Hospital
Baylor Regional Medical Center at Plano
Baylor Regional Medical Center at Plano was paid $256K by Medicaid between Jan 2021 and Nov 2024, across 40 billing codes. Its largest line is 99284, emergency room visit (serious) — 43% of everything it billed.
33Billing provider infoBAYLOR REGIONAL MEDICAL CENTER AT PLANO
PLANO, TX 75093
PLANO, TX 75093
33aNPI1649273434assigned 05/24/2005
33bProvider typeGeneral Acute Care Hospital
28Total paid$256K
24GClaims18,668
24DCodes billed40
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers
Next to other General Acute Care Hospital providers in Texas
Rank by total paid#74 of 109
Median peer was paid$1.15M
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2021 | 6,905 | $71K | |
| 2022 | 4,888 | $90K | |
| 2023 | 4,223 | $53K | |
| 2024incomplete | 2,652 | $43K |
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 | 43% | 1,367 | 1,160 | $110K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 16% | 333 | 300 | $41K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 6.5% | 788 | 692 | $17K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 5.1% | 719 | 656 | $13K |
| 80053 | Comprehensive metabolic panel | 4.1% | 2,286 | 1,839 | $11K |
| 0002A | 4.1% | 1,303 | 1,257 | $10K | |
| 0001A | 3.7% | 1,166 | 1,140 | $10K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 3.0% | 288 | 260 | $8K |
| 71045 | Radiologic examination, chest; single view | 3.0% | 768 | 672 | $8K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.8% | 2,468 | 1,874 | $7K |
| 70450 | Computed tomography, head or brain; without contrast material | 1.9% | 142 | 124 | $5K |
| 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% | 272 | 244 | $3K |
28 more codes
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 25 | $2K |
| 81025 | <1% | 391 | $2K | |
| 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% | 45 | $2K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 17 | $2K |
| 81001 | <1% | 722 | $967.41 | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 14 | $943.82 |
| 83690 | <1% | 495 | $808.66 | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 15 | $712.30 |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 106 | $709.77 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 35 | $700.61 |
| 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% | 45 | $565.00 |
| 84484 | <1% | 158 | $539.95 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 105 | $496.08 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 84 | $494.30 |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 54 | $225.90 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 697 | $215.41 |
| 85610 | <1% | 191 | $172.52 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,482 | $115.59 |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 49 | $109.91 |
| 81003 | <1% | 42 | $44.55 | |
| 85730 | <1% | 33 | $29.55 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 18 | $22.08 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 45 | $19.28 |
| 83735 | <1% | 14 | $16.61 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 71 | $7.58 |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | <1% | 728 | $1.00 |
| 82962 | 0% | 37 | $0.00 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 50 | $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 officialGARISON, JERRI (CEO)