Clinic
Carthage Hospital, LLC
Carthage Hospital, LLC was paid $1.70M by Medicaid between May 2018 and Dec 2024, across 26 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 91% of everything it billed.
33Billing provider infoCARTHAGE HOSPITAL, LLC
CARTHAGE, TX 75633
CARTHAGE, TX 75633
33aNPI1639678030assigned 02/12/2018
33bProvider typeRural Health Clinic/Center
28Total paid$1.70M
24GClaims18,138
24DCodes billed26
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Texas
Rank by total paid#43 of 225
Median peer was paid$428K
This provider vs. median4.0×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official PETROVICH, STEPHEN controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2018 | 12 | $0.00 | |
| 2020 | 482 | $49K | |
| 2021 | 4,843 | $439K | |
| 2022 | 4,244 | $416K | |
| 2023 | 4,713 | $405K | |
| 2024incomplete | 3,844 | $387K |
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 | 91% | 11,991 | 10,523 | $1.55M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.6% | 266 | 253 | $44K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 204 | 201 | $33K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.8% | 192 | 192 | $31K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 76 | 75 | $11K |
| CP005 | <1% | 428 | 337 | $7K | |
| 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% | 540 | 457 | $7K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,233 | 696 | $5K |
| 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% | 128 | 125 | $3K |
| CP006 | <1% | 119 | 97 | $2K | |
| 90656 | <1% | 29 | 28 | $233.26 | |
| 90681 | <1% | 27 | 27 | $127.67 |
14 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 209 | $127.67 |
| 90715 | <1% | 28 | $120.47 | |
| 90461 | <1% | 1,142 | $1.20 | |
| 3078F | 0% | 218 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 84 | $0.00 |
| 90670 | 0% | 48 | $0.00 | |
| 90734 | 0% | 13 | $0.00 | |
| 90648 | 0% | 14 | $0.00 | |
| 3074F | 0% | 239 | $0.00 | |
| 90677 | 0% | 128 | $0.00 | |
| 3008F | 0% | 711 | $0.00 | |
| 92551 | 0% | 12 | $0.00 | |
| 90697 | 0% | 14 | $0.00 | |
| 90686 | 0% | 45 | $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 officialPETROVICH, STEPHEN (EVP)
Parent organizationAHS EAST TEXAS HEALTH SYSTEM, LLC
| Provider | Location | Paid |
|---|---|---|
| Lovelace Health System, LLC | Albuquerque, NM | $57.71M |
| Lovelace Health System LLC | Albuquerque, NM | $45.27M |
| Southwest Medical Associates, LLC | Albuquerque, NM | $41.40M |
| Lovelace Health System, LLC | Albuquerque, NM | $31.24M |
| Lovelace Health System LLC | Roswell, NM | $20.13M |
| Jacksonville Hospital LLC | Jacksonville, TX | $9.41M |
| Henderson Hospital, LLC | Henderson, TX | $8.52M |
| Athens Hospital, LLC | Athens, TX | $8.32M |
| Etmc Physician Group INC. | Tyler, TX | $8.03M |
| Tyler Regional Hospital LLC | Tyler, TX | $7.94M |
| Lovelace UNM Rehabilitation Hospital LLC | Albuquerque, NM | $6.30M |
| Pocatello Hospital LLC | Pocatello, ID | $6.11M |
| Jacksonville Hospital LLC | Jacksonville, TX | $5.93M |
| Ahs Pryor Hospital, LLC | Pryor, OK | $5.61M |
| Bsa Hospital LLC | Amarillo, TX | $4.96M |
| Pittsburg Hospital LLC | Pittsburg, TX | $4.83M |
| Ahs Claremore Regional Hospital, LLC. | Claremore, OK | $4.81M |
| Ahs Henryetta Hospital LLC | Henryetta, OK | $4.27M |
| Pittsburg Hospital LLC | Pittsburg, TX | $3.98M |
| Topeka Hospital, LLC | Topeka, KS | $3.94M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.