Hospital
Carthage Hospital, LLC
Carthage Hospital, LLC was paid $1.73M by Medicaid between May 2018 and Nov 2024, across 44 billing codes. Its largest line is 99284, emergency room visit (serious) — 44% of everything it billed.
33Billing provider infoCARTHAGE HOSPITAL, LLC
CARTHAGE, TX 75633
CARTHAGE, TX 75633
33aNPI1538667035assigned 01/30/2018
33bProvider typeGeneral Acute Care Hospital
28Total paid$1.73M
24GClaims22,749
24DCodes billed44
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers
Next to other General Acute Care Hospital providers in Texas
Rank by total paid#52 of 109
Median peer was paid$1.15M
This provider vs. median1.5×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official PETROVICH, STEPHEN controls 20+ related entities in our dataset. Read more
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 | 397 | $7K | |
| 2020 | 401 | $16K | |
| 2021 | 7,567 | $350K | |
| 2022 | 7,543 | $633K | |
| 2023 | 4,496 | $478K | |
| 2024incomplete | 2,345 | $250K |
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 | 44% | 1,752 | 1,606 | $755K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 29% | 3,767 | 3,605 | $506K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 11% | 380 | 338 | $196K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 3.2% | 324 | 314 | $56K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.7% | 3,305 | 2,868 | $30K |
| 80053 | Comprehensive metabolic panel | 1.7% | 2,470 | 2,235 | $29K |
| 80061 | Lipid panel | 1.1% | 765 | 747 | $18K |
| 71045 | Radiologic examination, chest; single view | 1.1% | 231 | 205 | $18K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 680 | 659 | $16K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 107 | 101 | $14K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 170 | 164 | $13K |
| 87430 | <1% | 325 | 312 | $13K |
32 more codes
| 87400 | <1% | 125 | $9K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 184 | $9K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 585 | $8K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 59 | $8K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 119 | $7K |
| 81000 | <1% | 1,461 | $6K | |
| 82728 | <1% | 172 | $4K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 245 | $3K |
| 87420 | <1% | 76 | $2K | |
| 81002 | <1% | 458 | $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 | <1% | 13 | $2K |
| 83655 | <1% | 71 | $2K | |
| 83550 | <1% | 76 | $1K | |
| 85651 | <1% | 163 | $1K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 131 | $791.36 |
| 83540 | <1% | 44 | $645.16 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 36 | $606.24 |
| 84439 | <1% | 31 | $576.13 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 27 | $547.41 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 25 | $463.81 |
| 87081 | <1% | 53 | $449.16 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 78 | $314.33 |
| 85027 | <1% | 25 | $232.28 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 30 | $196.22 |
| 85045 | <1% | 32 | $187.75 | |
| 81025 | <1% | 14 | $178.75 | |
| 84703 | <1% | 15 | $140.97 | |
| 85007 | <1% | 25 | $136.43 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 94 | $101.35 |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,980 | $79.26 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 13 | $45.30 |
| 83880 | <1% | 13 | $16.73 |
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 officialPETROVICH, STEPHEN (EVP)
Parent organizationAHS EAST TEXAS HEALTH SYSTEM, LLC
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.