Physician
ST. Joseph Regional Health Center
ST. Joseph Regional Health Center was paid $2.96M by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoST. JOSEPH REGIONAL HEALTH CENTER
BRYAN, TX 77802
BRYAN, TX 77802
33aNPI1669557179assigned 10/25/2006
33bProvider typePediatrics Physician
28Total paid$2.96M
24GClaims116,400
24DCodes billed72
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#158 of 1,136
Median peer was paid$329K
This provider vs. median9.0×
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 | |
|---|---|---|---|
| 2018 | 2,193 | $16K | |
| 2019 | 1,352 | $15K | |
| 2020 | 10,618 | $147K | |
| 2021 | 29,528 | $686K | |
| 2022 | 30,734 | $842K | |
| 2023 | 25,683 | $735K | |
| 2024incomplete | 16,292 | $519K |
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 | 39% | 34,763 | 32,166 | $1.16M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 4,225 | 4,015 | $327K |
| 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 | 9.1% | 7,086 | 6,454 | $271K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.5% | 3,495 | 3,270 | $251K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.1% | 2,873 | 2,789 | $240K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.8% | 23,621 | 8,627 | $231K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.1% | 1,384 | 1,332 | $123K |
| 87428 | 3.6% | 2,203 | 2,139 | $105K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.0% | 2,368 | 2,291 | $31K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,431 | 3,022 | $27K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 1,714 | 642 | $26K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 512 | 479 | $24K |
60 more codes
| 90461 | <1% | 4,443 | $22K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,808 | $17K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,231 | $16K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,097 | $9K |
| 99335 | <1% | 1,195 | $8K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 678 | $8K |
| 99223 | Prolong inpt eval add15 m | <1% | 131 | $7K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 216 | $7K |
| 92567 | <1% | 409 | $5K | |
| 92557 | <1% | 137 | $4K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 54 | $4K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 35 | $4K |
| 92579 | <1% | 101 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 199 | $3K |
| 99429 | <1% | 108 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 312 | $3K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 63 | $3K |
| 92587 | <1% | 163 | $3K | |
| 99381 | <1% | 41 | $2K | |
| 92555 | <1% | 99 | $2K | |
| 87807 | <1% | 168 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 40 | $2K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 13 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 34 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 86 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $940.26 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 41 | $915.49 |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 28 | $737.19 |
| 95718 | <1% | 16 | $538.29 | |
| 99443 | <1% | 14 | $410.51 | |
| 90686 | <1% | 4,250 | $406.34 | |
| 96160 | <1% | 442 | $319.37 | |
| 73100 | <1% | 12 | $264.15 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 144 | $161.96 |
| 99334 | <1% | 38 | $73.78 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 68 | $46.23 |
| 90697 | <1% | 510 | $0.30 | |
| 90656 | <1% | 207 | $0.01 | |
| 90648 | 0% | 1,974 | $0.00 | |
| 90670 | 0% | 2,218 | $0.00 | |
| 90710 | 0% | 45 | $0.00 | |
| 90633 | 0% | 512 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 559 | $0.00 |
| 90707 | 0% | 45 | $0.00 | |
| 90685 | 0% | 136 | $0.00 | |
| 90662 | 0% | 18 | $0.00 | |
| 90700 | 0% | 16 | $0.00 | |
| 99177 | 0% | 86 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 99497 | 0% | 15 | $0.00 | |
| 90680 | 0% | 1,514 | $0.00 | |
| 90723 | 0% | 1,081 | $0.00 | |
| 90677 | 0% | 543 | $0.00 | |
| 90716 | 0% | 45 | $0.00 | |
| 90381 | 0% | 32 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 34 | $0.00 |
| 90696 | 0% | 47 | $0.00 | |
| 90651 | 0% | 69 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 66 | $0.00 |
| S3620 | Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) | 0% | 12 | $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 officialCRANE, BERNEY (MARKET PRESIDENT)