Medicaid Provider Spending

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

MEXIA PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP

NPI: 1497708929 · MEXIA, TX 76667 · Ambulatory Surgical Clinic/Center · NPI assigned 05/18/2006

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

Authorized official TRAYLOR, JOHNETTA controls 20+ related entities in our dataset. Read more

$2.19M
Total Medicaid Paid
19,417
Total Claims
18,498
Beneficiaries
34
Codes Billed
2020-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTRAYLOR, JOHNETTA (ADMIN)
NPI Enumeration Date05/18/2006

Related Entities

Other providers sharing the same authorized official: TRAYLOR, JOHNETTA

ProviderCityStateTotal Paid
LOGAN GENERAL HOSPITAL LLC LOGAN WV $43.43M
PHC-CLEVELAND LLC CLEVELAND MS $23.43M
HARTSVILLE, LLC HARTSVILLE SC $18.42M
LOGAN MEMORIAL HOSPITAL LLC RUSSELLVILLE KY $14.29M
SOUTHWESTERN MEDICAL CENTER, LLC LAWTON OK $9.40M
PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP PALESTINE TX $6.80M
WATERTOWN MEDICAL CENTER LLC WATERTOWN WI $6.31M
AMG - LIVINGSTON, LLC LIVINGSTON TN $5.52M
LOGAN GENERAL HOSPITAL LLC LOGAN WV $4.91M
ST. JOSEPH HOSPITAL LLC LEWISTON ID $4.67M
RIVERTON MEMORIAL HOSPITAL LLC RIVERTON WY $4.65M
LIVINGSTON REGIONAL HOSPITAL LLC LIVINGSTON TN $4.33M
HARTSVILLE MEDICAL GROUP LLC HARTSVILLE SC $4.16M
PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP PALESTINE TX $1.27M
TEXAS SPECIALTY PHYSICIANS PALESTINE TX $1.26M
ST JOSEPH HOSPITAL LLC LEWISTON ID $1.10M
WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN WI $244K
WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN WI $175K
AMG-LIVINGSTON LLC LIVINGSTON TN $165K
WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN WI $149K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 82 $8K
2021 4,902 $304K
2022 6,969 $962K
2023 6,043 $759K
2024 1,421 $154K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 3,967 3,813 $1.02M
99284 Emergency department visit for the evaluation and management, high severity 1,495 1,429 $791K
99282 Emergency department visit for the evaluation and management, low to moderate severity 498 484 $91K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,077 1,018 $69K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,772 1,714 $43K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 124 119 $36K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,520 1,466 $30K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 200 190 $18K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 156 152 $16K
87070 834 807 $15K
87081 897 870 $12K
87430 194 191 $9K
80053 Comprehensive metabolic panel 1,638 1,507 $9K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 115 114 $8K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,694 1,541 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 65 63 $2K
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 14 12 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 98 92 $920.98
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 13 12 $909.38
84443 Thyroid stimulating hormone (TSH) 182 179 $620.02
36415 Collection of venous blood by venipuncture 1,801 1,698 $609.51
87420 13 12 $452.40
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 12 12 $443.62
83036 Hemoglobin; glycosylated (A1C) 366 366 $382.97
80061 Lipid panel 258 257 $257.04
81001 42 41 $218.69
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 88 88 $150.07
J1885 Injection, ketorolac tromethamine, per 15 mg 14 13 $146.93
71045 Radiologic examination, chest; single view 28 26 $79.76
84484 50 36 $61.70
81003 92 84 $32.96
87086 Culture, bacterial; quantitative colony count, urine 26 24 $14.19
A9270 Non-covered item or service 44 38 $0.00
G0103 Prostate cancer screening; prostate specific antigen test (psa) 30 30 $0.00