Clinic
Sid Peterson Memorial Hospital
Sid Peterson Memorial Hospital was paid $2.64M by Medicaid between Jun 2020 and Nov 2024, across 70 billing codes. Its largest line is 99283, emergency room visit (moderate) — 58% of everything it billed.
33Billing provider infoSID PETERSON MEMORIAL HOSPITAL
KERRVILLE, TX 78028
KERRVILLE, TX 78028
33aNPI1790782704assigned 07/05/2005
33bProvider typeClinic/Center
28Total paid$2.64M
24GClaims60,676
24DCodes billed70
24AFirst – last monthJun 2020 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in Texas
Rank by total paid#14 of 176
Median peer was paid$26K
This provider vs. median100×
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 | 1,380 | $69K | |
| 2021 | 14,153 | $664K | |
| 2022 | 18,758 | $878K | |
| 2023 | 16,481 | $643K | |
| 2024incomplete | 9,904 | $384K |
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 | 58% | 8,420 | 8,183 | $1.53M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 15% | 1,458 | 1,360 | $389K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.9% | 3,103 | 2,806 | $130K |
| CP007 | 4.5% | 5,061 | 613 | $118K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 3.2% | 666 | 142 | $83K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 2.9% | 778 | 763 | $77K |
| CP008 | 2.5% | 1,923 | 195 | $65K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 1,043 | 962 | $28K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,398 | 3,975 | $25K |
| 71045 | Radiologic examination, chest; single view | <1% | 753 | 711 | $24K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 714 | 667 | $24K |
| 80053 | Comprehensive metabolic panel | <1% | 3,802 | 3,399 | $24K |
58 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 901 | $21K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 916 | $14K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 406 | $9K |
| 99285 | Emergency room visit (most serious) | <1% | 59 | $7K |
| 81001 | <1% | 2,538 | $7K | |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 12 | $6K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 135 | $6K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 198 | $6K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 273 | $5K |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 991 | $5K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 333 | $4K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 67 | $3K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 865 | $3K |
| 90682 | <1% | 55 | $2K | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 45 | $2K |
| 80061 | Lipid panel | <1% | 933 | $2K |
| 84484 | <1% | 442 | $2K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 40 | $1K |
| 0011A | <1% | 121 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 180 | $1K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 739 | $1K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 734 | $1K |
| 0012A | <1% | 101 | $1K | |
| 87147 | <1% | 129 | $858.35 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 12 | $790.90 |
| 0071A | <1% | 14 | $743.00 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 49 | $723.14 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 659 | $697.18 |
| 87070 | <1% | 70 | $657.30 | |
| 85027 | <1% | 809 | $568.03 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 13 | $507.60 |
| 83735 | <1% | 464 | $483.21 | |
| 87420 | <1% | 27 | $481.10 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 65 | $400.93 |
| 86592 | <1% | 54 | $336.41 | |
| 87186 | <1% | 218 | $307.70 | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 12 | $284.63 |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 88 | $274.26 |
| 82947 | <1% | 357 | $197.30 | |
| 85610 | <1% | 235 | $161.62 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 209 | $121.65 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 178 | $107.95 |
| 83880 | <1% | 28 | $107.56 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 17 | $82.24 |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,382 | $81.39 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 65 | $79.14 |
| 84439 | <1% | 108 | $70.41 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 24 | $64.61 |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 32 | $64.04 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 231 | $59.12 |
| 87088 | <1% | 71 | $56.30 | |
| J2704 | Injection, propofol, 10 mg | <1% | 263 | $51.37 |
| A9270 | Non-covered item or service | <1% | 6,248 | $49.04 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 173 | $45.97 |
| 82607 | <1% | 84 | $41.30 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 46 | $33.76 |
| 83605 | <1% | 13 | $15.85 | |
| 88300 | 0% | 26 | $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 officialMEDOVICH, LISA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Peterson Medical Associates | Kerrville, TX | $600K |
| Sid Peterson Memorial Hospital | Kerrville, TX | $519K |
| Peterson Urgent Care LLC | Kerrville, TX | $35K |
| Sid Peterson Memorial Hospital | Kerrville, TX | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.