Clinic
Falls Community Hospital and Clinic
Falls Community Hospital and Clinic was paid $857K by Medicaid between Sep 2020 and Dec 2024, across 9 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
33Billing provider infoFALLS COMMUNITY HOSPITAL AND CLINIC
MARLIN, TX 76661
MARLIN, TX 76661
33aNPI1629173737assigned 09/13/2006
33bProvider typeRural Health Clinic/Center
28Total paid$857K
24GClaims12,197
24DCodes billed9
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Texas
Rank by total paid#82 of 225
Median peer was paid$428K
This provider vs. median2.0×
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 | 580 | $50K | |
| 2021 | 3,958 | $237K | |
| 2022 | 5,022 | $315K | |
| 2023 | 1,721 | $162K | |
| 2024incomplete | 916 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 96% | 7,970 | 6,854 | $826K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 1,062 | 922 | $14K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.4% | 1,688 | 1,387 | $12K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,247 | 1,051 | $3K |
| 0002A | <1% | 15 | 15 | $902.30 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 25 | 12 | $297.27 |
| 99306 | Prolong nursin fac eval 15m | <1% | 113 | 104 | $203.00 |
| 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 | <1% | 16 | 16 | $203.00 |
| 91300 | 0% | 61 | 61 | $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 officialFORD, JESSICA (INTERIM ADMINISTRATOR)
Parent organizationFALLS COMMUNITY HOSPTIAL AND CLINIC
| Provider | Location | Paid |
|---|---|---|
| Falls Community Hospital and Clinic | Marlin, TX | $1.48M |
| Falls Community Hospital and Clinic | Rosebud, TX | $195K |
| Falls Community Hospital and Clinic | Bremond, TX | $188K |
| Falls Community Hospital and Clinic | Mart, TX | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.