Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NH › LEBANON › MARY HITCHCOCK MEMORIAL HOSPITAL

MARY HITCHCOCK MEMORIAL HOSPITAL

NPI: 1023092053 · LEBANON, NH 03756 · 207R00000X

$32.31M
Total Medicaid Paid
1,291,441
Total Claims
1,034,153
Beneficiaries
540
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 244,485 $5.44M
2019 294,002 $6.12M
2020 214,933 $4.75M
2021 213,845 $5.37M
2022 211,544 $5.58M
2023 72,580 $2.97M
2024 40,052 $2.08M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 105,611 88,140 $5.76M
A0431 Rotary wing air transport 1,760 1,220 $2.87M
99213 50,195 43,699 $2.01M
99215 Prolong outpt/office vis 13,179 11,287 $925K
99285 3,939 3,113 $891K
99284 5,199 4,091 $817K
70553 1,744 1,419 $741K
G0378 Hospital observation per hr 5,487 2,105 $713K
74177 1,776 1,470 $644K
87635 12,973 11,320 $625K
99204 6,327 5,851 $592K
J1745 Infliximab not biosimil 10mg 361 248 $489K
70551 1,098 863 $433K
G0463 Hospital outpt clinic visit 46,734 29,111 $424K
99203 7,630 6,892 $417K
A0436 Rotary wing air mileage 587 469 $408K
96413 5,191 2,955 $370K
88305 10,093 8,485 $344K
71260 1,296 1,100 $325K
84443 31,230 27,290 $306K
80053 48,058 39,408 $304K
80307 8,132 5,354 $291K
J0585 Injection,onabotulinumtoxina 1,220 620 $288K
93306 1,214 1,032 $274K
92014 7,157 5,088 $273K
85025 60,375 46,653 $266K
99283 2,086 1,820 $255K
87591 12,400 10,597 $255K
87491 12,371 10,579 $252K
43239 1,161 909 $238K
82306 11,647 10,318 $226K
70450 1,246 991 $202K
87636 1,435 1,268 $194K
80061 18,475 16,788 $184K
J9271 Inj pembrolizumab 57 36 $179K
96375 5,078 2,982 $170K
87389 7,209 6,415 $163K
87631 2,387 2,156 $154K
G0480 Drug test def 1-7 classes 6,247 4,389 $145K
96365 2,523 1,610 $144K
11042 2,350 992 $141K
92060 4,159 3,775 $135K
96361 2,016 1,272 $124K
95810 832 571 $123K
71046 3,178 2,492 $118K
83036 17,528 15,757 $117K
81229 410 305 $111K
93005 6,974 5,289 $107K
99244 1,332 1,256 $106K
76811 675 535 $99K
88175 4,420 4,150 $91K
99205 Prolong outpt/office vis 822 766 $91K
81220 494 445 $90K
96374 3,144 2,268 $87K
99243 1,232 1,196 $86K
76770 927 777 $86K
J2704 Inj, propofol, 10 mg 9,483 7,019 $85K
82728 8,982 7,852 $84K
80048 18,515 13,926 $84K
96112 1,027 946 $79K
92567 8,152 7,770 $77K
84439 11,930 10,390 $76K
87624 4,189 3,355 $75K
93325 888 729 $70K
Q9967 Locm 300-399mg/ml iodine,1ml 6,352 4,941 $69K
86003 1,595 1,189 $69K
97110 5,711 2,224 $68K
90471 6,836 6,599 $67K
76705 879 742 $66K
76816 874 689 $63K
86803 6,083 5,491 $63K
95004 1,478 1,429 $62K
87522 Neg quan hep c or qual rna 1,863 1,658 $61K
90792 970 759 $60K
83970 2,553 2,145 $59K
72148 236 193 $57K
84702 4,790 3,635 $55K
99393 729 708 $55K
87536 1,307 1,182 $55K
96415 1,398 834 $54K
87086 11,841 9,783 $54K
99392 730 703 $53K
69436 123 106 $52K
99212 2,072 1,733 $52K
A9575 Inj gadoterate meglumi 0.1ml 3,454 2,721 $52K
86480 1,179 1,061 $50K
82607 6,407 5,643 $50K
82784 6,066 4,350 $50K
36415 110,412 89,260 $49K
96366 794 430 $49K
94010 1,805 1,598 $49K
86780 4,924 4,290 $48K
87661 1,755 1,508 $48K
83516 4,802 4,032 $47K
83550 7,636 6,704 $45K
92015 4,961 3,851 $44K
99282 583 501 $44K
87070 6,517 5,726 $44K
78815 62 56 $44K
97140 2,796 1,022 $43K
72141 129 113 $43K
86850 5,413 4,334 $43K
80076 8,154 6,810 $43K
64615 740 468 $42K
85027 8,789 7,708 $42K
84403 2,236 1,948 $41K
92582 1,049 1,023 $41K
67028 543 417 $41K
86235 603 531 $39K
73560 744 609 $39K
88341 745 629 $39K
87340 5,323 4,698 $38K
83655 3,678 3,304 $38K
87077 5,288 4,503 $36K
99245 348 328 $36K
90834 921 413 $34K
83540 7,772 6,823 $34K
71250 253 218 $33K
D7210 519 448 $31K
31231 424 344 $31K
96372 3,229 2,013 $30K
73610 736 585 $30K
82746 3,058 2,689 $30K
80050 3,938 3,821 $29K
87651 982 895 $29K
93017 299 238 $28K
87186 4,435 3,731 $28K
J1642 Inj heparin sodium per 10 u 3,759 1,767 $28K
86140 7,980 6,802 $27K
71275 93 81 $27K
95816 196 159 $27K
93000 1,962 1,891 $27K
92134 3,334 1,920 $26K
92556 1,088 1,059 $26K
83880 1,815 1,454 $26K
90847 382 282 $26K
92083 1,096 813 $25K
73030 722 548 $25K
J2469 Palonosetron hcl 1,065 596 $25K
73630 602 511 $25K
91120 113 88 $24K
86762 2,383 2,107 $24K
90460 1,361 1,270 $24K
86618 2,262 2,030 $24K
74183 65 54 $24K
82670 1,045 918 $22K
99391 318 289 $22K
96360 479 307 $22K
86706 2,801 2,480 $22K
82105 1,804 1,559 $22K
74018 411 313 $21K
94729 518 438 $21K
74176 57 49 $21K
82570 5,535 4,709 $21K
83735 5,560 3,778 $21K
88342 1,933 1,615 $20K
99152 1,500 1,201 $20K
81001 9,305 7,685 $20K
90686 4,493 4,317 $20K
90837 539 175 $19K
97162 738 605 $19K
93226 220 188 $18K
83001 1,258 1,121 $18K
83690 4,242 3,509 $18K
85610 7,847 5,929 $18K
99202 499 407 $17K
93010 4,966 3,811 $17K
45380 93 68 $17K
84146 1,120 1,012 $17K
91322 128 126 $17K
72100 305 268 $17K
96411 237 145 $16K
93321 413 328 $16K
84402 911 853 $16K
96376 735 467 $16K
87502 373 312 $16K
A0425 Ground mileage 62 40 $16K
85652 8,430 7,274 $16K
71045 441 382 $16K
73110 358 264 $16K
92004 344 247 $15K
82043 4,036 3,594 $15K
86038 1,822 1,616 $15K
73130 310 250 $15K
99153 Mod sedat endo service >5yrs 1,323 1,034 $15K
87899 1,476 505 $15K
83993 775 737 $15K
92504 1,051 834 $15K
87905 1,266 1,137 $14K
J0690 Cefazolin sodium injection 4,541 3,189 $14K
D7240 351 324 $14K
83002 958 859 $14K
97803 436 387 $14K
95811 79 55 $14K
87147 2,192 1,928 $13K
20610 295 231 $13K
86704 1,558 1,374 $13K
C1769 Guide wire 1,403 1,000 $13K
84153 1,288 1,150 $13K
88307 507 438 $13K
92250 890 665 $12K
96111 263 251 $12K
73502 407 335 $12K
83520 1,225 1,096 $12K
77067 192 176 $12K
84484 2,124 1,487 $11K
95953 38 31 $11K
81329 463 422 $11K
87633 70 62 $11K
82565 3,645 2,996 $10K
J7120 Ringers lactate infusion 12,576 8,667 $10K
86376 989 893 $10K
86900 5,436 4,362 $10K
82950 2,840 2,532 $10K
96417 334 186 $10K
76830 121 100 $10K
99417 Prolong home eval add 15m 123 89 $10K
86901 5,436 4,362 $10K
87081 2,183 1,979 $10K
95117 1,082 768 $10K
J1100 Dexamethasone sodium phos 8,239 5,673 $10K
84305 746 688 $10K
85730 2,847 2,333 $10K
82977 1,813 1,566 $9K
86708 1,068 962 $9K
93296 726 583 $9K
83615 3,222 2,318 $9K
97161 490 446 $9K
82962 5,681 3,089 $9K
84100 3,890 2,858 $9K
J0185 Inj., aprepitant, 1 mg 103 68 $9K
86160 678 548 $9K
91122 113 88 $9K
86255 727 630 $9K
J2405 Ondansetron hcl injection 10,021 6,898 $9K
84165 1,209 1,023 $9K
80164 1,028 824 $9K
17110 167 157 $9K
59025 188 127 $8K
86225 838 771 $8K
76817 71 63 $8K
J7050 Normal saline solution infus 10,855 6,064 $8K
82274 753 704 $8K
G2212 Prolong outpt/office vis 417 382 $8K
81003 6,527 5,548 $8K
76942 103 87 $8K
91200 549 448 $8K
90472 690 677 $8K
84480 794 711 $8K
96119 86 54 $8K
84460 2,159 1,868 $8K
G0399 Home sleep test/type 3 porta 58 53 $8K
82533 604 526 $8K
99001 1,719 1,534 $8K
87205 2,438 2,036 $7K
86039 898 786 $7K
87102 1,259 1,091 $7K
86787 818 722 $7K
84156 3,030 2,407 $7K
81025 1,717 1,413 $7K
A9552 F18 fdg 325 279 $7K
84163 577 536 $7K
93922 198 171 $7K
G2211 Complex e/m visit add on 2,657 2,175 $7K
90791 80 72 $6K
70355 395 362 $6K
J2001 Lidocaine injection 6,170 4,499 $6K
81401 379 325 $6K
84450 1,689 1,425 $6K
92579 238 223 $6K
82550 1,502 1,222 $6K
86800 649 578 $6K
72040 160 129 $6K
86200 629 585 $6K
88304 335 303 $6K
99394 74 73 $6K
86431 1,409 1,266 $6K
82803 483 385 $6K
85018 3,144 2,744 $6K
73522 91 84 $6K
84550 2,181 1,794 $6K
82247 1,702 1,350 $6K
96132 105 64 $5K
J3010 Fentanyl citrate injection 9,652 6,725 $5K
92557 207 200 $5K
72082 76 74 $5K
83883 837 509 $5K
96139 44 27 $5K
86696 355 328 $5K
77336 85 27 $5K
S0020 Injection, bupivicaine hydro 2,515 1,887 $5K
81002 2,036 1,867 $5K
82677 266 230 $5K
87902 81 73 $5K
64405 160 91 $5K
82040 2,103 1,749 $5K
82248 1,448 1,164 $5K
82947 1,817 1,620 $5K
84425 320 278 $5K
A0434 Specialty care transport 14 13 $5K
82310 1,505 1,251 $4K
97112 96 52 $4K
84481 357 324 $4K
98940 274 159 $4K
98941 232 127 $4K
85046 1,864 1,425 $4K
84520 1,737 1,453 $4K
87804 464 116 $4K
96133 37 26 $4K
31575 84 55 $4K
91010 48 31 $4K
72146 17 15 $4K
80175 590 485 $4K
72125 31 25 $4K
82627 202 193 $4K
86695 355 328 $4K
86359 450 373 $3K
87046 512 481 $3K
87045 500 469 $3K
J1756 Iron sucrose injection 108 56 $3K
77002 116 83 $3K
83718 589 511 $3K
82150 793 681 $3K
83010 384 327 $3K
86336 269 233 $3K
88185 29 25 $3K
80177 436 352 $3K
82785 244 232 $3K
85379 477 424 $3K
84075 978 824 $3K
J0475 Baclofen 10 mg injection 16 13 $3K
83721 783 684 $3K
J7040 Normal saline solution infus 2,389 1,482 $3K
0071A 139 130 $3K
96409 37 26 $3K
0072A 135 131 $3K
87328 284 266 $3K
J2250 Inj midazolam hydrochloride 7,429 5,684 $3K
84590 321 307 $3K
90480 169 166 $3K
91038 20 14 $3K
84630 351 312 $3K
45385 15 13 $3K
83498 121 116 $3K
70486 15 13 $3K
87040 312 259 $3K
94640 232 154 $3K
87075 366 310 $3K
86308 590 541 $3K
J7030 Normal saline solution infus 3,785 2,167 $2K
96138 90 52 $2K
86361 329 269 $2K
87329 318 297 $2K
97535 119 77 $2K
85014 1,338 1,123 $2K
J2710 Neostigmine methylslfte inj 1,512 1,165 $2K
91065 58 51 $2K
J1170 Hydromorphone injection 2,433 1,520 $2K
82378 171 123 $2K
86769 65 59 $2K
76499 174 114 $2K
73552 46 41 $2K
87206 503 441 $2K
0124A 97 97 $2K
93971 32 29 $2K
17311 23 13 $2K
90461 109 103 $2K
86665 85 80 $2K
80069 277 250 $2K
99242 42 42 $2K
0134A 90 90 $2K
J1885 Ketorolac tromethamine inj 5,283 3,544 $2K
82131 223 194 $2K
96118 17 14 $2K
95700 13 12 $2K
82172 133 124 $2K
88312 91 79 $2K
81243 31 27 $2K
87486 70 62 $2K
87581 70 62 $2K
84132 898 771 $2K
87015 445 343 $2K
82465 668 582 $2K
C1893 Intro/sheath, fixed,non-peel 169 135 $2K
84155 797 676 $2K
69210 70 55 $2K
91037 43 28 $2K
82951 160 156 $2K
87529 43 41 $2K
89051 589 324 $2K
84295 779 681 $2K
Q3014 Telehealth facility fee 1,078 863 $2K
90656 374 359 $2K
99495 16 15 $2K
97802 39 38 $2K
97163 28 25 $1K
0074A 77 77 $1K
82435 733 639 $1K
D7230 25 24 $1K
90846 25 13 $1K
J1644 Inj heparin sodium per 1000u 1,329 738 $1K
82542 115 95 $1K
0064A 52 51 $1K
83605 233 199 $1K
97530 124 66 $1K
80197 388 256 $1K
95874 130 75 $1K
64642 12 12 $1K
0054A 58 52 $1K
82390 139 131 $1K
96367 34 26 $1K
92133 74 64 $1K
74019 17 12 $1K
83630 95 89 $1K
90717 13 13 $1K
88184 34 27 $994.29
86664 85 80 $984.27
82374 499 434 $961.24
82657 56 37 $948.26
0001A 31 31 $941.10
G0108 Diab manage trn per indiv 14 13 $929.40
J3490 Drugs unclassified injection 2,782 1,518 $892.80
92225 123 55 $888.78
87798 31 30 $888.76
J2795 Ropivacaine hcl injection 34 24 $869.40
99407 55 41 $858.61
G0127 Trim nail(s) 101 91 $811.84
T1023 Program intake assessment 27 26 $796.82
95251 82 67 $794.85
0004A 39 38 $789.42
72081 13 12 $780.48
80081 16 15 $767.30
92012 42 24 $764.24
C1729 Cath, drainage 54 37 $753.85
80051 145 119 $753.64
86022 51 42 $727.94
83525 86 81 $713.60
51798 98 90 $702.21
96167 15 12 $688.73
88321 34 31 $676.44
92552 38 37 $634.43
99281 15 14 $624.38
80055 54 28 $615.56
0052A 29 27 $605.72
92226 129 57 $574.87
99211 42 39 $566.95
82340 163 128 $552.44
83521 26 12 $552.00
84445 12 12 $535.77
0154A 26 26 $532.61
82140 65 52 $519.14
77063 191 175 $518.76
86364 12 12 $515.08
92551 79 77 $512.97
87338 57 51 $505.86
87449 64 57 $502.30
82952 160 156 $501.35
87324 61 55 $492.35
62370 18 13 $486.03
Q9966 Locm 200-299mg/ml iodine,1ml 171 155 $468.95
84478 113 94 $464.53
84436 150 117 $464.52
73590 15 12 $441.19
92202 122 72 $414.29
82103 44 42 $409.45
83020 40 37 $407.66
J7060 5% dextrose/water 731 386 $405.85
99442 68 36 $400.68
92526 12 12 $400.46
D7140 12 12 $393.75
96156 32 32 $391.57
95886 19 13 $388.37
94664 40 40 $373.31
86341 12 12 $366.80
84134 54 41 $361.68
96127 136 103 $346.27
J1200 Diphenhydramine hcl injectio 1,130 751 $342.95
88313 46 36 $323.98
81479 12 12 $321.94
82525 28 28 $286.98
99443 28 16 $256.30
J3301 Triamcinolone acet inj nos 189 130 $251.72
0111A 13 13 $248.46
99188 33 31 $230.12
85240 14 14 $218.05
99173 79 77 $207.62
0081A 13 13 $197.38
83789 14 12 $196.69
C1887 Catheter, guiding 63 50 $187.06
94760 76 62 $184.39
G0008 Admin influenza virus vac 602 473 $182.95
S0077 Injection, clindamycin phosp 38 28 $180.34
J0780 Prochlorperazine injection 69 53 $164.65
J1030 Methylprednisolone 40 mg inj 73 61 $164.44
88173 14 12 $163.97
J0330 Succinycholine chloride inj 112 43 $146.31
G0444 Depression screen annual 13 12 $132.80
J0696 Ceftriaxone sodium injection 145 102 $119.19
84446 13 13 $118.85
85049 53 41 $103.13
90653 47 35 $81.65
J1650 Inj enoxaparin sodium 56 13 $78.02
J8540 Oral dexamethasone 73 37 $74.50
97012 16 12 $68.89
J3475 Inj magnesium sulfate 31 24 $66.68
84300 18 12 $59.40
99201 27 17 $44.06
82945 19 12 $44.00
84157 19 12 $40.56
J2270 Morphine sulfate injection 55 37 $35.97
C9257 Bevacizumab injection 32 26 $31.14
U0002 Covid-19 lab test non-cdc 42 30 $28.92
99411 17 15 $25.15
J3420 Vitamin b12 injection 20 12 $22.35
J2060 Lorazepam injection 75 41 $21.38
81000 12 12 $14.94
J2004 Inj, lidocaine w epinephrine 17 16 $9.10
C1758 Catheter, ureteral 16 12 $6.16
91307 393 365 $1.72
91305 175 162 $0.92
91312 97 97 $0.65
91313 90 90 $0.59
91300 126 122 $0.55
91308 69 65 $0.35
91306 51 50 $0.25
91311 28 28 $0.18
91315 26 26 $0.17
90694 12 12 $0.00
G8980 Mobility d/c status 46 25 $0.00
96040 117 108 $0.00
90698 55 53 $0.00
90697 12 12 $0.00
G8978 Mobility current status 289 190 $0.00
G1004 Cdsm ndsc 965 752 $0.00
90670 69 66 $0.00
J0665 Inj, bupivacaine, nos, 0.5mg 18 18 $0.00
G8979 Mobility goal status 295 194 $0.00
90662 43 37 $0.00
80364 24 12 $0.00
90633 27 27 $0.00