Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Mother Frances Hospital Regional Health Care Center

Mother Frances Hospital Regional Health Care Center was paid $32.98M by Medicaid between Jan 2018 and Dec 2024, across 243 billing codes. Its largest line is 99284, emergency room visit (serious) — 32% of everything it billed.

33Billing provider infoMOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER
TYLER, TX 75701
33aNPI1679578439assigned 06/17/2005
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$32.98M
24GClaims637,046
24DCodes billed243
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Texas

Rank by total paid#15 of 320
Median peer was paid$205K
This provider vs. median161×

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

$0$500K$1.0M$1.5M2018201920202021202220232024
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
YearClaimsPaid
2018299$9K
20191,345$24K
202014,586$684K
2021146,921$5.86M
2022188,690$10.56M
2023193,538$11.55M
2024incomplete91,667$4.29M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 32% 54,218 41,502 $10.49M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 19% 124,195 89,625 $6.35M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.0% 56,337 52,950 $2.65M
87428 6.2% 38,494 37,843 $2.06M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.8% 5,893 5,260 $1.91M
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 5.3% 25,767 24,527 $1.75M
99282 Emergency department visit for the evaluation and management, low to moderate severity 5.0% 39,807 29,096 $1.66M
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 2.6% 7,181 7,097 $847K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.4% 26,797 26,223 $459K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.2% 858 841 $382K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 1,153 1,116 $274K
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% 6,076 5,994 $229K
231 more codes
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 5,135 $223K
71045 Radiologic examination, chest; single view <1% 6,975 $220K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 26,769 $192K
87070 <1% 12,999 $183K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 1,462 $182K
G0378 Hospital observation service, per hour <1% 260 $180K
80053 Comprehensive metabolic panel <1% 15,128 $148K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 736 $146K
84443 Thyroid stimulating hormone (TSH) <1% 6,892 $111K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 28 $99K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,998 $95K
70450 Computed tomography, head or brain; without contrast material <1% 1,486 $90K
87081 <1% 8,023 $86K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,834 $84K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,834 $84K
99203 Doctor's office visit, new patient (routine) <1% 1,462 $81K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 19,977 $81K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 120 $79K
99215 Doctor's office visit, returning patient (complex) <1% 645 $76K
96361 Intravenous infusion, hydration; each additional hour <1% 804 $63K
80061 Lipid panel <1% 5,926 $58K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,033 $46K
84439 <1% 4,184 $45K
83880 <1% 2,336 $45K
87807 <1% 2,221 $44K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 331 $44K
80048 Basic metabolic panel (calcium, ionized) <1% 7,448 $42K
J2270 Injection, morphine sulfate, up to 10 mg <1% 866 $39K
93017 <1% 71 $36K
71046 Radiologic examination, chest; 2 views <1% 1,152 $32K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,415 $32K
76801 <1% 340 $30K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 719 $30K
84484 <1% 4,068 $30K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 108 $29K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 2,474 $27K
81001 <1% 8,686 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 755 $24K
71275 Computed tomographic angiography, chest, with contrast material <1% 130 $22K
59025 Fetal non-stress test <1% 367 $22K
87086 Culture, bacterial; quantitative colony count, urine <1% 3,868 $22K
83036 Hemoglobin; glycosylated (A1C) <1% 4,285 $21K
73110 <1% 290 $21K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 198 $20K
72125 Computed tomography, cervical spine; without contrast material <1% 325 $19K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 574 $18K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 766 $18K
83525 <1% 912 $17K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 420 $15K
87420 <1% 611 $15K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,100 $14K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 763 $14K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 2,708 $13K
88142 <1% 641 $12K
71250 <1% 158 $12K
81025 <1% 1,377 $11K
90785 <1% 230 $11K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 2,927 $11K
J2785 Injection, regadenoson, 0.1 mg <1% 28 $11K
73630 <1% 342 $11K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 497 $10K
76642 <1% 121 $10K
97161 <1% 68 $10K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 42 $10K
80055 <1% 142 $10K
81003 <1% 4,309 $9K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 103 $9K
84403 <1% 210 $9K
76770 <1% 41 $9K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 20 $9K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 30 $9K
84402 <1% 204 $8K
83690 <1% 1,753 $8K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 42 $8K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 929 $8K
76641 <1% 94 $8K
95816 <1% 25 $8K
73030 <1% 321 $8K
80076 <1% 932 $8K
84702 <1% 650 $7K
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% 326 $7K
87430 <1% 400 $7K
95819 <1% 15 $7K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 61 $7K
99204 Doctor's office visit, new patient (more involved) <1% 117 $7K
73130 <1% 123 $6K
73610 <1% 165 $6K
87186 <1% 1,438 $6K
84460 <1% 1,750 $6K
84450 <1% 1,657 $5K
80047 <1% 998 $5K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 27 $5K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 13 $5K
85610 <1% 2,178 $5K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 178 $5K
0001A <1% 257 $5K
93971 <1% 67 $5K
93296 <1% 402 $5K
83605 <1% 699 $5K
87040 <1% 830 $4K
86140 <1% 1,273 $4K
83002 <1% 134 $4K
80050 General health panel <1% 44 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 52 $4K
82043 <1% 1,333 $4K
86850 <1% 98 $4K
84703 <1% 444 $3K
83001 <1% 115 $3K
00170 Anesthesia for intraoral procedures, including biopsy <1% 39 $3K
83735 <1% 1,232 $3K
84270 <1% 87 $3K
82607 <1% 642 $3K
82947 <1% 443 $3K
82670 <1% 70 $3K
0002A <1% 126 $3K
82977 <1% 536 $3K
82570 <1% 1,322 $3K
20610 <1% 99 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 91 $3K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 798 $3K
82150 <1% 581 $3K
96375 Therapeutic injection; each additional sequential IV push <1% 1,462 $2K
87077 <1% 686 $2K
73560 <1% 101 $2K
85730 <1% 812 $2K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 106 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 93 $2K
92250 <1% 147 $2K
83721 <1% 455 $2K
82728 <1% 414 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 78 $2K
82274 <1% 68 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 27 $2K
80305 <1% 152 $2K
82726 <1% 45 $2K
73564 <1% 17 $2K
86803 <1% 244 $2K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 25 $1K
67028 Intravitreal injection of a pharmacologic agent <1% 127 $1K
82247 <1% 555 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 222 $1K
82040 <1% 580 $1K
82016 <1% 45 $1K
84145 <1% 75 $1K
83550 <1% 459 $1K
85652 <1% 956 $1K
84075 <1% 482 $1K
82128 <1% 45 $1K
83540 <1% 547 $1K
82565 <1% 595 $1K
87340 <1% 123 $1K
73502 <1% 84 $1K
87088 <1% 272 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,063 $994.83
87210 <1% 95 $949.17
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 16 $926.90
83993 <1% 25 $904.66
73140 <1% 13 $865.84
11721 <1% 68 $863.23
94760 <1% 21 $862.13
84155 <1% 485 $843.07
86900 <1% 417 $774.66
82784 <1% 52 $767.50
82077 <1% 56 $767.41
86901 <1% 398 $747.75
43248 <1% 12 $737.20
83516 <1% 32 $690.90
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 73 $684.62
86038 <1% 95 $682.63
88342 <1% 45 $655.40
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 25 $649.61
86364 <1% 89 $619.56
84305 <1% 13 $508.66
86258 <1% 63 $460.68
92551 <1% 29 $420.89
87205 <1% 163 $393.31
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 13 $389.16
80320 <1% 21 $386.85
29075 <1% 12 $359.66
86592 <1% 62 $326.01
84132 <1% 152 $306.25
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 43 $303.05
72100 <1% 28 $302.91
82962 <1% 5,279 $286.22
82950 <1% 32 $245.79
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 565 $236.82
96127 <1% 109 $220.44
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 14 $216.36
83520 <1% 13 $213.89
36415 Collection of venous blood by venipuncture <1% 11,971 $181.08
96160 <1% 36 $178.59
85379 <1% 28 $176.28
73552 <1% 14 $167.08
90837 Psychotherapy session, about an hour <1% 15 $156.08
82550 <1% 42 $154.98
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 13 $150.71
11056 <1% 12 $148.10
90686 <1% 130 $117.18
83718 <1% 12 $107.72
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 79 $105.26
92134 <1% 40 $92.06
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) <1% 45 $90.24
90836 <1% 14 $87.27
0012A <1% 65 $80.00
84478 <1% 12 $77.90
77080 <1% 24 $77.53
86706 <1% 13 $72.90
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 16 $70.24
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 35 $68.01
86431 <1% 27 $65.02
87147 <1% 14 $61.04
82465 <1% 12 $58.73
0011A <1% 155 $56.94
85018 <1% 101 $50.83
96376 <1% 301 $46.65
0004A <1% 38 $40.00
85014 <1% 74 $25.50
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 38 $10.17
84550 <1% 12 $9.66
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) <1% 475 $0.39
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 180 $0.06
36416 0% 314 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 32 $0.00
G0008 Administration of influenza virus vaccine 0% 254 $0.00
G0103 Prostate cancer screening; prostate specific antigen test (psa) 0% 25 $0.00
C1769 Guide wire 0% 29 $0.00
J3490 Unclassified drugs 0% 81 $0.00
A9150 Non-prescription drugs 0% 13 $0.00
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program 0% 1,991 $0.00
90662 0% 127 $0.00
36592 0% 58 $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 officialKEUER, STEVEN (CMO)
Same official

Other billing entities under KEUER, STEVEN

Full network →
ProviderLocationPaid
Christus Trinity ClinicEmory, TX$457K
Mother Frances Hospital-WinnsboroWinnsboro, TX$357K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.