South Limestone Hospital District
South Limestone Hospital District was paid $666K by Medicaid between Aug 2020 and Nov 2024, across 40 billing codes. Its largest line is 99283, emergency room visit (moderate) — 56% of everything it billed.
GROESBECK, TX 76642
Next to other Skilled Nursing Facility providers in Texas
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 296 | $12K | |
| 2021 | 6,673 | $208K | |
| 2022 | 5,859 | $121K | |
| 2023 | 7,606 | $212K | |
| 2024incomplete | 5,607 | $112K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 56% | 1,826 | 1,787 | $376K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 16% | 247 | 242 | $104K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 11% | 517 | 498 | $74K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 5.7% | 291 | 289 | $38K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 876 | 734 | $22K |
| 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 | 2.3% | 580 | 526 | $15K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 1.3% | 122 | 115 | $9K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 123 | 91 | $5K |
| 80053 | Comprehensive metabolic panel | <1% | 2,892 | 2,613 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,144 | 2,800 | $3K |
| 99001 | <1% | 1,123 | 1,010 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 28 | 27 | $2K |
28 more codes
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,107 | $1K |
| 0011A | <1% | 96 | $1K | |
| 80061 | Lipid panel | <1% | 1,315 | $992.33 |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 382 | $977.28 |
| 81001 | <1% | 1,096 | $857.84 | |
| 0012A | <1% | 76 | $853.24 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 14 | $839.64 |
| 86403 | <1% | 61 | $803.64 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 74 | $765.70 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 450 | $740.24 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 348 | $580.43 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 27 | $552.08 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,002 | $488.26 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | $394.42 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 19 | $360.40 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 47 | $337.32 |
| 84439 | <1% | 748 | $260.20 | |
| 80164 | <1% | 91 | $189.60 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,401 | $157.45 |
| 83880 | <1% | 30 | $68.34 | |
| 83735 | <1% | 125 | $27.51 | |
| A9270 | Non-covered item or service | <1% | 274 | $16.80 |
| 84134 | <1% | 41 | $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 | 0% | 1,106 | $0.00 |
| 91301 | 0% | 283 | $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 | 0% | 971 | $0.00 |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 22 | $0.00 |
| 0013A | 0% | 38 | $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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.