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.0% | 537 | 526 | $98K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 489 | 481 | $86K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 5,033 | 3,666 | $71K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,134 | 1,754 | $71K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 502 | 414 | $66K |
34 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 310 | $53K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 1,097 | $26K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,597 | $24K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,589 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 596 | $12K |
| 99381 | <1% | 52 | $10K | |
| 96127 | <1% | 94 | $6K | |
| 90473 | <1% | 340 | $5K | |
| 90461 | <1% | 2,502 | $3K | |
| 90670 | <1% | 1,990 | $3K | |
| 90686 | <1% | 459 | $2K | |
| 90633 | <1% | 929 | $2K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 12 | $2K |
| 90658 | <1% | 152 | $1K | |
| 90723 | <1% | 530 | $971.06 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 56 | $731.20 |
| 90651 | <1% | 130 | $618.62 | |
| 90677 | <1% | 561 | $431.04 | |
| 90657 | <1% | 18 | $406.72 | |
| 90700 | <1% | 99 | $406.72 | |
| 90715 | <1% | 80 | $207.63 | |
| 90698 | <1% | 245 | $200.55 | |
| 90734 | <1% | 126 | $200.55 | |
| 90662 | <1% | 172 | $200.55 | |
| 90648 | <1% | 914 | $164.97 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 15 | $63.68 |
| 90656 | <1% | 83 | $0.03 | |
| 90697 | 0% | 358 | $0.00 | |
| 90680 | 0% | 1,060 | $0.00 | |
| 90696 | 0% | 94 | $0.00 | |
| 90716 | 0% | 87 | $0.00 | |
| 90710 | 0% | 311 | $0.00 | |
| 90681 | 0% | 103 | $0.00 | |
| 90707 | 0% | 60 | $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 officialGARNER, MAEGEN (COO)
| Provider | Location | Paid |
|---|---|---|
| Seminole Hospital District of Gaines County Texas | Seminole, TX | $4.54M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.