Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MCALLEN HOSPITALS L P

NPI: 1770573586 · EDINBURG, TX 78539 · Ambulatory Surgical Clinic/Center · NPI assigned 10/24/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FILTON, STEVE controls 20+ related entities in our dataset. Read more

$124.61M
Total Medicaid Paid
1,281,299
Total Claims
1,155,696
Beneficiaries
212
Codes Billed
2019-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFILTON, STEVE (CFO, SENIOR VP)
NPI Enumeration Date10/24/2005

Related Entities

Other providers sharing the same authorized official: FILTON, STEVE

ProviderCityStateTotal Paid
DISTRICT HOSPITAL PARTNERS L P WASHINGTON DC $136.25M
LANCASTER HOSPITAL CORPORATION PALMDALE CA $108.63M
UNIVERSAL HEALTH SERVICES OF RANCHO SPRINGS INC MURRIETA CA $61.95M
DOCTORS HOSPITAL OF LAREDO LAREDO TX $52.31M
VALLEY HOSPITAL MEDICAL CENTER LAS VEGAS NV $47.03M
NORTHWEST TEXAS HEALTHCARE SYSTEM INC AMARILLO TX $44.81M
UHS OF BOWLING GREEN LLC BOWLING GREEN KY $41.21M
UHS-CORONA INC CORONA CA $35.18M
SPRING VALLEY MEDICAL CENTER LAS VEGAS NV $33.58M
AIKEN REGIONAL MEDICAL CENTERS LLC AIKEN SC $31.51M
SUMMERLIN HOSPITAL MEDICAL CENTER L L C LAS VEGAS NV $30.26M
MANATEE MEMORIAL HOSPITAL L P BRADENTON FL $22.33M
DESERT SPRINGS HOSPITAL LAS VEGAS NV $22.29M
FORT DUNCAN MEDICAL CENTER LP EAGLE PASS TX $15.80M
PSI PRIDE INSTITUTE INC EDEN PRAIRIE MN $15.57M
UHS OF FULLER INC S ATTLEBORO MA $13.47M
UHS OF TEXOMA, INC DENISON TX $12.51M
ARBOUR INC BOSTON MA $12.36M
WELLINGTON REGIONAL MEDICAL CENTER LLC WELLINGTON FL $10.75M
FRIENDS BEHAVIORAL HEALTH SYSTEM, LP PHILADELPHIA PA $9.55M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 7,743 $277K
2020 43,402 $4.04M
2021 259,488 $20.77M
2022 404,994 $38.79M
2023 381,224 $38.90M
2024 184,448 $21.84M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 105,161 101,948 $62.93M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 39,976 37,696 $26.26M
99283 Emergency department visit for the evaluation and management, moderate severity 113,773 111,842 $9.10M
G0378 Hospital observation service, per hour 3,945 3,578 $3.23M
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 44,136 43,332 $2.06M
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 84,312 42,046 $1.89M
74177 Computed tomography, abdomen and pelvis; with contrast material 3,792 3,603 $1.37M
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 61,380 60,093 $1.34M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 17,907 16,103 $1.27M
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 20,866 20,564 $1.15M
96361 Intravenous infusion, hydration; each additional hour 2,485 1,989 $1.08M
71045 Radiologic examination, chest; single view 26,317 25,007 $827K
80053 Comprehensive metabolic panel 61,378 57,083 $744K
80050 General health panel 1,926 1,893 $713K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 80,706 74,238 $701K
99282 Emergency department visit for the evaluation and management, low to moderate severity 10,591 10,477 $699K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 8,904 8,293 $631K
70450 Computed tomography, head or brain; without contrast material 5,162 4,927 $612K
87430 26,055 25,628 $603K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,456 2,363 $452K
87507 749 728 $409K
J1885 Injection, ketorolac tromethamine, per 15 mg 12,224 11,220 $340K
87070 26,676 26,062 $309K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,033 1,940 $260K
71046 Radiologic examination, chest; 2 views 4,946 4,816 $258K
99281 Emergency department visit for the evaluation and management, self-limited or minor 4,696 4,642 $253K
81025 22,353 21,403 $249K
74018 5,251 5,123 $245K
76801 2,054 1,858 $240K
81001 61,582 58,774 $236K
J0696 Injection, ceftriaxone sodium, per 250 mg 4,173 3,388 $216K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,888 3,729 $212K
83690 20,336 19,241 $161K
72125 Computed tomography, cervical spine; without contrast material 1,564 1,513 $146K
84484 17,695 11,056 $144K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,141 503 $138K
87086 Culture, bacterial; quantitative colony count, urine 14,441 13,759 $137K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 406 379 $134K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 818 769 $109K
87420 5,077 5,010 $103K
87040 9,211 7,212 $103K
80048 Basic metabolic panel (calcium, ionized) 11,751 10,527 $101K
83880 5,119 4,689 $100K
70551 Magnetic resonance imaging, brain; without contrast material 242 240 $82K
J2405 Injection, ondansetron hydrochloride, per 1 mg 18,030 16,590 $75K
84702 4,579 4,196 $72K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 456 425 $61K
76775 559 558 $59K
86850 1,556 1,422 $58K
S0164 Injection, pantoprazole sodium, 40 mg 728 642 $56K
12001 180 175 $55K
J0360 Injection, hydralazine hcl, up to 20 mg 1,441 1,210 $52K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 859 801 $51K
74022 699 683 $50K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,338 1,318 $49K
71260 Computed tomography, thorax, diagnostic; with contrast material 344 337 $49K
80061 Lipid panel 3,870 3,799 $48K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,363 241 $47K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 6,202 5,873 $46K
73610 874 830 $42K
74019 720 697 $42K
42820 Tonsillectomy and adenoidectomy; younger than age 12 15 15 $41K
83605 4,100 3,585 $39K
86140 5,972 5,568 $38K
73630 900 857 $38K
73130 809 773 $37K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 990 923 $36K
85730 9,284 8,498 $35K
73564 773 711 $32K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,162 1,112 $31K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,223 947 $28K
G0379 Direct admission of patient for hospital observation care 260 251 $28K
85610 10,092 9,186 $28K
72100 755 724 $27K
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 576 552 $26K
J2270 Injection, morphine sulfate, up to 10 mg 4,023 3,273 $24K
70486 242 229 $24K
83735 5,506 4,864 $24K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 549 516 $23K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 588 518 $23K
82550 4,295 3,880 $23K
59025 Fetal non-stress test 171 142 $22K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 165 152 $21K
90715 619 596 $21K
73030 677 644 $20K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 37 37 $19K
81003 7,354 7,062 $19K
84443 Thyroid stimulating hormone (TSH) 2,601 2,518 $19K
0202U Oncology (prostate), multianalyte, gene expression profiling 14,907 14,476 $19K
82607 907 897 $18K
73110 364 345 $18K
82746 902 897 $18K
87186 2,997 2,558 $18K
76770 91 91 $17K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,360 4,885 $17K
87077 3,082 2,603 $17K
71275 Computed tomographic angiography, chest, with contrast material 100 97 $16K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 569 379 $16K
36415 Collection of venous blood by venipuncture 99,301 85,763 $16K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 26 25 $16K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 252 157 $15K
J0690 Injection, cefazolin sodium, 500 mg 1,081 829 $15K
88305 Level IV - Surgical pathology, gross and microscopic examination 260 227 $14K
96375 Therapeutic injection; each additional sequential IV push 3,745 3,264 $14K
77067 Screening mammography, bilateral, including computer-aided detection 219 219 $13K
85027 2,316 1,989 $13K
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,578 1,442 $13K
83520 523 496 $13K
73090 398 365 $13K
83036 Hemoglobin; glycosylated (A1C) 1,753 1,723 $13K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 24,698 24,232 $12K
87581 406 379 $12K
87486 406 379 $12K
J1644 Injection, heparin sodium, per 1000 units 1,245 616 $10K
80076 1,049 1,019 $10K
J2250 Injection, midazolam hydrochloride, per 1 mg 987 896 $10K
82803 430 327 $8K
85379 997 945 $8K
72040 166 158 $7K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 26 26 $7K
J2765 Injection, metoclopramide hcl, up to 10 mg 952 882 $6K
72170 365 350 $6K
93971 78 77 $6K
86900 2,733 2,499 $6K
86901 2,732 2,499 $6K
82150 958 914 $6K
73590 181 173 $6K
90714 231 217 $6K
73080 152 149 $6K
82140 594 499 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,284 1,107 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 215 192 $4K
12011 14 14 $4K
82784 260 76 $3K
J2060 Injection, lorazepam, 2 mg 288 258 $3K
J3010 Injection, fentanyl citrate, 0.1 mg 1,146 1,029 $3K
86738 197 92 $3K
86317 154 93 $3K
86003 81 25 $3K
84146 120 120 $3K
74230 12 12 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,166 4,871 $3K
J1650 Injection, enoxaparin sodium, 10 mg 47 25 $3K
76641 26 25 $3K
87184 323 297 $3K
71250 52 51 $3K
87205 841 722 $2K
36600 75 64 $2K
84436 424 415 $2K
82785 104 88 $2K
87075 327 287 $2K
70260 32 32 $2K
J7510 Prednisolone oral, per 5 mg 827 799 $2K
83883 118 74 $2K
93970 13 13 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 89 81 $2K
84439 252 242 $2K
85652 667 612 $2K
85007 353 335 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 12 12 $2K
83525 80 80 $1K
J1170 Injection, hydromorphone, up to 4 mg 204 162 $1K
73140 30 25 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 13 12 $1K
86141 67 62 $1K
82787 117 74 $1K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 20 14 $1K
J2470 Injection, pantoprazole sodium, 40 mg 60 53 $1K
84100 351 312 $995.20
82570 124 114 $975.69
88304 14 13 $893.94
84480 39 39 $799.35
92611 12 12 $631.95
84145 164 148 $598.18
77063 Screening digital breast tomosynthesis, bilateral 12 12 $590.14
84156 92 90 $570.39
J0131 Injection, acetaminophen, not otherwise specified,10 mg 93 85 $519.28
84132 178 143 $516.06
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 16 12 $504.51
87641 30 26 $502.74
73060 26 25 $488.17
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 2,418 2,200 $459.14
96376 427 316 $442.71
84479 80 80 $428.81
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 114 106 $412.69
90686 66 66 $392.73
82947 68 68 $389.73
J1940 Injection, furosemide, up to 20 mg 121 87 $348.57
82962 7,943 3,572 $345.27
82270 82 79 $239.88
J2919 Injection, methylprednisolone sodium succinate, 5 mg 112 97 $230.59
J2704 Injection, propofol, 10 mg 1,518 1,384 $221.78
J1920 Injection, labetalol hydrochloride, 5 mg 13 13 $196.26
85018 126 99 $176.38
82010 12 12 $123.20
77080 13 13 $70.55
A9270 Non-covered item or service 5,021 3,253 $61.68
82565 41 40 $59.97
J0456 Injection, azithromycin, 500 mg 12 12 $53.40
85014 37 27 $39.03
82043 39 39 $37.20
84520 26 26 $30.74
G0008 Administration of influenza virus vaccine 15 15 $27.21
C9113 Injection, pantoprazole sodium, per vial 244 165 $21.79
84550 14 13 $19.30
C1769 Guide wire 12 12 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 28 28 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 12 12 $0.00
A9585 Injection, gadobutrol, 0.1 ml 26 25 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 50 48 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 13 13 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 28 23 $0.00