Rockwall Regional Hospital, LLC

Rockwall Regional Hospital, LLC was paid $976K by Medicaid between Jan 2020 and Nov 2024, across 47 billing codes. Its largest line is 99284, emergency room visit (serious) — 38% of everything it billed.

33Billing provider infoROCKWALL REGIONAL HOSPITAL, LLC
ROCKWALL, TX 75032

33aNPI1629138029assigned 12/08/2006

33bProvider typeGeneral Acute Care Hospital

28Total paid$976K

24GClaims24,881

24DCodes billed47

24AFirst – last monthJan 2020 – Nov 2024

Compared with peers

Next to other General Acute Care Hospital providers in Texas

Rank by total paid#58 of 109

Median peer was paid$1.15M

This provider vs. median0.8×

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	334	$2K
2021	6,037	$266K
2022	10,250	$356K
2023	5,708	$262K
2024incomplete	2,552	$90K

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	38%	2,230	2,089	$367K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	17%	2,919	2,786	$167K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	15%	632	583	$151K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	8.8%	1,044	1,010	$86K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	2.9%	855	822	$29K
80053	Comprehensive metabolic panel	2.5%	2,325	2,019	$24K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	2.5%	977	876	$24K
71045	Radiologic examination, chest; single view	2.2%	1,008	926	$21K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	2.0%	2,960	2,436	$19K
74177	Computed tomography, abdomen and pelvis; with contrast material	1.8%	77	73	$18K
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	1.7%	1,358	1,313	$16K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	1.1%	355	339	$10K

35 more codes

84484		<1%	868	$5K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	<1%	77	$4K
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%	60	$3K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	561	$3K
70450	Computed tomography, head or brain; without contrast material	<1%	52	$3K
96375	Therapeutic injection; each additional sequential IV push	<1%	400	$2K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	42	$2K
J7030	Infusion, normal saline solution , 1000 cc	<1%	609	$2K
87634		<1%	44	$2K
81025		<1%	316	$2K
81001		<1%	951	$2K
83880		<1%	106	$2K
83690		<1%	492	$2K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	242	$1K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	28	$1K
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%	59	$967.68
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	13	$827.09
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	14	$696.85
J2405	Injection, ondansetron hydrochloride, per 1 mg	<1%	562	$463.63
84703		<1%	64	$449.16
80048	Basic metabolic panel (calcium, ionized)	<1%	86	$415.30
J2270	Injection, morphine sulfate, up to 10 mg	<1%	249	$348.92
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	50	$318.11
83605		<1%	58	$270.83
81003		<1%	155	$248.72
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	145	$189.75
96361	Intravenous infusion, hydration; each additional hour	<1%	51	$182.84
84702		<1%	15	$113.76
83735		<1%	26	$85.90
36415	Collection of venous blood by venipuncture	<1%	1,338	$82.48
85379		<1%	13	$54.20
87086	Culture, bacterial; quantitative colony count, urine	<1%	24	$46.70
85610		<1%	16	$18.67
86901		<1%	14	$15.06
A9270	Non-covered item or service	0%	341	$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 officialLINSCOTT, JASON (PRESIDENT)