Medicaid Provider Spending

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

SOUTH LIMESTONE HOSPITAL DISTRICT

NPI: 1861487779 · GROESBECK, TX 76642 · Skilled Nursing Facility · NPI assigned 09/16/2005

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

Authorized official PRICE, LARRY controls 19+ related entities in our dataset. Read more

$666K
Total Medicaid Paid
26,041
Total Claims
23,277
Beneficiaries
40
Codes Billed
2020-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPRICE, LARRY (ADMINISTRATOR)
NPI Enumeration Date09/16/2005

Related Entities

Other providers sharing the same authorized official: PRICE, LARRY

ProviderCityStateTotal Paid
SOUTH LIMESTONE HOSPITAL DISTRICT GROESBECK TX $1.18M
SOUTH LIMESTONE HOSPITAL DISTRICT GROESBECK TX $876K
SOUTH LIMESTONE HOSPITAL DISTRICT KOSSE TX $112K
SOUTH LIMESTONE HOSPITAL DISTRICT DBA LIMESTONE MEDICAL CENTER/FAMILY GROESBECK TX $8K
SOUTH LIMESTONE HOSPITAL DISTRICT CARTHAGE TX $3K
SOUTH LIMESTONE HOSPITAL DISTRICT WEST TX $2K
SOUTH LIMESTONE HOSPITAL DISTRICT WYLIE TX $913.90
SOUTH LIMESTONE HOSPITAL DISTRICT WACO TX $481.16
SOUTH LIMESTONE HOSPITAL DISTRICT CELINA TX $390.89
SOUTH LIMESTONE HOSPITAL DISTRICT IRVING TX $259.56
SOUTH LIMESTONE HOSPITAL DISTRICT ROUND ROCK TX $137.70
SOUTH LIMESTONE HOSPITAL DISTRICT HUMBLE TX $58.83
SOUTH LIMESTONE HOSPITAL DISTRICT BELTON TX $0.00
SOUTH LIMESTONE HOSPITAL DISTRICT HUTTO TX $0.00
SOUTH LIMESTONE HOSPITAL DISTRICT WACO TX $0.00
SOUTH LIMESTONE HOSPITAL DISTRICT GEORGETOWN TX $0.00
SOUTH LIMESTONE HOSPITAL DISTRICT TYLER TX $0.00
SOUTH LIMESTONE HOSPITAL DISTRICT BELTON TX $0.00
SOUTH LIMESTONE HOSPITAL DISTRICT MCKINNEY TX $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 296 $12K
2021 6,673 $208K
2022 5,859 $121K
2023 7,606 $212K
2024 5,607 $112K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 1,826 1,787 $376K
99284 Emergency department visit for the evaluation and management, high severity 247 242 $104K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 517 498 $74K
99282 Emergency department visit for the evaluation and management, low to moderate severity 291 289 $38K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 876 734 $22K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 580 526 $15K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 122 115 $9K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 123 91 $5K
80053 Comprehensive metabolic panel 2,892 2,613 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,144 2,800 $3K
99001 1,123 1,010 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 28 27 $2K
84443 Thyroid stimulating hormone (TSH) 1,107 1,085 $1K
0011A 96 96 $1K
80061 Lipid panel 1,315 1,312 $992.33
J8499 Prescription drug, oral, non chemotherapeutic, nos 382 236 $977.28
81001 1,096 1,038 $857.84
0012A 76 76 $853.24
99281 Emergency department visit for the evaluation and management, self-limited or minor 14 14 $839.64
86403 61 58 $803.64
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 74 68 $765.70
87086 Culture, bacterial; quantitative colony count, urine 450 431 $740.24
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 348 346 $580.43
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 27 27 $552.08
83036 Hemoglobin; glycosylated (A1C) 1,002 994 $488.26
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 28 26 $394.42
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 19 14 $360.40
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 47 43 $337.32
84439 748 737 $260.20
80164 91 79 $189.60
36415 Collection of venous blood by venipuncture 4,401 3,499 $157.45
83880 30 24 $68.34
83735 125 120 $27.51
A9270 Non-covered item or service 274 255 $16.80
84134 41 40 $12.26
P9603 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled 1,106 824 $0.00
91301 283 256 $0.00
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 971 788 $0.00
T1015 Clinic visit/encounter, all-inclusive 22 21 $0.00
0013A 38 38 $0.00