Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HOUSTON COUNTY COMMUNITY HOSPITAL

NPI: 1851642540 · ERIN, TN 37061 · General Acute Care Hospital · NPI assigned 09/21/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HENSON, LARRY controls 15+ related entities in our dataset. Read more

$94K
Total Medicaid Paid
3,533
Total Claims
2,580
Beneficiaries
13
Codes Billed
2018-01
First Month
2023-05
Last Month

Provider Details

Authorized OfficialHENSON, LARRY (RCD)
NPI Enumeration Date09/21/2012

Related Entities

Other providers sharing the same authorized official: HENSON, LARRY

ProviderCityStateTotal 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
SHAMROCK COMMUNITY HOSPITAL INC ERIN TN $315K
DECATUR COUNTY GENERAL HOSPITAL PARSONS TN $216K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,634 $20K
2019 18 $34.39
2022 1,287 $63K
2023 594 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 1,212 902 $67K
99283 Emergency department visit for the evaluation and management, moderate severity 460 349 $14K
99282 Emergency department visit for the evaluation and management, low to moderate severity 414 313 $5K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 150 106 $4K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 36 28 $1K
80306 159 114 $547.24
71046 Radiologic examination, chest; 2 views 112 99 $512.16
85025 Blood count; complete (CBC), automated, and automated differential WBC count 207 151 $211.96
80053 Comprehensive metabolic panel 176 114 $193.34
36415 Collection of venous blood by venipuncture 500 327 $182.70
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 52 39 $167.10
87430 17 14 $139.79
81001 38 24 $6.66