Physician
Gainesville Community Hospital, INC.
Gainesville Community Hospital, INC. was paid $5K by Medicaid between Nov 2021 and Aug 2023, across 3 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 57% of everything it billed.
33Billing provider infoGAINESVILLE COMMUNITY HOSPITAL, INC.
GAINESVILLE, TX 76240
GAINESVILLE, TX 76240
33aNPI1942778816assigned 11/08/2018
33bProvider typeInternal Medicine Physician
28Total paid$5K
24GClaims161
24DCodes billed3
24AFirst – last monthNov 2021 – Aug 2023
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#598 of 1,028
Median peer was paid$10K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2021 | 15 | $148.22 | |
| 2022 | 118 | $4K | |
| 2023 | 28 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 57% | 71 | 66 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 75 | 67 | $2K |
| 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 | 2.7% | 15 | 12 | $148.22 |
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 officialSLEDGE, THOMAS (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Gainesville Community Hospital, INC. | Gainesville, TX | $6.53M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.