Hospital
Houston County Community Hospital
Houston County Community Hospital was paid $416K by Medicaid between Sep 2018 and May 2023, across 27 billing codes. Its largest line is 99284, emergency room visit (serious) — 43% of everything it billed.
33Billing provider infoHOUSTON COUNTY COMMUNITY HOSPITAL
ERIN, TN 37061
ERIN, TN 37061
33aNPI1962981878assigned 08/10/2018
33bProvider typeCritical Access Hospital
28Total paid$416K
24GClaims18,195
24DCodes billed27
24AFirst – last monthSep 2018 – May 2023
Compared with peers
Next to other Critical Access Hospital providers in Tennessee
Rank by total paid#11 of 15
Median peer was paid$1.48M
This provider vs. median0.3×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official HENSON, LARRY controls 15+ related entities in our dataset. Read more
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 | 822 | $11K | |
| 2019 | 2,877 | $46K | |
| 2020 | 1,578 | $36K | |
| 2021 | 4,486 | $143K | |
| 2022 | 6,758 | $144K | |
| 2023 | 1,674 | $36K |
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 | 43% | 2,304 | 1,963 | $178K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 20% | 1,061 | 820 | $83K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 17% | 1,013 | 964 | $69K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 12% | 1,938 | 1,748 | $50K |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed | 3.1% | 548 | 339 | $13K |
| 80306 | 1.3% | 649 | 386 | $5K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.1% | 2,087 | 1,713 | $4K |
| 80053 | Comprehensive metabolic panel | <1% | 1,662 | 1,430 | $3K |
| 87276 | <1% | 537 | 519 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,010 | 2,302 | $2K |
| 87275 | <1% | 537 | 519 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 407 | 382 | $1K |
15 more codes
| 87430 | <1% | 300 | $924.54 | |
| 71045 | Radiologic examination, chest; single view | <1% | 419 | $870.39 |
| 86710 | <1% | 111 | $596.00 | |
| 83735 | <1% | 216 | $549.36 | |
| 84484 | <1% | 70 | $434.50 | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 61 | $339.68 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 220 | $305.86 |
| 81001 | <1% | 792 | $295.07 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 41 | $82.26 |
| 87420 | <1% | 20 | $24.30 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 31 | $13.80 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 99 | $6.00 |
| 36000 | 0% | 14 | $0.00 | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 0% | 16 | $0.00 |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed | 0% | 32 | $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 officialHENSON, LARRY (RCD)
| Provider | Location | Paid |
|---|---|---|
| Lexington Hospital Corporation | Lexington, TN | $4.74M |
| Lexington Hospital Corporation | Lexington, TN | $2.24M |
| Ambulance Services of Lexington, INC. | Lexington, TN | $2.02M |
| Roland Public Schools | Roland, OK | $574K |
| Haywood County Community Hospital INC | Brownsville, TN | $491K |
| Lexington Hospital Corporation | Lexington, TN | $379K |
| Shamrock Community Hospital INC | Erin, TN | $315K |
| Decatur County General Hospital | Parsons, TN | $216K |
| Houston County Community Hospital | Erin, TN | $94K |
| Lexington Clinic Corp | Lexington, TN | $74K |
| Scotts Hill Clinic, INC. | Lexington, TN | $73K |
| Lexington Hospital Corporation | Brownsville, TN | $13K |
| Lexington Family Physicians LLC | Lexington, TN | $11K |
| Lexington Hospital Corporation | Lexington, TN | $953.55 |
| Shamrock Community Hospital INC | Erin, TN | $586.76 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.