Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Kettering Medical Center

Kettering Medical Center was paid $10.83M by Medicaid between Jun 2019 and Dec 2024, across 163 billing codes. Its largest line is 99283, emergency room visit (moderate) — 25% of everything it billed.

33Billing provider infoKETTERING MEDICAL CENTER
TROY, OH 45373
33aNPI1023587045assigned 11/20/2018
28Total paid$10.83M
24GClaims238,031
24DCodes billed163
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Ohio

Rank by total paid#74 of 101
Median peer was paid$22.32M
This provider vs. median0.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official KO, TIMOTHY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20196,447$280K
202013,394$567K
202123,609$1.18M
202226,375$1.34M
2023115,078$5.12M
2024incomplete53,128$2.34M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 25% 24,753 22,462 $2.74M
96361 Intravenous infusion, hydration; each additional hour 19% 6,289 4,841 $2.05M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 15% 12,579 11,327 $1.66M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.9% 4,769 4,024 $638K
74177 Computed tomography, abdomen and pelvis; with contrast material 5.3% 2,301 1,912 $569K
70450 Computed tomography, head or brain; without contrast material 4.6% 1,889 1,600 $498K
74176 Computed tomography, abdomen and pelvis; without contrast material 4.2% 1,738 1,414 $456K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3.2% 2,770 2,529 $342K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.8% 824 719 $195K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.6% 1,327 1,056 $175K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1.3% 976 828 $143K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1.3% 1,165 1,049 $139K
151 more codes
71275 Computed tomographic angiography, chest, with contrast material 1.3% 545 $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 1.2% 3,613 $127K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 429 $80K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 373 $69K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 477 $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 <1% 392 $63K
G0378 Hospital observation service, per hour <1% 840 $62K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 5,623 $61K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 558 $46K
76830 Ultrasound, transvaginal <1% 453 $35K
72131 <1% 484 $30K
93971 <1% 407 $30K
93356 <1% 94 $26K
80048 Basic metabolic panel (calcium, ionized) <1% 17,109 $26K
71250 <1% 358 $26K
71046 Radiologic examination, chest; 2 views <1% 1,903 $22K
62323 <1% 59 $21K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 163 $19K
76642 <1% 157 $18K
82805 <1% 559 $18K
72125 Computed tomography, cervical spine; without contrast material <1% 621 $15K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography <1% 96 $15K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,381 $13K
12001 <1% 71 $11K
71045 Radiologic examination, chest; single view <1% 5,145 $10K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 7,665 $9K
77063 Screening digital breast tomosynthesis, bilateral <1% 180 $8K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 115 $8K
73030 <1% 565 $7K
93970 <1% 52 $7K
84484 <1% 6,704 $6K
74018 <1% 189 $6K
73562 <1% 382 $5K
96367 <1% 136 $5K
73630 <1% 717 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 19,785 $5K
72110 <1% 93 $5K
90715 <1% 293 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 307 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 5,941 $4K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 8,508 $4K
73130 <1% 478 $4K
93017 <1% 45 $4K
73610 <1% 597 $4K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 20 $4K
80076 <1% 5,656 $3K
73502 <1% 196 $3K
J3490 Unclassified drugs <1% 1,290 $3K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 14 $3K
76536 <1% 24 $3K
80053 Comprehensive metabolic panel <1% 2,028 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,624 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 2,862 $2K
96375 Therapeutic injection; each additional sequential IV push <1% 5,780 $2K
70486 <1% 94 $2K
70496 <1% 13 $2K
73110 <1% 329 $2K
81001 <1% 7,951 $2K
J0500 Injection, dicyclomine hcl, up to 20 mg <1% 94 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 28 $2K
73080 <1% 122 $2K
72128 <1% 48 $1K
73560 <1% 186 $1K
97162 <1% 17 $1K
96376 <1% 1,144 $1K
77067 Screening mammography, bilateral, including computer-aided detection <1% 180 $1K
83690 <1% 5,578 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 77 $973.69
83735 <1% 1,248 $965.72
72100 <1% 65 $919.01
77065 Tomosynthesis, mammo <1% 30 $890.70
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 508 $882.84
87529 <1% 787 $863.69
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 508 $764.50
81025 <1% 4,032 $752.11
29125 <1% 294 $640.81
86900 <1% 26 $639.37
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 484 $605.88
87634 <1% 321 $563.87
81003 <1% 1,985 $544.12
71101 <1% 33 $535.03
77066 Tomosynthesis, mammo <1% 12 $457.48
85027 <1% 650 $437.28
84443 Thyroid stimulating hormone (TSH) <1% 812 $429.58
85378 <1% 1,264 $407.22
83605 <1% 1,145 $398.93
87086 Culture, bacterial; quantitative colony count, urine <1% 797 $390.74
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 86 $384.31
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,400 $369.03
73590 <1% 30 $360.89
87040 <1% 941 $355.86
84702 <1% 241 $350.28
83880 <1% 543 $311.33
J1170 Injection, hydromorphone, up to 4 mg <1% 741 $278.75
80320 <1% 101 $257.09
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 86 $249.73
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 5,858 $203.09
87210 <1% 219 $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 <1% 343 $180.38
87077 <1% 440 $170.07
J1650 Injection, enoxaparin sodium, 10 mg <1% 429 $161.19
86141 <1% 72 $154.24
J2800 Injection, methocarbamol, up to 10 ml <1% 27 $147.41
84145 <1% 418 $138.61
85610 <1% 753 $132.67
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 267 $127.53
73090 <1% 20 $107.80
73140 <1% 30 $102.90
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 106 $101.05
85651 <1% 263 $90.82
87186 <1% 365 $90.74
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,814 $88.44
85007 <1% 337 $83.21
J2550 Injection, promethazine hcl, up to 50 mg <1% 663 $81.71
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 400 $77.53
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 4,998 $68.77
82550 <1% 241 $62.77
86901 <1% 26 $49.19
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,350 $46.33
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 918 $32.52
J2060 Injection, lorazepam, 2 mg <1% 171 $29.52
87070 <1% 71 $25.65
J1790 Injection, droperidol, up to 5 mg <1% 243 $24.85
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 700 $24.21
85730 <1% 231 $24.03
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 80 $21.64
36415 Collection of venous blood by venipuncture <1% 18 $19.68
J1644 Injection, heparin sodium, per 1000 units <1% 148 $15.98
J3370 Injection, vancomycin hcl, 500 mg <1% 47 $11.40
81015 <1% 108 $9.36
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 715 $9.20
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 535 $7.21
J2704 Injection, propofol, 10 mg <1% 323 $4.95
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 339 $2.33
J1171 Injection, hydromorphone, 0.1 mg <1% 19 $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 <1% 18 $1.17
J1940 Injection, furosemide, up to 20 mg <1% 19 $1.05
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 603 $0.31
J3480 Injection, potassium chloride, per 2 meq 0% 17 $0.00
J3360 Injection, diazepam, up to 5 mg 0% 26 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 162 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 32 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 0% 28 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 0% 19 $0.00
84703 0% 17 $0.00
70498 0% 13 $0.00
83036 Hemoglobin; glycosylated (A1C) 0% 14 $0.00
82010 0% 157 $0.00
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 0% 71 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 0% 131 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 32 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialKO, TIMOTHY (KETTERING HEALTH CFO)
Same official

Other billing entities under KO, TIMOTHY

Full network →
ProviderLocationPaid
Dayton Osteopathic HospitalDayton, OH$111.27M
Alliance Physicians INCKettering, OH$38.76M
Kettering Medical CenterKettering, OH$37.96M
Beavercreek Medical CenterBeavercreek, OH$30.49M
The Fort Hamilton HospitalHamilton, OH$27.06M
Kettering Medical CenterMiamisburg, OH$20.00M
Greene Memorial Hospital INCXenia, OH$11.31M
Kettering Independent Medical Group INCMiamisburg, OH$8.39M
Kettering Affiliated Health ServicesMiamisburg, OH$2.12M
Greene Memorial Hospital, INC.Jamestown, OH$1.53M
Alliance Physicians INCMoraine, OH$1.42M
Alliance Physicians INCHuber Heights, OH$1.06M
Greene Memorial Hospital INCYellow Springs, OH$843K
Alliance Physicians INCMiamisburg, OH$744K
Greene Memorial Hospital INCCedarville, OH$703K
Alliance Physicians INCXenia, OH$645K
Alliance Physicians INCSpringboro, OH$616K
Alliance Physicians INCKettering, OH$599K
Sycamore Primary Care GroupMiamisburg, OH$564K
Alliance Physicians INCBeavercreek, OH$486K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.