Texas Scottish Rite Hospital for Crippled Children

Texas Scottish Rite Hospital for Crippled Children was paid $1.43M by Medicaid between Oct 2020 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoTEXAS SCOTTISH RITE HOSPITAL FOR CRIPPLED CHILDREN
DALLAS, TX 75219

33aNPI1598188948assigned 01/21/2014

33bProvider typeClinical Psychologist

28Total paid$1.43M

24GClaims65,995

24DCodes billed48

24AFirst – last monthOct 2020 – Dec 2024

Compared with peers

Next to other Clinical Psychologist providers in Texas

Rank by total paid#10 of 101

Median peer was paid$77K

This provider vs. median19×

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	1,837	$33K
2021	17,238	$337K
2022	16,833	$352K
2023	16,266	$378K
2024incomplete	13,821	$329K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	31%	22,201	21,650	$439K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	28%	12,398	12,266	$394K
72082		7.0%	8,638	8,377	$100K
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	6.4%	3,400	3,342	$92K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	4.7%	1,616	1,587	$67K
73721	Magnetic resonance imaging, any joint of lower extremity; without contrast material	3.4%	1,001	908	$49K
01400		2.2%	177	174	$31K
76770		2.1%	1,102	1,096	$30K
72170		1.9%	4,182	4,084	$27K
76885		1.5%	817	790	$22K
99417	Prolong home eval add 15m	1.5%	1,045	883	$22K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1.2%	341	339	$18K

36 more codes

70551	Magnetic resonance imaging, brain; without contrast material	1.2%	367	$17K
72148	Magnetic resonance imaging, lumbar spine; without contrast material	1.1%	300	$16K
96156		1.1%	352	$15K
96167		<1%	247	$8K
72081		<1%	826	$8K
77073		<1%	739	$8K
29450		<1%	198	$7K
73564		<1%	826	$7K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	289	$6K
72146		<1%	106	$6K
72141		<1%	105	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	381	$5K
73560		<1%	796	$5K
73610		<1%	639	$4K
76499		<1%	931	$3K
73630		<1%	530	$3K
73100		<1%	424	$3K
76942		<1%	66	$1K
73070		<1%	239	$1K
64642		<1%	15	$1K
25600		<1%	12	$961.46
73140		<1%	155	$836.53
64643		<1%	14	$753.88
99232	Hospital visit by a doctor, follow-up day	<1%	17	$752.65
64447		<1%	38	$733.85
73590		<1%	117	$675.45
29085		<1%	13	$495.80
73620		<1%	92	$481.46
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	14	$455.07
73562		<1%	69	$397.31
73090		<1%	62	$367.73
73030		<1%	39	$280.69
95873		<1%	15	$205.91
73120		<1%	20	$84.45
72020		<1%	12	$70.61
64999		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 officialAGUIRRE, ENRIQUE (MANAGED CARE MANAGER)