Wilson County Memorial Hospital District
Wilson County Memorial Hospital District was paid $1.29M by Medicaid between May 2018 and Dec 2024, across 73 billing codes. Its largest line is 99282, Emergency department visit for the evaluation and management, low to moderate severity — 20% of everything it billed.
FLORESVILLE, TX 78114
Next to other Surgery Physician 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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 66 | $8.31 | |
| 2019 | 128 | $111.65 | |
| 2020 | 1,037 | $16K | |
| 2021 | 11,129 | $312K | |
| 2022 | 12,326 | $391K | |
| 2023 | 13,088 | $403K | |
| 2024incomplete | 5,793 | $165K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 20% | 3,176 | 3,101 | $258K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 20% | 3,147 | 3,073 | $254K |
| 87428 | 15% | 1,507 | 1,470 | $189K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.2% | 1,220 | 1,205 | $93K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 6.8% | 579 | 548 | $87K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.8% | 840 | 828 | $62K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.7% | 6,437 | 2,592 | $61K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 2,001 | 1,852 | $59K |
| 87430 | 3.8% | 910 | 879 | $49K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.7% | 431 | 430 | $35K |
| 80053 | Comprehensive metabolic panel | 1.7% | 1,629 | 1,480 | $22K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.7% | 275 | 268 | $22K |
61 more codes
| 90461 | <1% | 6,730 | $12K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 90 | $11K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 168 | $11K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 1,180 | $10K |
| 87420 | <1% | 114 | $7K | |
| 99285 | Emergency room visit (most serious) | <1% | 54 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 51 | $5K |
| 81001 | <1% | 459 | $4K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 299 | $3K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 425 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 852 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 173 | $2K |
| 99243 | <1% | 29 | $2K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 16 | $2K |
| 87400 | <1% | 48 | $2K | |
| 71045 | Radiologic examination, chest; single view | <1% | 62 | $2K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 172 | $2K |
| 92551 | <1% | 1,056 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 202 | $1K |
| 85027 | <1% | 621 | $1K | |
| 99381 | <1% | 13 | $1K | |
| 87070 | <1% | 12 | $812.65 | |
| 86703 | <1% | 12 | $727.08 | |
| 87301 | <1% | 18 | $689.22 | |
| 85007 | <1% | 643 | $651.61 | |
| 87088 | <1% | 145 | $364.63 | |
| 51798 | <1% | 87 | $348.38 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 68 | $313.33 |
| 86592 | <1% | 12 | $297.20 | |
| 80061 | Lipid panel | <1% | 140 | $294.22 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 82 | $225.14 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 133 | $210.78 |
| 93000 | <1% | 25 | $164.10 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 46 | $42.07 |
| 96160 | <1% | 29 | $29.32 | |
| 82948 | <1% | 32 | $23.80 | |
| 87186 | <1% | 12 | $9.01 | |
| 87077 | <1% | 12 | $8.42 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,821 | $3.13 |
| 1036F | 0% | 25 | $0.00 | |
| 90688 | 0% | 801 | $0.00 | |
| 90723 | 0% | 54 | $0.00 | |
| 1125F | 0% | 68 | $0.00 | |
| 90697 | 0% | 38 | $0.00 | |
| 96161 | 0% | 19 | $0.00 | |
| 84484 | 0% | 14 | $0.00 | |
| 96127 | 0% | 29 | $0.00 | |
| J2704 | Injection, propofol, 10 mg | 0% | 13 | $0.00 |
| 90656 | 0% | 44 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 99177 | 0% | 1,465 | $0.00 | |
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 12 | $0.00 |
| 90670 | 0% | 662 | $0.00 | |
| 90681 | 0% | 242 | $0.00 | |
| 90648 | 0% | 283 | $0.00 | |
| 99173 | 0% | 112 | $0.00 | |
| 90710 | 0% | 128 | $0.00 | |
| 90633 | 0% | 128 | $0.00 | |
| 90671 | 0% | 86 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 25 | $0.00 |
| 90734 | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Wilson County Memorial Hospital District | Floresville, TX | $1.06M |
| Wilson County Memorial Hospital District | La Vernia, TX | $332K |
| Wilson County Memorial Hospital District | Floresville, TX | $228K |
| Sports & Family Chiropractic Group PC | Brigham City, UT | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.