Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Dallas County Hospital District (NPI 1932123247)

Field	Value
Entity Type	Organization
Organization	Dallas County Hospital District
Address	5200 Harry Hines Blvd
City	Dallas
State	TX
ZIP	75235
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 27, 2006

Payer Source	Total Paid
Medicaid	$152.8M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the available data: there is no Medicare billing on file and all reported federal payer revenue is Medicaid, totaling $152.8M. The absence of any Medicare claims on file indicates Medicaid is the dominant source of public payer volume and financial exposure for the organization.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 44.7% of total Medicaid revenue, led by 99213 ($21.8M, 20.1%), 99212 ($15M, 13.8%), and J9271 ($11.7M, 10.8%). This concentration shows a heavy reliance on high‑volume ambulatory E/M visits together with a single high‑cost oncology drug for a large share of Medicaid dollars.

Ambulatory and office E/M services drive much of the case mix: 99213 appears with 202.1K claims and $108 avg paid/claim ($21.8M) and 99212 with 205.2K claims and $73 avg paid/claim ($15M). Both codes are extreme statewide outliers (99212 ranks #1 of 1922 providers in‑state, 100th percentile; 99213 ranks #17 of 6037, 100th percentile), signaling a dominant ambulatory primary‑oriented footprint for Medicaid populations.

The provider also functions as a high‑volume emergency care site: combined ED E/M codes 99284 (35.6K claims, $11.6M) and 99285 (15.3K claims, $4.1M) together supply a sizable share of Medicaid revenue and indicate regular moderate‑to‑high complexity ED throughput. These ED codes rank above typical state volumes (99284 at the 94th percentile, 99285 at the 92nd percentile), consistent with a busy emergency department treating Medicaid patients.

Laboratory and infectious‑disease testing comprise another major service line: 87801 (97.1K claims, $7.3M) ranks #2 of 109 providers in‑state (99th percentile; extreme outlier), and high claim volumes for 87389, 86850, 86780, and U0003 further reflect large‑scale screening and diagnostic testing operations. The combination of high throughput amplified nucleic acid testing, HIV and syphilis screens, and routine serologies suggests this hospital supports broad public‑health and prenatal screening programs for Medicaid members.

Obstetric and prenatal services are material contributors: 76805 (33.4K claims, $4.8M) ranks #2 of 465 providers in‑state (100th percentile; extreme outlier) and 76816 (12.7K claims, $1.6M) is also above typical volumes. The presence of 81420 (7.6K claims, $4.4M) for cell‑free fetal DNA testing indicates the facility provides both routine and higher‑complexity prenatal genetic screening for its Medicaid population.

Oncology and infusion services are evident but less dominant than ambulatory E/M: J9271 (pembrolizumab) generates $11.7M and ranks #1 of 4 providers in‑state (100th percentile; labelled as typical, unremarkable volume for this code), while J9035 (bevacizumab) and chemotherapy/infusion administration codes (96413, 96365) appear lower in the rank distribution. The presence of high‑cost biologic injections alongside inpatient/infusion administration codes shows the provider delivers oncology therapeutics to Medicaid patients but across a smaller set of providers statewide.

The provider has an established operational tenure, with its NPI enumerated on 2006-07-27 (~20 years ago), and its statewide competitive standing is strong for multiple service lines. Multiple codes are characterized as "extreme outlier" or in the 100th percentile (for example 99212, 99213, 76805, 93005, 90471), indicating the hospital is a dominant Medicaid provider in ambulatory E/M, prenatal imaging, cardiac testing, and certain high‑volume lab services across Texas.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

610 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	202,100	$110	$21.8M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	205,240	$70	$15M
J9271	Injection, pembrolizumab, 1 mg	850	$13,670	$11.7M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	35,560	$330	$11.6M
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	97,090	$80	$7.3M
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	33,400	$150	$4.8M
81420	The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,…	7,580	$580	$4.4M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	15,330	$270	$4.1M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	30,480	$110	$3.3M
86850	The lab analyst performs a screening test using patient blood to determine the presence of any antibodies to red blood cells, called RBCs, other than the A and B antigens.	56,990	$50	$2.7M

Showing 1–10 of 610

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

Claims Volume vs. Texas Distribution

Dallas County Hospital District — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

610 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	1	10	410	$8,440	$3.6M
81420	The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,…	5	20	950	$300	$3.2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	47	710	1,790	$200	$2.1M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	60	70	370	$760	$1M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	59	730	1,960	$100	$1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	49	590	740	$170	$969.2K
81220	The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…	11	20	180	$200	$923K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	6	10	140	$5,060	$799.6K
J9312	Injection, rituximab, 10 mg	1	10	130	$5,440	$718.1K
J2505	Injection, pegfilgrastim, 6 mg	1	10	110	$6,090	$693.9K

Showing 1–10 of 610

Related Providers

Other providers that share a Tax Identification Number (TIN) with Dallas County Hospital District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dallas County Hospital	IA	Rural Health Clinic/Center	$0	$5.2M
Dallas County Hospital	IA	Critical Access Hospital	$0	$2.4M
Joseph Merchant	IA	Hematology & Oncology Physician	$1.8M	$0
Abdelaziz Elhaddad	IA	Medical Oncology Physician	$1.5M	$0
Trevor Schmitz	IA	Orthopaedic Surgery of the Spine Physician	$391.9K	$0
Kyle Ulveling	IA	Cardiovascular Disease Physician	$325.1K	$0
Syed Hassan	NY	Family Medicine Physician	$273.6K	$3.1K
Crysela Smith	TX	Diagnostic Radiology Physician	$249.7K	$0
Mudassir Malik	IA	Advanced Heart Failure and Transplant Cardiology Physician	$208.6K	$200
Benjamin Beecher	IA	Adult Reconstructive Orthopaedic Surgery Physician	$205.5K	$0

Nearby Providers

Other providers in the same ZIP code as Dallas County Hospital District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Health System Of Texas	TX	Children's Hospital	$0	$263.9M
Ability Connection Texas	TX	Case Management Agency	$0	$33.3M
Dallas Physician Medical Services For Children Inc	TX	Pediatrics Physician	$0	$20.1M
Family And Child Guidance Centers	TX	Mental Health Counselor	$0	$11.7M
Cockerell Dermatopathology PA	TX	Dermatopathology (Pathology) Physician	$3.8M	$119K
Nursedx Laboratory LLC	TX	Clinical Medical Laboratory	$1M	$8.5K
Divya Srivastava	TX	Dermatology Physician	$622.6K	$0
Severin Pouly	TX	Ophthalmology Physician	$297.9K	$0
Antonia Chen	TX	Orthopaedic Surgery Physician	$237.4K	$0
Almas Syed	TX	Diagnostic Radiology Physician	$223.4K	$0

Dallas County Hospital District — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References