Hospital
Falls Community Hospital and Clinic
Falls Community Hospital and Clinic was paid $1.48M by Medicaid between Oct 2020 and Oct 2024, across 30 billing codes. Its largest line is 99284, emergency room visit (serious) — 42% of everything it billed.
33Billing provider infoFALLS COMMUNITY HOSPITAL AND CLINIC
MARLIN, TX 76660
MARLIN, TX 76660
33aNPI1841294246assigned 06/13/2005
33bProvider typeGeneral Acute Care Hospital
28Total paid$1.48M
24GClaims15,377
24DCodes billed30
24AFirst – last monthOct 2020 – Oct 2024
Compared with peers
Next to other General Acute Care Hospital providers in Texas
Rank by total paid#54 of 109
Median peer was paid$1.15M
This provider vs. median1.3×
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 | 607 | $39K | |
| 2021 | 5,291 | $333K | |
| 2022 | 6,387 | $533K | |
| 2023 | 2,254 | $404K | |
| 2024incomplete | 838 | $174K |
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 | 42% | 1,223 | 1,151 | $621K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 36% | 2,974 | 2,781 | $540K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 4.2% | 355 | 340 | $63K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 1,058 | 924 | $60K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.9% | 729 | 656 | $43K |
| 80050 | General health panel | 1.9% | 133 | 129 | $28K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 966 | 472 | $22K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.4% | 823 | 767 | $21K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 639 | 616 | $14K |
| 80053 | Comprehensive metabolic panel | <1% | 1,502 | 1,390 | $13K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 108 | 91 | $13K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,523 | 1,419 | $9K |
18 more codes
| 80061 | Lipid panel | <1% | 681 | $7K |
| 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% | 39 | $6K |
| 99001 | <1% | 406 | $6K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 324 | $5K |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 81 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 53 | $3K |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 479 | $2K |
| 81000 | <1% | 314 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 126 | $742.56 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 41 | $463.06 |
| 87807 | <1% | 13 | $237.43 | |
| 81025 | <1% | 12 | $124.46 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 33 | $93.17 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 12 | $78.49 |
| 36415 | Collection of venous blood by venipuncture | <1% | 617 | $46.96 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 12 | $27.36 |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 0% | 15 | $0.00 |
| 91300 | 0% | 86 | $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 officialFORD, JESSICA (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Falls Community Hospital and Clinic | Marlin, TX | $857K |
| Falls Community Hospital and Clinic | Rosebud, TX | $195K |
| Falls Community Hospital and Clinic | Bremond, TX | $188K |
| Falls Community Hospital and Clinic | Mart, TX | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.