Clinic
Texas Spine and Joint Hospital, LLC
Texas Spine and Joint Hospital, LLC was paid $1.24M by Medicaid between Oct 2020 and Dec 2024, across 16 billing codes. Its largest line is 41899, Unlisted procedure, dentoalveolar structures — 71% of everything it billed.
33Billing provider infoTEXAS SPINE AND JOINT HOSPITAL, LLC
TYLER, TX 75701
TYLER, TX 75701
33aNPI1942292255assigned 08/22/2005
33bProvider typeUrgent Care Clinic/Center
28Total paid$1.24M
24GClaims19,893
24DCodes billed16
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Texas
Rank by total paid#26 of 151
Median peer was paid$125K
This provider vs. median9.9×
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 | |
|---|---|---|---|
| 2020 | 789 | $23K | |
| 2021 | 7,364 | $325K | |
| 2022 | 6,979 | $452K | |
| 2023 | 3,790 | $347K | |
| 2024incomplete | 971 | $89K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 41899 | Unlisted procedure, dentoalveolar structures | 71% | 902 | 887 | $875K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 4,256 | 3,998 | $132K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 10% | 2,772 | 2,628 | $129K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 3.0% | 586 | 562 | $37K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.3% | 741 | 651 | $28K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.1% | 1,131 | 1,076 | $26K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 808 | 753 | $4K |
| 87070 | <1% | 589 | 563 | $2K | |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 6,242 | 5,739 | $316.90 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 31 | 30 | $250.20 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 612 | 598 | $32.66 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 681 | 672 | $23.90 |
4 more codes
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 officialFLEMING, DONITA (AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Texas Regional Medical Center, LLC | Sunnyvale, TX | $2.37M |
| Heritage Park Surgical Hospital LLC | Sherman, TX | $241K |
| Paris Surgery Center, LLC | Paris, TX | $89K |
| MSH Partners, LLC | Dallas, TX | $41K |
| Midland Texas Surgical Center, LLC | Midland, TX | $5K |
| Fort Worth Surgicare Partners, LTD. | Fort Worth, TX | $0.00 |
| Garland Surgicare Partners, LTD. | Garland, TX | $0.00 |
| Metrocrest Surgery Center LP | Carrollton, TX | $0.00 |
| Physicians Surgical Center of FT. Worth LLP | Fort Worth, TX | $0.00 |
| Irving-Coppell Surgical Hospital LLP | Irving, TX | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.