Texas Health Presbyterian Hospital Allen
Texas Health Presbyterian Hospital Allen was paid $965K by Medicaid between Sep 2020 and Nov 2024, across 37 billing codes. Its largest line is 99284, emergency room visit (serious) — 44% of everything it billed.
ALLEN, TX 75013
Next to other General Acute Care Hospital providers in Texas
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 180 | $11K | |
| 2021 | 7,235 | $317K | |
| 2022 | 8,648 | $320K | |
| 2023 | 4,635 | $229K | |
| 2024incomplete | 2,065 | $88K |
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% | 2,060 | 1,932 | $423K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 24% | 4,069 | 3,859 | $233K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 11% | 535 | 505 | $106K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 4.7% | 576 | 567 | $45K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 2.7% | 963 | 874 | $26K |
| 80053 | Comprehensive metabolic panel | 2.7% | 2,399 | 2,097 | $26K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.0% | 2,967 | 2,546 | $19K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.5% | 382 | 378 | $14K |
| 71045 | Radiologic examination, chest; single view | 1.4% | 731 | 675 | $13K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.3% | 1,094 | 1,072 | $13K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 200 | 194 | $10K |
| 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% | 149 | 143 | $7K |
25 more codes
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 47 | $4K |
| 81001 | <1% | 1,216 | $3K | |
| 84484 | <1% | 564 | $3K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 350 | $3K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 62 | $3K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 474 | $2K |
| 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 | <1% | 137 | $2K |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 558 | $2K |
| 84703 | <1% | 330 | $2K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 40 | $1K |
| 83690 | <1% | 383 | $1K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 90 | $520.05 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 542 | $484.59 |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 82 | $407.95 |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 200 | $249.27 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 48 | $200.24 |
| 96376 | <1% | 14 | $157.40 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 54 | $63.93 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 15 | $53.66 |
| 85730 | <1% | 12 | $45.37 | |
| 86140 | <1% | 14 | $43.60 | |
| 85610 | <1% | 15 | $32.40 | |
| J2272 | Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg | <1% | 13 | $21.59 |
| 36415 | Collection of venous blood by venipuncture | <1% | 814 | $10.62 |
| A9270 | Non-covered item or service | 0% | 564 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | $13.83M |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $8.23M |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $5.33M |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $5.20M |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $4.09M |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $3.84M |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | $3.69M |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $3.57M |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $2.32M |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $2.31M |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $2.14M |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | $986K |
| Texas Health Hospital Frisco | Frisco, TX | $473K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.