Hospital
Gainesville Community Hospital, INC.
Gainesville Community Hospital, INC. was paid $1.75M by Medicaid between Sep 2020 and Nov 2024, across 46 billing codes. Its largest line is 99284, emergency room visit (serious) — 44% of everything it billed.
33Billing provider infoGAINESVILLE COMMUNITY HOSPITAL, INC.
GAINESVILLE, TX 76240
GAINESVILLE, TX 76240
33aNPI1972071991assigned 11/07/2018
33bProvider typeGeneral Acute Care Hospital
28Total paid$1.75M
24GClaims25,694
24DCodes billed46
24AFirst – last monthSep 2020 – Nov 2024
Compared with peers
Next to other General Acute Care Hospital providers in Texas
Rank by total paid#51 of 109
Median peer was paid$1.15M
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2020 | 388 | $29K | |
| 2021 | 6,947 | $315K | |
| 2022 | 9,827 | $685K | |
| 2023 | 6,270 | $517K | |
| 2024incomplete | 2,262 | $200K |
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 | 44% | 3,368 | 3,115 | $762K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 37% | 5,612 | 5,328 | $639K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 6.4% | 3,204 | 2,894 | $111K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 5.6% | 468 | 431 | $98K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.2% | 198 | 193 | $20K |
| 71045 | Radiologic examination, chest; single view | 1.0% | 386 | 349 | $18K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,907 | 2,575 | $17K |
| 87430 | <1% | 1,180 | 1,140 | $16K | |
| 80053 | Comprehensive metabolic panel | <1% | 1,952 | 1,714 | $16K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 685 | 661 | $9K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 259 | 236 | $9K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 289 | 258 | $8K |
34 more codes
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 39 | $5K |
| 59025 | Fetal non-stress test | <1% | 71 | $5K |
| 87807 | <1% | 280 | $3K | |
| 81003 | <1% | 912 | $2K | |
| 87070 | <1% | 173 | $1K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 155 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 93 | $861.39 |
| 84484 | <1% | 144 | $604.64 | |
| 81025 | <1% | 68 | $490.93 | |
| 81001 | <1% | 192 | $484.94 | |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | <1% | 63 | $466.79 |
| 86703 | <1% | 26 | $463.56 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,770 | $377.54 |
| 80076 | <1% | 54 | $372.20 | |
| 87340 | <1% | 26 | $358.99 | |
| 86592 | <1% | 26 | $148.38 | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 14 | $138.38 |
| 87899 | <1% | 27 | $136.65 | |
| 86850 | <1% | 12 | $135.86 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 15 | $84.32 |
| 83690 | <1% | 14 | $73.62 | |
| 82150 | <1% | 13 | $61.72 | |
| 86900 | <1% | 12 | $45.28 | |
| 86901 | <1% | 12 | $45.28 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 16 | $33.34 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 14 | $19.82 |
| 83605 | <1% | 12 | $18.46 | |
| 85730 | <1% | 13 | $17.83 | |
| 85610 | <1% | 13 | $12.72 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 109 | $0.00 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 12 | $0.00 |
| A9270 | Non-covered item or service | 0% | 758 | $0.00 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 14 | $0.00 |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 0% | 14 | $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 officialMOORE, LINDA (ASSISTANT GENERAL COUNSEL)
| Provider | Location | Paid |
|---|---|---|
| Hands That Touch Home Health Services | Burtonsville, MD | $983K |
| Indian Territory Home Health INC | Tishomingo, OK | $385K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.