Clinic
Stone County Hospital, INC.
Stone County Hospital, INC. was paid $388K by Medicaid between Jan 2018 and Sep 2019, across 18 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 23% of everything it billed.
33Billing provider infoSTONE COUNTY HOSPITAL, INC.
WIGGINS, MS 39577
WIGGINS, MS 39577
33aNPI1861650483assigned 05/30/2008
33bProvider typeRural Health Clinic/Center
28Total paid$388K
24GClaims16,079
24DCodes billed18
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Rural Health Clinic/Center providers in Mississippi
Rank by total paid#89 of 152
Median peer was paid$567K
This provider vs. median0.7×
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 | 9,259 | $219K | |
| 2019 | 6,820 | $169K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 23% | 3,366 | 2,065 | $90K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 1,602 | 1,369 | $84K |
| 11721 | 17% | 1,647 | 1,593 | $65K | |
| 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 | 8.5% | 641 | 569 | $33K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 8.2% | 2,222 | 857 | $32K |
| 11720 | 7.5% | 695 | 668 | $29K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 6.0% | 2,800 | 2,705 | $23K |
| 99306 | Prolong nursin fac eval 15m | 4.8% | 353 | 327 | $19K |
| 11719 | 1.4% | 149 | 148 | $5K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 168 | 122 | $3K |
| 99304 | <1% | 88 | 82 | $1K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 29 | 26 | $957.60 |
6 more codes
| 99318 | <1% | 26 | $813.09 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 15 | $343.80 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 30 | $298.98 |
| 90785 | 0% | 2,224 | $0.00 | |
| 90686 | 0% | 12 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 12 | $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 officialODOM, DARLENE (BUSINESS OFFICE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Stone County Hospital, INC | Wiggins, MS | $252K |
| Stone County Hospital, INC | Wiggins, MS | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.