Clinic
Houston Methodist ST. John Hospital
Houston Methodist ST. John Hospital was paid $2.37M by Medicaid between May 2020 and Nov 2024, across 47 billing codes. Its largest line is 99284, emergency room visit (serious) — 32% of everything it billed.
33Billing provider infoHOUSTON METHODIST ST. JOHN HOSPITAL
HOUSTON, TX 77058
HOUSTON, TX 77058
33aNPI1952723967assigned 01/09/2014
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$2.37M
24GClaims20,992
24DCodes billed47
24AFirst – last monthMay 2020 – Nov 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Texas
Rank by total paid#109 of 320
Median peer was paid$205K
This provider vs. median12×
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 | 226 | $17K | |
| 2021 | 4,459 | $270K | |
| 2022 | 7,247 | $890K | |
| 2023 | 6,647 | $928K | |
| 2024incomplete | 2,413 | $265K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 32% | 1,391 | 1,323 | $754K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 14% | 71 | 63 | $341K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 13% | 157 | 152 | $309K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 10% | 1,854 | 1,763 | $243K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 7.7% | 1,536 | 432 | $184K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 7.1% | 1,112 | 1,072 | $168K |
| 88304 | 2.5% | 547 | 290 | $60K | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 2.0% | 761 | 739 | $48K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 1.6% | 227 | 72 | $37K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.2% | 1,707 | 1,661 | $28K |
| J0134 | Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg | <1% | 181 | 167 | $24K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 135 | 55 | $19K |
35 more codes
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 234 | $19K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 507 | $19K |
| 99285 | Emergency room visit (most serious) | <1% | 97 | $14K |
| 80053 | Comprehensive metabolic panel | <1% | 1,881 | $12K |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | <1% | 93 | $12K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 643 | $11K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 84 | $11K |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | <1% | 735 | $11K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,409 | $9K |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 525 | $8K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 349 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 360 | $4K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 48 | $4K |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 454 | $3K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 13 | $3K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 104 | $2K |
| 84703 | <1% | 405 | $2K | |
| 81001 | <1% | 615 | $984.87 | |
| 84484 | <1% | 199 | $781.49 | |
| 87400 | <1% | 73 | $734.23 | |
| 81003 | <1% | 169 | $467.29 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 109 | $464.95 |
| 83880 | <1% | 51 | $397.08 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 59 | $374.65 |
| 71045 | Radiologic examination, chest; single view | <1% | 13 | $198.09 |
| 85610 | <1% | 137 | $157.05 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 72 | $152.73 |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 177 | $142.63 |
| J2704 | Injection, propofol, 10 mg | <1% | 269 | $132.98 |
| 83735 | <1% | 51 | $94.60 | |
| 87088 | <1% | 15 | $51.42 | |
| 85730 | <1% | 13 | $12.72 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 321 | $0.00 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 0% | 13 | $0.00 |
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 16 | $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 officialLITTLE, CARL (CEO)