Haywood County Community Hospital INC
Haywood County Community Hospital INC was paid $491K by Medicaid between Feb 2023 and Nov 2024, across 36 billing codes. Its largest line is 99285, emergency room visit (most serious) — 53% of everything it billed.
BROWNSVILLE, TN 38012
Next to other General Acute Care Hospital providers in Tennessee
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 6,598 | $207K | |
| 2024incomplete | 6,874 | $284K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 53% | 1,666 | 1,446 | $261K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 14% | 436 | 407 | $67K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 13% | 512 | 478 | $64K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 6.2% | 318 | 305 | $31K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.4% | 578 | 547 | $17K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 2.6% | 383 | 327 | $13K |
| 71045 | Radiologic examination, chest; single view | 1.8% | 606 | 500 | $9K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 424 | 321 | $4K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 50 | 48 | $4K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 123 | 106 | $3K |
| 80053 | Comprehensive metabolic panel | <1% | 1,530 | 1,235 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,485 | 1,199 | $3K |
24 more codes
| 87276 | <1% | 541 | $3K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 85 | $2K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 143 | $2K |
| 87275 | <1% | 545 | $2K | |
| 87430 | <1% | 170 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 718 | $1K |
| 84484 | <1% | 401 | $851.94 | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 17 | $706.28 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 299 | $696.61 |
| 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% | 236 | $582.51 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 245 | $502.87 |
| 81003 | <1% | 473 | $266.11 | |
| 81025 | <1% | 52 | $159.31 | |
| 81001 | <1% | 129 | $157.64 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 366 | $90.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 64 | $85.62 |
| 87280 | <1% | 13 | $67.80 | |
| 85027 | <1% | 20 | $29.33 | |
| 83880 | <1% | 15 | $29.05 | |
| 83735 | <1% | 39 | $13.86 | |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 58 | $8.47 |
| 81015 | <1% | 304 | $2.26 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 301 | $0.82 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 127 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Lexington Hospital Corporation | Lexington, TN | $4.74M |
| Lexington Hospital Corporation | Lexington, TN | $2.24M |
| Ambulance Services of Lexington, INC. | Lexington, TN | $2.02M |
| Roland Public Schools | Roland, OK | $574K |
| Houston County Community Hospital | Erin, TN | $416K |
| Lexington Hospital Corporation | Lexington, TN | $379K |
| Shamrock Community Hospital INC | Erin, TN | $315K |
| Decatur County General Hospital | Parsons, TN | $216K |
| Houston County Community Hospital | Erin, TN | $94K |
| Lexington Clinic Corp | Lexington, TN | $74K |
| Scotts Hill Clinic, INC. | Lexington, TN | $73K |
| Lexington Hospital Corporation | Brownsville, TN | $13K |
| Lexington Family Physicians LLC | Lexington, TN | $11K |
| Lexington Hospital Corporation | Lexington, TN | $953.55 |
| Shamrock Community Hospital INC | Erin, TN | $586.76 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.