Clinic
Grayson County Health Clinic
Grayson County Health Clinic was paid $546K by Medicaid between Feb 2018 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.
33Billing provider infoGRAYSON COUNTY HEALTH CLINIC
SHERMAN, TX 75090
SHERMAN, TX 75090
33aNPI1891122198assigned 10/01/2013
33bProvider typePrimary Care Clinic/Center
28Total paid$546K
24GClaims20,216
24DCodes billed19
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Texas
Rank by total paid#29 of 180
Median peer was paid$25K
This provider vs. median22×
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 | 56 | $978.54 | |
| 2019 | 198 | $2K | |
| 2020 | 1,573 | $31K | |
| 2021 | 6,540 | $169K | |
| 2022 | 6,168 | $184K | |
| 2023 | 4,263 | $114K | |
| 2024incomplete | 1,418 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 69% | 10,776 | 9,907 | $378K |
| 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 | 23% | 2,636 | 2,442 | $126K |
| 99000 | 3.5% | 2,514 | 2,374 | $19K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 135 | 130 | $8K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 713 | 323 | $5K |
| 90674 | <1% | 126 | 122 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 40 | 28 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 57 | 52 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 14 | 13 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 107 | 105 | $960.89 |
| 99443 | <1% | 27 | 27 | $895.08 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 57 | 29 | $633.02 |
7 more codes
| 90461 | <1% | 16 | $82.55 | |
| 81003 | <1% | 12 | $18.90 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,822 | $7.50 |
| 99072 | 0% | 15 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 120 | $0.00 |
| 90686 | 0% | 14 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 15 | $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 officialHERNANDEZ, SONYA (EXECUTIVE DIRECTOR)