Hospital
Jay County Hospital
Jay County Hospital was paid $123K by Medicaid between Jan 2018 and Feb 2018, across 32 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 59% of everything it billed.
33Billing provider infoJAY COUNTY HOSPITAL
PORTLAND, IN 47371
PORTLAND, IN 47371
33aNPI1033115993assigned 06/24/2005
33bProvider typeCritical Access Hospital
28Total paid$123K
24GClaims5,187
24DCodes billed32
24AFirst – last monthJan 2018 – Feb 2018
Compared with peers
Next to other Critical Access Hospital providers in Indiana
Rank by total paid#26 of 26
Median peer was paid$4.16M
This provider vs. median0.0×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,187 | $123K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 59% | 1,264 | 968 | $72K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 18% | 337 | 222 | $22K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 11% | 324 | 185 | $14K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.3% | 277 | 216 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.8% | 335 | 176 | $2K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 1.7% | 116 | 66 | $2K |
| 71045 | Radiologic examination, chest; single view | 1.2% | 26 | 16 | $2K |
| 70450 | Computed tomography, head or brain; without contrast material | 1.1% | 25 | 14 | $1K |
| 80053 | Comprehensive metabolic panel | <1% | 426 | 257 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 496 | 290 | $1K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 35 | 23 | $973.89 |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 20 | 13 | $657.16 |
20 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 769 | $565.60 |
| 87081 | <1% | 100 | $278.56 | |
| 81001 | <1% | 134 | $94.24 | |
| 82150 | <1% | 64 | $90.72 | |
| 81003 | <1% | 59 | $82.82 | |
| 84484 | <1% | 47 | $67.51 | |
| 80061 | Lipid panel | <1% | 25 | $65.76 |
| 83690 | <1% | 63 | $51.08 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 20 | $43.98 |
| 83880 | <1% | 18 | $40.85 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 23 | $33.72 |
| 80076 | <1% | 14 | $33.72 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 19 | $12.81 |
| 85730 | <1% | 22 | $12.57 | |
| 83735 | <1% | 21 | $10.41 | |
| 82550 | <1% | 21 | $10.12 | |
| 85610 | <1% | 22 | $8.22 | |
| 84100 | <1% | 21 | $7.38 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 25 | $0.00 |
| A9270 | Non-covered item or service | 0% | 19 | $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 officialMICHAEL, DON (CFO)
| Provider | Location | Paid |
|---|---|---|
| Jay County Hospital | Portland, IN | $35K |
| Jay County Hospital | Portland, IN | $6K |
| Jay County Hospital | Portland, IN | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.