Hospital
Madison ST Joseph Health Center
Madison ST Joseph Health Center was paid $1.08M by Medicaid between Nov 2020 and Oct 2024, across 19 billing codes. Its largest line is 99283, emergency room visit (moderate) — 73% of everything it billed.
33Billing provider infoMADISON ST JOSEPH HEALTH CENTER
MADISONVILLE, TX 77864
MADISONVILLE, TX 77864
33aNPI1780731737assigned 01/04/2007
33bProvider typeCritical Access Hospital
28Total paid$1.08M
24GClaims6,171
24DCodes billed19
24AFirst – last monthNov 2020 – Oct 2024
Compared with peers
Next to other Critical Access Hospital providers in Texas
Rank by total paid#13 of 47
Median peer was paid$170K
This provider vs. median6.3×
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 | 114 | $25K | |
| 2021 | 1,589 | $291K | |
| 2022 | 2,695 | $421K | |
| 2023 | 1,421 | $254K | |
| 2024incomplete | 352 | $90K |
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 | 73% | 3,565 | 3,413 | $791K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 18% | 326 | 305 | $194K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 4.0% | 54 | 51 | $43K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 500 | 241 | $15K |
| 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 | 1.0% | 174 | 171 | $11K |
| 71045 | Radiologic examination, chest; single view | <1% | 57 | 55 | $5K |
| 80053 | Comprehensive metabolic panel | <1% | 486 | 419 | $5K |
| 87430 | <1% | 88 | 85 | $4K | |
| 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 | <1% | 160 | 157 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 528 | 470 | $2K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 14 | 13 | $2K |
| 87807 | <1% | 37 | 37 | $1K |
7 more codes
| 87081 | <1% | 45 | $901.53 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 27 | $483.50 |
| 81025 | <1% | 14 | $381.93 | |
| 94760 | <1% | 28 | $281.97 | |
| 83690 | <1% | 13 | $273.64 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 14 | $229.21 |
| 84484 | <1% | 41 | $211.82 |
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 officialDIAZ, RICARDO (CHIEF OPERATING OFFICER)
| Provider | Location | Paid |
|---|---|---|
| ST Joseph Regional Health Center | Navasota, TX | $1.31M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.