Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WELLMONT HEALTH SYSTEM

NPI: 1053340158 · SNEEDVILLE, TN 37869 · Critical Access Hospital · NPI assigned 07/01/2006

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

Authorized official HILTON, SHANE controls 20+ related entities in our dataset. Read more

$1.90M
Total Medicaid Paid
31,880
Total Claims
25,145
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHILTON, SHANE (EVP/CFO)
NPI Enumeration Date07/01/2006

Related Entities

Other providers sharing the same authorized official: HILTON, SHANE

ProviderCityStateTotal Paid
JOHNSTON MEMORIAL HOSPITAL, INC ABINGDON VA $35.91M
WELLMONT HEALTH SYSTEM BIG STONE GAP VA $33.71M
MOUNTAIN STATES HEALTH ALLIANCE JOHNSON CITY TN $31.31M
WELLMONT MEDICAL ASSOCIATES INC KINGSPORT TN $27.84M
WELLMONT HEALTH SYSTEM BRISTOL TN $27.35M
TAKOMA REGIONAL HOSPITAL INC GREENEVILLE TN $20.22M
WELLMONT HEALTH SYSTEM KINGSPORT TN $17.64M
MOUNTAIN STATES HEALTH ALLIANCE KINGSPORT TN $15.47M
SMYTH COUNTY COMMUNITY HOSPITAL MARION VA $15.33M
MOUNTAIN STATES HEALTH ALLIANCE LEBANON VA $11.37M
MOUNTAIN STATES HEALTH ALLIANCE PENNINGTON GAP VA $8.28M
MOUNTAIN STATES HEALTH ALLIANCE JOHNSON CITY TN $8.14M
MOUNTAIN STATES HEALTH ALLIANCE ELIZABETHTON TN $7.25M
DICKENSON COMMUNITY HOSPITAL, INC. CLINTWOOD VA $6.94M
WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL INC ROGERSVILLE TN $5.11M
EAST TENNESSEE HEALTHCARE HOLDINGS INC GRAY TN $3.30M
MOUNTAIN STATES HEALTH ALLIANCE MOUNTAIN CITY TN $3.03M
MOUNTAIN STATES HEALTH ALLIANCE ERWIN TN $1.48M
WILSON PHARMACY INC JOHNSON CITY TN $1.26M
MOUNTAIN STATES HEALTH ALLIANCE NORTON VA $376K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,046 $263K
2019 5,209 $215K
2020 2,832 $155K
2021 5,464 $330K
2022 5,411 $415K
2023 4,433 $330K
2024 2,485 $195K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 4,686 4,154 $1.01M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,877 1,484 $384K
99283 Emergency department visit for the evaluation and management, moderate severity 1,722 1,494 $253K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,373 1,255 $128K
80053 Comprehensive metabolic panel 4,101 3,313 $29K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5,456 4,106 $25K
99282 Emergency department visit for the evaluation and management, low to moderate severity 210 181 $13K
36415 Collection of venous blood by venipuncture 5,660 4,100 $9K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 811 610 $8K
84484 881 608 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 689 385 $7K
G0378 Hospital observation service, per hour 56 28 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 106 106 $3K
71045 Radiologic examination, chest; single view 439 356 $3K
83735 769 595 $3K
80048 Basic metabolic panel (calcium, ionized) 415 300 $3K
71046 Radiologic examination, chest; 2 views 173 153 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 176 150 $2K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 92 76 $2K
81001 751 652 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 132 122 $1K
83880 186 157 $1K
96361 Intravenous infusion, hydration; each additional hour 17 13 $1K
87081 116 106 $1K
80076 87 70 $732.86
83690 120 102 $675.79
87040 155 83 $353.95
70450 Computed tomography, head or brain; without contrast material 24 14 $267.46
85652 77 70 $236.88
85730 49 38 $185.21
83605 35 25 $146.75
87086 Culture, bacterial; quantitative colony count, urine 14 12 $136.88
85610 50 39 $120.90
96375 Therapeutic injection; each additional sequential IV push 27 24 $98.07
81003 31 27 $64.81
81025 13 12 $33.60
94760 27 14 $15.66
A9270 Non-covered item or service 277 111 $0.00