Clinic
Texas Health Presbyterian Hospital Plano
Texas Health Presbyterian Hospital Plano was paid $2.32M by Medicaid between Dec 2019 and Nov 2024, across 62 billing codes. Its largest line is 99284, emergency room visit (serious) — 29% of everything it billed.
33Billing provider infoTEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO
PLANO, TX 75093
PLANO, TX 75093
33aNPI1770514077assigned 07/05/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$2.32M
24GClaims56,765
24DCodes billed62
24AFirst – last monthDec 2019 – Nov 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Texas
Rank by total paid#111 of 320
Median peer was paid$205K
This provider vs. median11×
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.
Entity ProliferationAuthorized official MINCHER, JEFF controls 13+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 35 | $88.69 | |
| 2020 | 748 | $40K | |
| 2021 | 13,312 | $473K | |
| 2022 | 18,983 | $812K | |
| 2023 | 15,057 | $703K | |
| 2024incomplete | 8,630 | $288K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 29% | 4,260 | 3,851 | $679K |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 26% | 1,602 | 328 | $598K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 11% | 1,213 | 1,125 | $249K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 8.9% | 4,321 | 4,054 | $205K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 3.6% | 587 | 547 | $83K |
| 80053 | Comprehensive metabolic panel | 3.5% | 6,430 | 5,535 | $82K |
| 87631 | 3.3% | 948 | 898 | $77K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.9% | 6,957 | 5,754 | $44K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.9% | 122 | 28 | $44K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 1.9% | 1,768 | 1,590 | $43K |
| 70450 | Computed tomography, head or brain; without contrast material | 1.4% | 678 | 636 | $33K |
| 71045 | Radiologic examination, chest; single view | 1.1% | 1,506 | 1,394 | $26K |
50 more codes
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.1% | 2,056 | $25K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 191 | $9K |
| 84703 | <1% | 1,597 | $9K | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 2,538 | $9K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 864 | $8K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 1,509 | $8K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 135 | $7K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 1,193 | $7K |
| 84484 | <1% | 1,492 | $7K | |
| 81001 | <1% | 2,704 | $6K | |
| 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% | 163 | $6K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 127 | $5K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 250 | $5K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 593 | $4K |
| 93976 | <1% | 78 | $4K | |
| 83690 | <1% | 1,415 | $4K | |
| 76801 | <1% | 45 | $3K | |
| 83880 | <1% | 210 | $3K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 67 | $3K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 80 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 129 | $2K |
| 84702 | <1% | 152 | $2K | |
| 87634 | <1% | 27 | $2K | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 1,653 | $1K |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 927 | $1K |
| 85610 | <1% | 742 | $1K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 17 | $1K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 30 | $898.84 |
| 96376 | <1% | 120 | $738.38 | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 27 | $704.38 |
| 85730 | <1% | 350 | $695.38 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 768 | $635.11 |
| 85379 | <1% | 111 | $538.44 | |
| 83735 | <1% | 246 | $532.77 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 15 | $511.84 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 151 | $507.59 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 179 | $476.17 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 91 | $428.76 |
| 83605 | <1% | 46 | $353.93 | |
| 86901 | <1% | 132 | $221.95 | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 16 | $146.27 |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 108 | $142.35 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 115 | $134.88 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 15 | $127.29 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,790 | $83.80 |
| J2272 | Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg | <1% | 43 | $77.66 |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 12 | $65.32 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 43 | $22.53 |
| A9270 | Non-covered item or service | 0% | 978 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 0% | 33 | $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 officialMINCHER, JEFF (SENIOR VP REVENUE CYCLE)
| Provider | Location | Paid |
|---|---|---|
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | $13.83M |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $8.23M |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $5.33M |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $5.20M |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $4.09M |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $3.84M |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | $3.69M |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $3.57M |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $2.31M |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $2.14M |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | $986K |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $965K |
| Texas Health Hospital Frisco | Frisco, TX | $473K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.