Medicaid Provider Spending

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

UNITED REGIONAL HEALTH CARE SYSTEM INC

NPI: 1023013448 · WICHITA FALLS, TX 76301 · Multi-Specialty Clinic/Center · NPI assigned 06/14/2005

$21.06M
Total Medicaid Paid
327,654
Total Claims
282,585
Beneficiaries
163
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEDMONDSON, CORY (PRESIDENT & CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date06/14/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 331 $17K
2020 5,675 $441K
2021 101,186 $4.59M
2022 93,681 $5.79M
2023 77,048 $6.44M
2024 49,733 $3.79M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 18,311 16,992 $7.71M
99284 Emergency department visit for the evaluation and management, high severity 22,348 21,264 $7.29M
41899 Unlisted procedure, dentoalveolar structures 596 566 $854K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 6,137 5,260 $697K
99283 Emergency department visit for the evaluation and management, moderate severity 12,667 12,147 $613K
71045 Radiologic examination, chest; single view 12,257 11,387 $609K
80053 Comprehensive metabolic panel 31,603 25,964 $374K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 34,694 29,386 $349K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,688 1,674 $270K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,312 1,288 $266K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,511 1,491 $177K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 7,639 7,323 $173K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,043 2,954 $151K
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 4,148 3,927 $143K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2,285 2,239 $107K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,946 4,452 $81K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 7,904 7,173 $70K
96361 Intravenous infusion, hydration; each additional hour 3,106 2,795 $65K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,499 2,192 $65K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,818 1,232 $60K
81514 179 177 $51K
70450 Computed tomography, head or brain; without contrast material 1,475 1,400 $49K
0240U 1,019 992 $47K
42820 Tonsillectomy and adenoidectomy; younger than age 12 14 14 $47K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 715 687 $47K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 715 687 $46K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 185 180 $46K
74177 Computed tomography, abdomen and pelvis; with contrast material 574 557 $43K
96375 Therapeutic injection; each additional sequential IV push 4,317 3,660 $38K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 730 697 $34K
81001 9,203 8,557 $33K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,593 1,526 $33K
J7050 Infusion, normal saline solution, 250 cc 6,105 4,302 $31K
87086 Culture, bacterial; quantitative colony count, urine 4,642 4,245 $26K
84443 Thyroid stimulating hormone (TSH) 3,836 3,727 $25K
87081 2,178 1,915 $23K
G0378 Hospital observation service, per hour 505 464 $22K
84703 2,104 1,977 $18K
86780 684 656 $18K
84439 1,790 1,759 $14K
84484 3,150 2,108 $12K
J3490 Unclassified drugs 2,082 1,147 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,812 1,726 $11K
81003 3,525 3,235 $10K
73630 191 176 $10K
83880 1,949 1,614 $9K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,066 1,021 $9K
83690 1,785 1,568 $8K
87420 420 340 $7K
72125 Computed tomography, cervical spine; without contrast material 452 435 $7K
71046 Radiologic examination, chest; 2 views 194 192 $7K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,398 2,209 $7K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 90 89 $7K
74176 Computed tomography, abdomen and pelvis; without contrast material 188 185 $6K
0353U 727 704 $6K
86850 985 874 $6K
J7030 Infusion, normal saline solution , 1000 cc 2,005 1,594 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 665 660 $5K
83036 Hemoglobin; glycosylated (A1C) 3,535 3,465 $5K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 255 76 $5K
84702 519 424 $5K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 829 688 $5K
80306 799 749 $4K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 90 74 $3K
80048 Basic metabolic panel (calcium, ionized) 2,897 2,278 $3K
86803 125 124 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,442 3,059 $3K
85027 850 777 $3K
87088 1,463 1,292 $3K
87340 181 179 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 363 243 $3K
84481 100 99 $3K
76801 31 29 $2K
80061 Lipid panel 3,650 3,600 $2K
83735 1,741 1,264 $2K
85730 1,447 1,269 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 263 232 $2K
80076 174 172 $2K
81025 225 218 $2K
85610 2,400 1,737 $2K
86901 967 849 $2K
86900 928 817 $2K
77063 Screening digital breast tomosynthesis, bilateral 307 307 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,641 1,532 $1K
82565 325 294 $1K
87186 1,370 1,262 $1K
82607 834 821 $1K
86762 70 70 $1K
82803 215 183 $1K
80050 General health panel 33 25 $1K
86140 1,282 803 $1K
82728 211 205 $1K
73560 222 203 $1K
J2270 Injection, morphine sulfate, up to 10 mg 408 334 $1K
83605 327 288 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 377 312 $970.56
87070 42 41 $925.95
82140 733 578 $854.10
80177 917 768 $826.21
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 420 364 $799.71
85652 1,506 1,001 $723.20
86800 16 16 $651.14
82550 470 348 $590.91
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 304 298 $586.09
86376 16 16 $549.62
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 576 546 $518.83
82105 12 12 $517.70
77067 Screening mammography, bilateral, including computer-aided detection 307 307 $444.16
87040 102 66 $427.74
82375 165 142 $398.72
82951 12 12 $359.32
80164 537 502 $343.18
82077 72 67 $332.09
84134 1,205 1,129 $314.88
84100 537 407 $298.67
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 19 12 $295.50
J3010 Injection, fentanyl citrate, 0.1 mg 1,003 953 $272.90
A9270 Non-covered item or service 3,076 2,482 $244.45
84460 13 13 $216.72
84450 13 13 $212.03
83050 99 87 $205.47
82330 188 157 $205.14
82040 13 13 $202.79
83721 213 211 $201.46
85379 116 106 $201.45
82950 15 15 $194.48
82947 536 509 $185.35
82962 3,515 1,962 $160.81
70551 Magnetic resonance imaging, brain; without contrast material 12 12 $151.22
82570 208 200 $150.14
87641 37 37 $132.29
84145 45 38 $129.64
96376 34 27 $124.20
88305 Level IV - Surgical pathology, gross and microscopic examination 25 24 $117.39
73030 69 65 $110.96
J2550 Injection, promethazine hcl, up to 50 mg 116 95 $91.20
J7120 Ringers lactate infusion, up to 1000 cc 956 899 $91.08
87210 13 12 $84.59
83540 104 95 $82.00
J2250 Injection, midazolam hydrochloride, per 1 mg 345 324 $80.15
82150 43 42 $77.25
90686 36 36 $77.01
J2704 Injection, propofol, 10 mg 814 776 $69.33
72100 28 27 $60.88
73610 13 12 $59.48
J2919 Injection, methylprednisolone sodium succinate, 5 mg 15 12 $56.75
82043 68 67 $52.14
J1170 Injection, hydromorphone, up to 4 mg 21 13 $43.03
36415 Collection of venous blood by venipuncture 20,567 13,528 $40.74
84132 116 93 $38.52
82435 98 83 $35.45
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 230 218 $32.22
84550 145 143 $29.32
J0690 Injection, cefazolin sodium, 500 mg 73 69 $27.22
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 15 13 $19.48
84295 26 25 $13.38
J1200 Injection, diphenhydramine hcl, up to 50 mg 13 12 $5.26
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 2,854 2,244 $0.00
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 35 25 $0.00
82248 12 12 $0.00
80185 18 12 $0.00
G0008 Administration of influenza virus vaccine 12 12 $0.00
94762 15 15 $0.00