Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › TYLER › MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER

MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER

NPI: 1679578439 · TYLER, TX 75701 · Ambulatory Surgical Clinic/Center · NPI assigned 06/17/2005

$32.98M
Total Medicaid Paid
637,046
Total Claims
546,061
Beneficiaries
243
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKEUER, STEVEN (CMO)
NPI Enumeration Date06/17/2005

Related Entities

Other providers sharing the same authorized official: KEUER, STEVEN

ProviderCityStateTotal Paid
CHRISTUS TRINITY CLINIC EMORY TX $457K
MOTHER FRANCES HOSPITAL-WINNSBORO WINNSBORO TX $357K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 299 $9K
2019 1,345 $24K
2020 14,586 $684K
2021 146,921 $5.86M
2022 188,690 $10.56M
2023 193,538 $11.55M
2024 91,667 $4.29M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 54,218 41,502 $10.49M
99283 Emergency department visit for the evaluation and management, moderate severity 124,195 89,625 $6.35M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 56,337 52,950 $2.65M
87428 38,494 37,843 $2.06M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,893 5,260 $1.91M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25,767 24,527 $1.75M
99282 Emergency department visit for the evaluation and management, low to moderate severity 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 7,181 7,097 $847K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 26,797 26,223 $459K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 858 841 $382K
74177 Computed tomography, abdomen and pelvis; with contrast material 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 6,076 5,994 $229K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,135 4,564 $223K
71045 Radiologic examination, chest; single view 6,975 6,368 $220K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 26,769 23,295 $192K
87070 12,999 12,799 $183K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,462 407 $182K
G0378 Hospital observation service, per hour 260 239 $180K
80053 Comprehensive metabolic panel 15,128 13,676 $148K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 736 690 $146K
84443 Thyroid stimulating hormone (TSH) 6,892 6,793 $111K
42820 Tonsillectomy and adenoidectomy; younger than age 12 28 28 $99K
77067 Screening mammography, bilateral, including computer-aided detection 1,998 1,928 $95K
70450 Computed tomography, head or brain; without contrast material 1,486 1,403 $90K
87081 8,023 7,937 $86K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,834 1,755 $84K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,834 1,756 $84K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,462 1,432 $81K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 19,977 16,440 $81K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 120 115 $79K
99215 Prolong outpt/office vis 645 627 $76K
96361 Intravenous infusion, hydration; each additional hour 804 688 $63K
80061 Lipid panel 5,926 5,872 $58K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,033 994 $46K
84439 4,184 4,123 $45K
83880 2,336 2,046 $45K
87807 2,221 2,185 $44K
74176 Computed tomography, abdomen and pelvis; without contrast material 331 317 $44K
80048 Basic metabolic panel (calcium, ionized) 7,448 6,233 $42K
J2270 Injection, morphine sulfate, up to 10 mg 866 558 $39K
93017 71 68 $36K
71046 Radiologic examination, chest; 2 views 1,152 1,124 $32K
77063 Screening digital breast tomosynthesis, bilateral 1,415 1,373 $32K
76801 340 284 $30K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 719 640 $30K
84484 4,068 2,629 $30K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 108 82 $29K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,474 2,441 $27K
81001 8,686 8,138 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 755 745 $24K
71275 Computed tomographic angiography, chest, with contrast material 130 123 $22K
59025 Fetal non-stress test 367 328 $22K
87086 Culture, bacterial; quantitative colony count, urine 3,868 3,653 $22K
83036 Hemoglobin; glycosylated (A1C) 4,285 4,243 $21K
73110 290 236 $21K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 198 151 $20K
72125 Computed tomography, cervical spine; without contrast material 325 321 $19K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 574 568 $18K
J1885 Injection, ketorolac tromethamine, per 15 mg 766 685 $18K
83525 912 900 $17K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 420 416 $15K
87420 611 593 $15K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,100 1,092 $14K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 763 750 $14K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,708 2,461 $13K
88142 641 603 $12K
71250 158 154 $12K
81025 1,377 1,320 $11K
90785 230 227 $11K
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,927 2,493 $11K
J2785 Injection, regadenoson, 0.1 mg 28 28 $11K
73630 342 300 $11K
J3010 Injection, fentanyl citrate, 0.1 mg 497 429 $10K
76642 121 85 $10K
97161 68 68 $10K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 42 41 $10K
80055 142 141 $10K
81003 4,309 4,094 $9K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 103 100 $9K
84403 210 201 $9K
76770 41 38 $9K
J0585 Injection, onabotulinumtoxina, 1 unit 20 12 $9K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 30 30 $9K
84402 204 197 $8K
83690 1,753 1,603 $8K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 42 41 $8K
88305 Level IV - Surgical pathology, gross and microscopic examination 929 785 $8K
76641 94 64 $8K
95816 25 24 $8K
73030 321 294 $8K
80076 932 921 $8K
84702 650 483 $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 326 322 $7K
87430 400 394 $7K
95819 15 14 $7K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 61 27 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 117 113 $7K
73130 123 101 $6K
73610 165 145 $6K
87186 1,438 1,306 $6K
84460 1,750 1,714 $6K
84450 1,657 1,622 $5K
80047 998 966 $5K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 27 26 $5K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 13 13 $5K
85610 2,178 1,802 $5K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 178 178 $5K
0001A 257 257 $5K
93971 67 65 $5K
93296 402 401 $5K
83605 699 538 $5K
87040 830 407 $4K
86140 1,273 1,205 $4K
83002 134 130 $4K
80050 General health panel 44 44 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 52 45 $4K
82043 1,333 1,322 $4K
86850 98 94 $4K
84703 444 414 $3K
83001 115 111 $3K
00170 Anesthesia for intraoral procedures, including biopsy 39 37 $3K
83735 1,232 1,072 $3K
84270 87 87 $3K
82607 642 641 $3K
82947 443 438 $3K
82670 70 67 $3K
0002A 126 126 $3K
82977 536 510 $3K
82570 1,322 1,309 $3K
20610 99 92 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 91 91 $3K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 798 729 $3K
82150 581 550 $3K
96375 Therapeutic injection; each additional sequential IV push 1,462 1,268 $2K
87077 686 631 $2K
73560 101 90 $2K
85730 812 745 $2K
J1200 Injection, diphenhydramine hcl, up to 50 mg 106 88 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 93 68 $2K
92250 147 146 $2K
83721 455 452 $2K
82728 414 409 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 78 39 $2K
82274 68 68 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material 27 26 $2K
80305 152 147 $2K
82726 45 45 $2K
73564 17 14 $2K
86803 244 241 $2K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 25 13 $1K
67028 Intravitreal injection of a pharmacologic agent 127 109 $1K
82247 555 511 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 222 216 $1K
82040 580 550 $1K
82016 45 45 $1K
84145 75 66 $1K
83550 459 456 $1K
85652 956 907 $1K
84075 482 455 $1K
82128 45 45 $1K
83540 547 544 $1K
82565 595 586 $1K
87340 123 117 $1K
73502 84 82 $1K
87088 272 264 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,063 869 $994.83
87210 95 93 $949.17
J2919 Injection, methylprednisolone sodium succinate, 5 mg 16 12 $926.90
83993 25 25 $904.66
73140 13 12 $865.84
11721 68 67 $863.23
94760 21 13 $862.13
84155 485 456 $843.07
86900 417 385 $774.66
82784 52 49 $767.50
82077 56 52 $767.41
86901 398 369 $747.75
43248 12 12 $737.20
83516 32 25 $690.90
J2765 Injection, metoclopramide hcl, up to 10 mg 73 58 $684.62
86038 95 89 $682.63
88342 45 40 $655.40
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 25 25 $649.61
86364 89 48 $619.56
84305 13 13 $508.66
86258 63 33 $460.68
92551 29 29 $420.89
87205 163 134 $393.31
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 13 13 $389.16
80320 21 14 $386.85
29075 12 12 $359.66
86592 62 61 $326.01
84132 152 135 $306.25
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 43 28 $303.05
72100 28 26 $302.91
82962 5,279 1,835 $286.22
82950 32 32 $245.79
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 565 505 $236.82
96127 109 109 $220.44
99281 Emergency department visit for the evaluation and management, self-limited or minor 14 14 $216.36
83520 13 13 $213.89
36415 Collection of venous blood by venipuncture 11,971 10,693 $181.08
96160 36 36 $178.59
85379 28 28 $176.28
73552 14 13 $167.08
90837 Psychotherapy, 53 minutes with patient 15 12 $156.08
82550 42 36 $154.98
J2250 Injection, midazolam hydrochloride, per 1 mg 13 13 $150.71
11056 12 12 $148.10
90686 130 129 $117.18
83718 12 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 79 75 $105.26
92134 40 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) 45 45 $90.24
90836 14 12 $87.27
0012A 65 65 $80.00
84478 12 12 $77.90
77080 24 24 $77.53
86706 13 13 $72.90
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 16 15 $70.24
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 35 24 $68.01
86431 27 27 $65.02
87147 14 13 $61.04
82465 12 12 $58.73
0011A 155 155 $56.94
85018 101 90 $50.83
96376 301 193 $46.65
0004A 38 38 $40.00
85014 74 65 $25.50
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 38 37 $10.17
84550 12 12 $9.66
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 475 446 $0.39
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 180 142 $0.06
36416 314 309 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 32 27 $0.00
G0008 Administration of influenza virus vaccine 254 254 $0.00
G0103 Prostate cancer screening; prostate specific antigen test (psa) 25 24 $0.00
C1769 Guide wire 29 27 $0.00
J3490 Unclassified drugs 81 64 $0.00
A9150 Non-prescription drugs 13 12 $0.00
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program 1,991 1,816 $0.00
90662 127 127 $0.00
36592 58 27 $0.00