DEAF SMITH COUNTY HOSPITAL DISTRICT
NPI: 1811987027
· HEREFORD, TX 79045
· 261QR1300X
$8.24M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
12 |
$0.00 |
| 2020 |
3,043 |
$317K |
| 2021 |
17,834 |
$1.91M |
| 2022 |
18,073 |
$2.35M |
| 2023 |
17,335 |
$2.31M |
| 2024 |
10,793 |
$1.35M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
29,606 |
24,963 |
$6.43M |
| 99391 |
|
3,474 |
3,122 |
$757K |
| 99392 |
|
2,474 |
2,434 |
$557K |
| 99393 |
|
1,030 |
987 |
$219K |
| 99394 |
|
884 |
830 |
$150K |
| 99213 |
|
1,366 |
1,226 |
$91K |
| 99214 |
|
543 |
484 |
$13K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
941 |
881 |
$10K |
| 99307 |
|
341 |
285 |
$7K |
| 99211 |
|
49 |
49 |
$872.72 |
| 96372 |
|
308 |
292 |
$86.40 |
| 90471 |
|
4,955 |
4,817 |
$29.49 |
| 90472 |
|
7,889 |
4,119 |
$14.85 |
| 90474 |
|
943 |
913 |
$0.00 |
| 90723 |
|
1,747 |
1,716 |
$0.00 |
| 90686 |
|
532 |
522 |
$0.00 |
| 90647 |
|
870 |
867 |
$0.00 |
| 90698 |
|
231 |
224 |
$0.00 |
| 90680 |
|
876 |
851 |
$0.00 |
| 90677 |
|
613 |
608 |
$0.00 |
| 90696 |
|
144 |
136 |
$0.00 |
| G0136 |
Adm of pa/n assess 5-15 m |
12 |
12 |
$0.00 |
| G0439 |
Ppps, subseq visit |
39 |
39 |
$0.00 |
| 90651 |
|
125 |
118 |
$0.00 |
| 90716 |
|
80 |
77 |
$0.00 |
| 90744 |
|
40 |
39 |
$0.00 |
| 90670 |
|
2,052 |
2,009 |
$0.00 |
| 90633 |
|
1,185 |
1,166 |
$0.00 |
| 90648 |
|
1,064 |
1,032 |
$0.00 |
| 90700 |
|
431 |
428 |
$0.00 |
| 90681 |
|
552 |
550 |
$0.00 |
| 90710 |
|
677 |
659 |
$0.00 |
| 90473 |
|
515 |
510 |
$0.00 |
| 90715 |
|
160 |
154 |
$0.00 |
| 90734 |
|
220 |
213 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
41 |
38 |
$0.00 |
| 90707 |
|
68 |
67 |
$0.00 |
| 90649 |
|
13 |
12 |
$0.00 |