Hospital
Shamrock Community Hospital INC
Shamrock Community Hospital INC was paid $315K by Medicaid between Mar 2023 and Dec 2024, across 36 billing codes. Its largest line is 99283, emergency room visit (moderate) — 30% of everything it billed.
33Billing provider infoSHAMROCK COMMUNITY HOSPITAL INC
ERIN, TN 37061
ERIN, TN 37061
33aNPI1811566540assigned 06/17/2021
33bProvider typeCritical Access Hospital
28Total paid$315K
24GClaims13,704
24DCodes billed36
24AFirst – last monthMar 2023 – Dec 2024
Compared with peers
Next to other Critical Access Hospital providers in Tennessee
Rank by total paid#12 of 15
Median peer was paid$1.48M
This provider vs. median0.2×
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 HENSON, LARRY controls 15+ 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 | |
|---|---|---|---|
| 2023 | 6,508 | $115K | |
| 2024incomplete | 7,196 | $200K |
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 | 30% | 1,561 | 1,199 | $93K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 26% | 929 | 635 | $81K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 17% | 683 | 515 | $53K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 9.7% | 959 | 758 | $31K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 3.6% | 273 | 208 | $11K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.6% | 1,274 | 821 | $5K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1.6% | 206 | 161 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.4% | 446 | 337 | $5K |
| 80053 | Comprehensive metabolic panel | 1.4% | 1,233 | 803 | $5K |
| 87276 | 1.3% | 897 | 714 | $4K | |
| 84484 | 1.1% | 427 | 280 | $4K | |
| 87275 | <1% | 900 | 715 | $3K |
24 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% | 378 | $3K |
| 87430 | <1% | 609 | $2K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 70 | $2K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 76 | $1K |
| 71045 | Radiologic examination, chest; single view | <1% | 398 | $1K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 85 | $1K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 33 | $1K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 444 | $1K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 61 | $1K |
| 83735 | <1% | 137 | $511.23 | |
| 81001 | <1% | 455 | $369.50 | |
| 87280 | <1% | 53 | $237.65 | |
| 81015 | <1% | 100 | $218.93 | |
| 80306 | <1% | 34 | $165.36 | |
| 81025 | <1% | 59 | $148.46 | |
| 83690 | <1% | 37 | $138.00 | |
| 81003 | <1% | 211 | $122.39 | |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 18 | $74.51 |
| 36415 | Collection of venous blood by venipuncture | <1% | 24 | $62.10 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 22 | $7.05 |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 222 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 339 | $0.00 |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 0% | 19 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 32 | $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 officialHENSON, LARRY (RCD)
| Provider | Location | Paid |
|---|---|---|
| Lexington Hospital Corporation | Lexington, TN | $4.74M |
| Lexington Hospital Corporation | Lexington, TN | $2.24M |
| Ambulance Services of Lexington, INC. | Lexington, TN | $2.02M |
| Roland Public Schools | Roland, OK | $574K |
| Haywood County Community Hospital INC | Brownsville, TN | $491K |
| Houston County Community Hospital | Erin, TN | $416K |
| Lexington Hospital Corporation | Lexington, TN | $379K |
| Decatur County General Hospital | Parsons, TN | $216K |
| Houston County Community Hospital | Erin, TN | $94K |
| Lexington Clinic Corp | Lexington, TN | $74K |
| Scotts Hill Clinic, INC. | Lexington, TN | $73K |
| Lexington Hospital Corporation | Brownsville, TN | $13K |
| Lexington Family Physicians LLC | Lexington, TN | $11K |
| Lexington Hospital Corporation | Lexington, TN | $953.55 |
| Shamrock Community Hospital INC | Erin, TN | $586.76 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.