Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LAVACA HOSPITAL DISTRICT

NPI: 1992767511 · HALLETTSVILLE, TX 77964 · Critical Access Hospital · NPI assigned 04/06/2006

$51K
Total Medicaid Paid
4,249
Total Claims
3,586
Beneficiaries
12
Codes Billed
2021-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBOWEN, JACK (ADMINISTRATOR)
NPI Enumeration Date04/06/2006

Related Entities

Other providers sharing the same authorized official: BOWEN, JACK

ProviderCityStateTotal Paid
LAVACA HOSPITAL DISTRICT HALLETTSVILLE TX $772K
LAVACA HOSPITAL DISTRICT HALLETTSVILLE TX $23K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,191 $10K
2022 1,530 $21K
2023 890 $16K
2024 638 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 168 167 $25K
87428 279 266 $22K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 117 106 $2K
80053 Comprehensive metabolic panel 1,055 879 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,243 1,004 $785.74
87430 12 12 $221.34
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 14 14 $198.19
81001 371 330 $161.46
36415 Collection of venous blood by venipuncture 937 760 $0.00
87077 13 12 $0.00
87086 Culture, bacterial; quantitative colony count, urine 28 24 $0.00
80061 Lipid panel 12 12 $0.00