Clinic
Memorial Medical Center San Augustine
Memorial Medical Center San Augustine was paid $694K by Medicaid between Nov 2020 and Nov 2024, across 29 billing codes. Its largest line is 99284, emergency room visit (serious) — 53% of everything it billed.
33Billing provider infoMEMORIAL MEDICAL CENTER SAN AUGUSTINE
SAN AUGUSTINE, TX 75972
SAN AUGUSTINE, TX 75972
33aNPI1578547345assigned 12/05/2005
33bProvider typeEmergency Care Clinic/Center
28Total paid$694K
24GClaims6,374
24DCodes billed29
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other Emergency Care Clinic/Center providers in Texas
Rank by total paid#1 of 6
Median peer was paid$38K
This provider vs. median18×
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 | |
|---|---|---|---|
| 2020 | 57 | $6K | |
| 2021 | 1,941 | $72K | |
| 2022 | 1,982 | $163K | |
| 2023 | 1,818 | $404K | |
| 2024incomplete | 576 | $48K |
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 | 53% | 332 | 313 | $369K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 43% | 789 | 762 | $297K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.1% | 42 | 38 | $7K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 81 | 79 | $3K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 17 | 17 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,375 | 1,211 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 63 | 39 | $3K |
| 80053 | Comprehensive metabolic panel | <1% | 1,008 | 933 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 92 | 81 | $1K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 21 | 19 | $1K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 163 | 157 | $914.03 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 95 | 89 | $716.38 |
17 more codes
| 87430 | <1% | 22 | $616.71 | |
| 87070 | <1% | 21 | $496.77 | |
| 81001 | <1% | 144 | $126.84 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 48 | $101.29 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 14 | $70.15 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,340 | $65.58 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 14 | $47.44 |
| 80061 | Lipid panel | <1% | 189 | $41.51 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 137 | $6.75 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 114 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 141 | $0.00 |
| 71045 | Radiologic examination, chest; single view | 0% | 26 | $0.00 |
| A9270 | Non-covered item or service | 0% | 27 | $0.00 |
| 84484 | 0% | 16 | $0.00 | |
| 82550 | 0% | 15 | $0.00 | |
| 85610 | 0% | 16 | $0.00 | |
| 82248 | 0% | 12 | $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 officialGLASS, MEGAN (REIMBURSEMENT ANALYST)
| Provider | Location | Paid |
|---|---|---|
| Memorial Hospital of Polk County | Livingston, TX | $10.49M |
| Memorial Health System of East Texas | Lufkin, TX | $8.62M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.