Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › TROY › KETTERING MEDICAL CENTER

KETTERING MEDICAL CENTER

NPI: 1023587045 · TROY, OH 45373 · General Acute Care Hospital · NPI assigned 11/20/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official KO, TIMOTHY controls 20+ related entities in our dataset. Read more

$10.83M
Total Medicaid Paid
238,031
Total Claims
197,764
Beneficiaries
163
Codes Billed
2019-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKO, TIMOTHY (KETTERING HEALTH CFO)
NPI Enumeration Date11/20/2018

Related Entities

Other providers sharing the same authorized official: KO, TIMOTHY

ProviderCityStateTotal Paid
DAYTON OSTEOPATHIC HOSPITAL DAYTON OH $111.27M
ALLIANCE PHYSICIANS INC KETTERING OH $38.76M
KETTERING MEDICAL CENTER KETTERING OH $37.96M
BEAVERCREEK MEDICAL CENTER BEAVERCREEK OH $30.49M
THE FORT HAMILTON HOSPITAL HAMILTON OH $27.06M
KETTERING MEDICAL CENTER MIAMISBURG OH $20.00M
GREENE MEMORIAL HOSPITAL INC XENIA OH $11.31M
KETTERING INDEPENDENT MEDICAL GROUP INC MIAMISBURG OH $8.39M
KETTERING AFFILIATED HEALTH SERVICES MIAMISBURG OH $2.12M
GREENE MEMORIAL HOSPITAL, INC. JAMESTOWN OH $1.53M
ALLIANCE PHYSICIANS INC MORAINE OH $1.42M
ALLIANCE PHYSICIANS INC HUBER HEIGHTS OH $1.06M
GREENE MEMORIAL HOSPITAL INC YELLOW SPRINGS OH $843K
ALLIANCE PHYSICIANS INC MIAMISBURG OH $744K
GREENE MEMORIAL HOSPITAL INC CEDARVILLE OH $703K
ALLIANCE PHYSICIANS INC XENIA OH $645K
ALLIANCE PHYSICIANS INC SPRINGBORO OH $616K
ALLIANCE PHYSICIANS INC KETTERING OH $599K
SYCAMORE PRIMARY CARE GROUP MIAMISBURG OH $564K
ALLIANCE PHYSICIANS INC BEAVERCREEK OH $486K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 6,447 $280K
2020 13,394 $567K
2021 23,609 $1.18M
2022 26,375 $1.34M
2023 115,078 $5.12M
2024 53,128 $2.34M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 24,753 22,462 $2.74M
96361 Intravenous infusion, hydration; each additional hour 6,289 4,841 $2.05M
99284 Emergency department visit for the evaluation and management, high severity 12,579 11,327 $1.66M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,769 4,024 $638K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,301 1,912 $569K
70450 Computed tomography, head or brain; without contrast material 1,889 1,600 $498K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,738 1,414 $456K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,770 2,529 $342K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 824 719 $195K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,327 1,056 $175K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 976 828 $143K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,165 1,049 $139K
71275 Computed tomographic angiography, chest, with contrast material 545 463 $138K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,613 3,311 $127K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 429 255 $80K
71260 Computed tomography, thorax, diagnostic; with contrast material 373 320 $69K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 477 454 $63K
U0003 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, making use of high throughput technologies as described by cms-2020-01-r 392 389 $63K
G0378 Hospital observation service, per hour 840 412 $62K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 5,623 5,014 $61K
76705 Ultrasound, abdominal, real time with image documentation; limited 558 456 $46K
76830 Ultrasound, transvaginal 453 393 $35K
72131 484 414 $30K
93971 407 366 $30K
93356 94 89 $26K
80048 Basic metabolic panel (calcium, ionized) 17,109 14,571 $26K
71250 358 310 $26K
71046 Radiologic examination, chest; 2 views 1,903 1,746 $22K
62323 59 56 $21K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 163 124 $19K
76642 157 149 $18K
82805 559 421 $18K
72125 Computed tomography, cervical spine; without contrast material 621 540 $15K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography 96 58 $15K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,381 1,083 $13K
12001 71 68 $11K
71045 Radiologic examination, chest; single view 5,145 4,526 $10K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 7,665 6,484 $9K
77063 Screening digital breast tomosynthesis, bilateral 180 158 $8K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 115 101 $8K
73030 565 500 $7K
93970 52 49 $7K
84484 6,704 4,018 $6K
74018 189 161 $6K
73562 382 319 $5K
96367 136 96 $5K
73630 717 637 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 19,785 16,996 $5K
72110 93 79 $5K
90715 293 238 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 307 247 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 5,941 5,254 $4K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 8,508 7,092 $4K
73130 478 432 $4K
93017 45 40 $4K
73610 597 526 $4K
J0561 Injection, penicillin g benzathine, 100,000 units 20 12 $4K
80076 5,656 4,714 $3K
73502 196 179 $3K
J3490 Unclassified drugs 1,290 919 $3K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 14 14 $3K
76536 24 24 $3K
80053 Comprehensive metabolic panel 2,028 1,690 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,624 2,721 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,862 2,509 $2K
96375 Therapeutic injection; each additional sequential IV push 5,780 4,450 $2K
70486 94 81 $2K
70496 13 12 $2K
73110 329 297 $2K
81001 7,951 6,732 $2K
J0500 Injection, dicyclomine hcl, up to 20 mg 94 52 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 28 27 $2K
73080 122 111 $2K
72128 48 37 $1K
73560 186 145 $1K
97162 17 12 $1K
96376 1,144 726 $1K
77067 Screening mammography, bilateral, including computer-aided detection 180 158 $1K
83690 5,578 4,615 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 77 70 $973.69
83735 1,248 939 $965.72
72100 65 58 $919.01
77065 Tomosynthesis, mammo 30 26 $890.70
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 508 404 $882.84
87529 787 391 $863.69
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 508 404 $764.50
81025 4,032 3,374 $752.11
29125 294 261 $640.81
86900 26 24 $639.37
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 484 387 $605.88
87634 321 278 $563.87
81003 1,985 1,705 $544.12
71101 33 29 $535.03
77066 Tomosynthesis, mammo 12 12 $457.48
85027 650 471 $437.28
84443 Thyroid stimulating hormone (TSH) 812 701 $429.58
85378 1,264 1,093 $407.22
83605 1,145 787 $398.93
87086 Culture, bacterial; quantitative colony count, urine 797 680 $390.74
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 86 44 $384.31
J2270 Injection, morphine sulfate, up to 10 mg 1,400 1,003 $369.03
73590 30 26 $360.89
87040 941 405 $355.86
84702 241 196 $350.28
83880 543 465 $311.33
J1170 Injection, hydromorphone, up to 4 mg 741 518 $278.75
80320 101 82 $257.09
88305 Level IV - Surgical pathology, gross and microscopic examination 86 65 $249.73
J1885 Injection, ketorolac tromethamine, per 15 mg 5,858 4,705 $203.09
87210 219 182 $185.41
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 343 338 $180.38
87077 440 362 $170.07
J1650 Injection, enoxaparin sodium, 10 mg 429 196 $161.19
86141 72 68 $154.24
J2800 Injection, methocarbamol, up to 10 ml 27 24 $147.41
84145 418 340 $138.61
85610 753 584 $132.67
J2360 Injection, orphenadrine citrate, up to 60 mg 267 217 $127.53
73090 20 13 $107.80
73140 30 24 $102.90
J2919 Injection, methylprednisolone sodium succinate, 5 mg 106 66 $101.05
85651 263 213 $90.82
87186 365 306 $90.74
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,814 1,266 $88.44
85007 337 257 $83.21
J2550 Injection, promethazine hcl, up to 50 mg 663 449 $81.71
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 400 299 $77.53
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,998 3,869 $68.77
82550 241 188 $62.77
86901 26 24 $49.19
J3010 Injection, fentanyl citrate, 0.1 mg 1,350 1,031 $46.33
J1200 Injection, diphenhydramine hcl, up to 50 mg 918 705 $32.52
J2060 Injection, lorazepam, 2 mg 171 124 $29.52
87070 71 71 $25.65
J1790 Injection, droperidol, up to 5 mg 243 187 $24.85
J0696 Injection, ceftriaxone sodium, per 250 mg 700 445 $24.21
85730 231 181 $24.03
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 80 77 $21.64
36415 Collection of venous blood by venipuncture 18 13 $19.68
J1644 Injection, heparin sodium, per 1000 units 148 73 $15.98
J3370 Injection, vancomycin hcl, 500 mg 47 37 $11.40
81015 108 98 $9.36
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 715 649 $9.20
J2250 Injection, midazolam hydrochloride, per 1 mg 535 413 $7.21
J2704 Injection, propofol, 10 mg 323 148 $4.95
J2765 Injection, metoclopramide hcl, up to 10 mg 339 272 $2.33
J1171 Injection, hydromorphone, 0.1 mg 19 14 $1.47
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 18 12 $1.17
J1940 Injection, furosemide, up to 20 mg 19 14 $1.05
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 603 318 $0.31
J3480 Injection, potassium chloride, per 2 meq 17 12 $0.00
J3360 Injection, diazepam, up to 5 mg 26 13 $0.00
J0690 Injection, cefazolin sodium, 500 mg 162 132 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 32 27 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 28 26 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 19 14 $0.00
84703 17 14 $0.00
70498 13 12 $0.00
83036 Hemoglobin; glycosylated (A1C) 14 12 $0.00
82010 157 124 $0.00
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 71 67 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 131 103 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 32 25 $0.00