AHS CLAREMORE REGIONAL HOSPITAL, LLC.
NPI: 1023398807
· CLAREMORE, OK 74017
· 282N00000X
$4.81M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,925 |
$893K |
| 2019 |
5,541 |
$576K |
| 2020 |
2,558 |
$305K |
| 2021 |
5,936 |
$634K |
| 2022 |
10,745 |
$967K |
| 2023 |
10,136 |
$1.05M |
| 2024 |
3,240 |
$389K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
6,432 |
6,326 |
$1.52M |
| 99285 |
|
4,179 |
4,123 |
$1.32M |
| 99283 |
|
6,311 |
6,230 |
$1.02M |
| 69436 |
|
376 |
376 |
$251K |
| 96374 |
|
1,722 |
1,688 |
$219K |
| 76805 |
|
1,237 |
1,237 |
$104K |
| 96375 |
|
1,083 |
1,038 |
$51K |
| 42820 |
|
15 |
15 |
$46K |
| 87804 |
|
1,798 |
1,420 |
$41K |
| 87428 |
|
1,219 |
1,203 |
$34K |
| 80053 |
|
3,696 |
3,635 |
$34K |
| 85025 |
|
4,593 |
4,483 |
$32K |
| 87880 |
|
2,121 |
2,106 |
$31K |
| 36415 |
|
4,966 |
4,763 |
$26K |
| 87426 |
|
412 |
411 |
$18K |
| 71045 |
|
1,058 |
1,047 |
$12K |
| 87081 |
|
989 |
985 |
$8K |
| 81001 |
|
1,532 |
1,388 |
$4K |
| G0463 |
Hospital outpt clinic visit |
119 |
94 |
$4K |
| 87086 |
|
563 |
493 |
$4K |
| 87807 |
|
214 |
214 |
$4K |
| 96361 |
|
93 |
90 |
$3K |
| 99282 |
|
28 |
28 |
$3K |
| 74177 |
|
15 |
15 |
$3K |
| 96372 |
|
51 |
42 |
$3K |
| 87400 |
|
96 |
96 |
$2K |
| 70450 |
|
50 |
50 |
$2K |
| U0004 |
Cov-19 test non-cdc hgh thru |
24 |
24 |
$2K |
| 80307 |
|
37 |
37 |
$2K |
| 71046 |
|
53 |
51 |
$2K |
| 84112 |
|
15 |
14 |
$1K |
| 94640 |
|
78 |
78 |
$1K |
| 93005 |
|
242 |
237 |
$1K |
| 81025 |
|
164 |
162 |
$1K |
| 84484 |
|
72 |
68 |
$776.30 |
| 83690 |
|
115 |
113 |
$705.23 |
| 99281 |
|
12 |
12 |
$704.04 |
| 81003 |
|
285 |
266 |
$533.25 |
| 83735 |
|
28 |
24 |
$164.20 |
| J7030 |
Normal saline solution infus |
1,048 |
1,025 |
$132.54 |
| 85610 |
|
34 |
30 |
$117.51 |
| J2405 |
Ondansetron hcl injection |
299 |
299 |
$100.44 |
| J7050 |
Normal saline solution infus |
126 |
123 |
$85.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
77 |
77 |
$21.25 |
| J3010 |
Fentanyl citrate injection |
23 |
23 |
$12.96 |
| J1100 |
Dexamethasone sodium phos |
244 |
244 |
$0.00 |
| A4615 |
Cannula nasal |
25 |
24 |
$0.00 |
| J7120 |
Ringers lactate infusion |
112 |
101 |
$0.00 |