Clinic
Metroplex Adventist Hospital INC
Metroplex Adventist Hospital INC was paid $1.22M by Medicaid between Dec 2020 and Oct 2024, across 16 billing codes. Its largest line is 99283, emergency room visit (moderate) — 69% of everything it billed.
33Billing provider infoMETROPLEX ADVENTIST HOSPITAL INC
LAMPASAS, TX 76550
LAMPASAS, TX 76550
33aNPI1750392916assigned 08/11/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$1.22M
24GClaims6,794
24DCodes billed16
24AFirst – last monthDec 2020 – Oct 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Texas
Rank by total paid#123 of 320
Median peer was paid$205K
This provider vs. median5.9×
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 | |
|---|---|---|---|
| 2020 | 17 | $4K | |
| 2021 | 2,258 | $266K | |
| 2022 | 2,218 | $382K | |
| 2023 | 1,574 | $368K | |
| 2024incomplete | 727 | $196K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 69% | 2,803 | 2,663 | $844K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 14% | 305 | 289 | $169K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 13% | 1,709 | 1,618 | $162K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.9% | 57 | 56 | $23K |
| 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 | <1% | 55 | 54 | $6K |
| 80053 | Comprehensive metabolic panel | <1% | 690 | 645 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 656 | 601 | $3K |
| 71045 | Radiologic examination, chest; single view | <1% | 56 | 55 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 28 | 26 | $744.03 |
| 81001 | <1% | 338 | 316 | $722.09 | |
| 0225U | <1% | 18 | 18 | $374.54 | |
| 87420 | <1% | 12 | 12 | $365.82 |
4 more codes
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 officialGARCIA, JANET (CFO)
| Provider | Location | Paid |
|---|---|---|
| Metroplex Adventist Hospital INC | Killeen, TX | $10.08M |
| Eduardo Ramos MD PLLC | Las Vegas, NV | $77K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.