Physician
Seminole Hospital District of Gaines County Texas
Seminole Hospital District of Gaines County Texas was paid $4.54M by Medicaid between Jan 2018 and Dec 2024, across 95 billing codes. Its largest line is 99284, emergency room visit (serious) — 27% of everything it billed.
33Billing provider infoSEMINOLE HOSPITAL DISTRICT OF GAINES COUNTY TEXAS
SEMINOLE, TX 79360
SEMINOLE, TX 79360
33aNPI1821025990assigned 06/26/2006
33bProvider typeEmergency Medicine Physician
28Total paid$4.54M
24GClaims135,604
24DCodes billed95
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Texas
Rank by total paid#23 of 344
Median peer was paid$25K
This provider vs. median182×
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 | |
|---|---|---|---|
| 2018 | 4,441 | $113K | |
| 2019 | 4,835 | $126K | |
| 2020 | 8,584 | $169K | |
| 2021 | 22,646 | $593K | |
| 2022 | 33,972 | $1.13M | |
| 2023 | 36,253 | $1.50M | |
| 2024incomplete | 24,873 | $909K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 27% | 5,901 | 4,914 | $1.23M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 16% | 7,059 | 5,355 | $738K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.7% | 9,220 | 5,290 | $440K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 7.9% | 1,097 | 944 | $359K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.4% | 8,342 | 4,085 | $157K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.8% | 4,728 | 4,548 | $127K |
| 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 | 2.0% | 1,267 | 964 | $91K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.0% | 1,408 | 901 | $89K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 1.9% | 1,093 | 743 | $87K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 1.6% | 97 | 90 | $73K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.6% | 10,239 | 9,292 | $71K |
| 80053 | Comprehensive metabolic panel | 1.4% | 4,136 | 3,653 | $63K |
83 more codes
| 59430 | 1.2% | 491 | $57K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.2% | 695 | $57K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 3,181 | $56K |
| 86850 | 1.2% | 3,711 | $53K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 1.1% | 1,464 | $49K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 836 | $44K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 537 | $40K |
| 36415 | Collection of venous blood by venipuncture | <1% | 17,633 | $36K |
| 86900 | <1% | 3,881 | $32K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 2,108 | $25K |
| 76801 | <1% | 354 | $25K | |
| 76830 | Ultrasound, transvaginal | <1% | 464 | $22K |
| 80305 | <1% | 1,743 | $21K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 673 | $20K |
| 59514 | <1% | 25 | $20K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 673 | $20K |
| 86901 | <1% | 3,868 | $19K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 2,827 | $18K |
| 87088 | <1% | 2,853 | $17K | |
| 86756 | <1% | 773 | $17K | |
| 81001 | <1% | 4,878 | $17K | |
| 87150 | <1% | 473 | $16K | |
| 99460 | <1% | 187 | $15K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 266 | $15K |
| 59025 | Fetal non-stress test | <1% | 173 | $15K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 167 | $15K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 473 | $14K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 146 | $13K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 204 | $13K |
| 81003 | <1% | 6,040 | $13K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 214 | $13K |
| 86703 | <1% | 991 | $12K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 250 | $12K |
| 87340 | <1% | 1,214 | $12K | |
| 86762 | <1% | 1,109 | $11K | |
| 81025 | <1% | 1,358 | $11K | |
| 87081 | <1% | 1,343 | $10K | |
| 71045 | Radiologic examination, chest; single view | <1% | 322 | $10K |
| 83655 | <1% | 566 | $10K | |
| 86592 | <1% | 2,089 | $9K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,087 | $9K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 171 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 294 | $8K |
| 80061 | Lipid panel | <1% | 737 | $8K |
| 99001 | <1% | 835 | $7K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 216 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 190 | $6K |
| 84702 | <1% | 407 | $6K | |
| 81514 | <1% | 27 | $5K | |
| 87428 | <1% | 96 | $4K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 493 | $4K |
| 82950 | <1% | 782 | $4K | |
| 87400 | <1% | 261 | $4K | |
| 84439 | <1% | 272 | $4K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 374 | $4K |
| 86701 | <1% | 270 | $3K | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 113 | $3K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 299 | $3K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 117 | $3K |
| 83690 | <1% | 428 | $3K | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 553 | $2K |
| 01961 | <1% | 17 | $2K | |
| 82105 | <1% | 91 | $2K | |
| 85018 | <1% | 432 | $1K | |
| 84484 | <1% | 274 | $1K | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 68 | $1K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 163 | $1K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 28 | $1K |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 68 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 91 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 31 | $1K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 92 | $1K |
| 80050 | General health panel | <1% | 14 | $714.93 |
| 83735 | <1% | 142 | $483.75 | |
| 85027 | <1% | 59 | $317.67 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 39 | $240.82 |
| 94760 | <1% | 24 | $201.92 | |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 12 | $157.64 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 24 | $109.38 |
| 85014 | <1% | 17 | $50.07 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 13 | $49.39 |
| J2550 | Injection, promethazine hcl, up to 50 mg | <1% | 12 | $35.62 |
| 36416 | <1% | 31 | $5.68 |
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 officialGARNER, MAEGEN (COO)
| Provider | Location | Paid |
|---|---|---|
| Seminole Hospital District of Gaines County Texas | Seminole, TX | $9.70M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.