Physician
Falls Community Hospital and Clinic
Falls Community Hospital and Clinic was paid $19K by Medicaid between Apr 2019 and Dec 2022, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.
33Billing provider infoFALLS COMMUNITY HOSPITAL AND CLINIC
MART, TX 76664
MART, TX 76664
33aNPI1659593028assigned 05/03/2007
33bProvider typeGeneral Practice Physician
28Total paid$19K
24GClaims897
24DCodes billed3
24AFirst – last monthApr 2019 – Dec 2022
Compared with peers
Next to other General Practice Physician providers in Texas
Rank by total paid#62 of 113
Median peer was paid$22K
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 | |
|---|---|---|---|
| 2019 | 13 | $257.36 | |
| 2020 | 109 | $2K | |
| 2021 | 536 | $11K | |
| 2022 | 239 | $5K |
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 | 88% | 818 | 714 | $17K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.7% | 26 | 24 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.9% | 53 | 45 | $542.87 |
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 HOSPITAL AND CLINIC
| Provider | Location | Paid |
|---|---|---|
| Falls Community Hospital and Clinic | Marlin, TX | $1.48M |
| Falls Community Hospital and Clinic | Marlin, TX | $857K |
| Falls Community Hospital and Clinic | Rosebud, TX | $195K |
| Falls Community Hospital and Clinic | Bremond, TX | $188K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.