Medicaid Provider Spending

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

ST JOSEPH MERCY HOSPITAL-SMHC

NPI: 1053356352 · PONTIAC, MI 48341 · General Acute Care Hospital · NPI assigned 06/19/2006

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

Authorized official GUSHO, MICHAEL controls 20+ related entities in our dataset. Read more

$51.85M
Total Medicaid Paid
1,880,143
Total Claims
1,675,170
Beneficiaries
444
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGUSHO, MICHAEL (CFO)
Parent OrganizationTRINITY HEALTH MICHIGAN
NPI Enumeration Date06/19/2006

Related Entities

Other providers sharing the same authorized official: GUSHO, MICHAEL

ProviderCityStateTotal Paid
ST JOSEPH MERCY HOSPITAL YPSILANTI MI $65.22M
TRINITY HEALTH-MICHIGAN ST MARY MERCY HOSPITAL DIVISION LIVONIA MI $27.75M
SAINT JOSEPH MERCY LIVINGSTON HOSPITAL HOWELL MI $18.28M
MERCY PHYSICIAN NETWORK MUSKEGON MI $11.14M
ST JOSEPH MERCY CHELSEA INC CHELSEA MI $6.89M
MERCY HEALTH PARTNERS - PHYSICIAN SPECIALIST MUSKEGON MI $5.34M
MERCY SPECIALTY SERVICES MUSKEGON MI $5.27M
MERCY HEALTH PARTNERS-OBSTETRICS AND GYNECOLOGY SPECIALIST MUSKEGON MI $1.67M
MERCY HEALTH WESTSHORE CARDIOLOGY SERVICES MUSKEGON MI $1.56M
MERCY HEALTH PARTNERS SUB-SPECIALTY SERVICES MUSKEGON MI $1.38M
SAINT MARY'S HEALTH SERVICES GRAND RAPIDS MI $1.22M
MERCY WOMEN'S HEALTH SERVICES MUSKEGON MI $1.08M
ST JOSEPH MERCY HOSPITAL YPSILANTI MI $653K
CHELSEA COMMUNITY HOSPITAL CHELSEA MI $597K
ST JOSEPH MERCY HOSPITAL CANTON MI $474K
SJMHS ANESTHESIA SERVICES YPSILANTI MI $459K
LAKES OBGYN SPECIALIST NORTON SHORES MI $425K
CHELSEA COMMUNITY HOSPITAL CHELSEA MI $223K
JOHNSON FAMILY CENTER FOR CANCER CARE MUSKEGON MI $156K
ST MARY MERCY HOSPITAL CRNA LIVONIA MI $102K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 174,410 $6.03M
2019 277,377 $6.65M
2020 234,565 $6.04M
2021 313,008 $8.83M
2022 305,378 $8.47M
2023 320,046 $8.56M
2024 255,359 $7.28M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 36,585 33,936 $9.38M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 19,497 18,218 $8.21M
99283 Emergency department visit for the evaluation and management, moderate severity 54,212 50,261 $7.15M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 35,815 32,314 $3.18M
99282 Emergency department visit for the evaluation and management, low to moderate severity 30,256 28,898 $2.20M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 24,444 18,636 $1.59M
80061 Lipid panel 31,798 31,589 $875K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 9,803 9,590 $779K
76818 12,456 5,349 $751K
96375 Therapeutic injection; each additional sequential IV push 27,415 22,106 $742K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 5,417 5,376 $616K
74177 Computed tomography, abdomen and pelvis; with contrast material 5,226 5,124 $614K
71046 Radiologic examination, chest; 2 views 18,040 17,374 $601K
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 11,675 11,246 $556K
70450 Computed tomography, head or brain; without contrast material 6,588 6,384 $505K
G0378 Hospital observation service, per hour 14,434 10,504 $478K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 5,723 5,029 $466K
99281 Emergency department visit for the evaluation and management, self-limited or minor 9,585 9,154 $407K
96361 Intravenous infusion, hydration; each additional hour 11,943 10,745 $389K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 15,626 14,296 $346K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 19,193 18,899 $320K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 20,269 20,153 $319K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 19,057 18,761 $314K
59025 Fetal non-stress test 3,387 2,057 $311K
77067 Screening mammography, bilateral, including computer-aided detection 6,375 6,361 $301K
84443 Thyroid stimulating hormone (TSH) 34,656 33,990 $294K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 10,213 3,023 $292K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,959 1,082 $291K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 3,014 2,882 $286K
71045 Radiologic examination, chest; single view 9,132 8,720 $285K
74176 Computed tomography, abdomen and pelvis; without contrast material 3,000 2,942 $281K
82947 8,228 7,973 $258K
93975 2,261 2,203 $252K
80053 Comprehensive metabolic panel 54,472 50,514 $228K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,119 1,109 $219K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,375 1,354 $215K
76830 Ultrasound, transvaginal 3,860 3,812 $211K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 96,897 87,047 $205K
76801 3,251 3,129 $188K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 9,882 9,100 $179K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 11,939 10,515 $174K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,437 3,405 $171K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 18,507 16,510 $160K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,400 1,380 $149K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 681 668 $146K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,397 2,384 $143K
97161 2,137 2,104 $138K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,507 1,494 $135K
83036 Hemoglobin; glycosylated (A1C) 26,249 26,086 $131K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,624 2,588 $128K
88305 Level IV - Surgical pathology, gross and microscopic examination 7,480 7,305 $121K
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 7,540 7,266 $117K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,717 804 $109K
76819 Fetal biophysical profile; without non-stress testing 2,061 1,807 $107K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography 1,108 1,095 $99K
71275 Computed tomographic angiography, chest, with contrast material 1,505 1,476 $97K
93971 1,946 1,905 $96K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 25,013 19,165 $94K
76642 2,473 2,433 $92K
70496 1,019 994 $89K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 4,484 4,483 $87K
87480 11,651 11,383 $85K
87660 11,576 11,308 $84K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 3,338 2,575 $82K
88142 7,413 7,399 $80K
76770 1,683 1,644 $80K
G0475 Hiv antigen/antibody, combination assay, screening 5,248 5,238 $79K
47562 24 24 $75K
87510 10,965 10,713 $74K
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening 7,144 7,093 $74K
76536 1,411 1,401 $70K
86900 10,473 9,883 $68K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,949 2,831 $68K
72141 482 480 $68K
82607 8,947 8,874 $66K
84439 15,196 14,945 $66K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,976 1,799 $65K
80048 Basic metabolic panel (calcium, ionized) 47,350 39,774 $62K
10060 728 710 $62K
85027 35,537 29,736 $60K
86003 1,627 1,175 $60K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,061 1,050 $60K
82728 8,089 7,926 $56K
86803 7,121 7,100 $54K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 1,819 1,815 $54K
77066 Tomosynthesis, mammo 940 933 $52K
72110 1,635 1,615 $52K
72100 1,668 1,658 $50K
87086 Culture, bacterial; quantitative colony count, urine 18,349 17,441 $49K
93970 620 614 $49K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,864 942 $48K
88342 1,482 1,464 $47K
76825 193 189 $46K
86780 4,857 4,810 $45K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,682 957 $45K
71271 790 789 $44K
70551 Magnetic resonance imaging, brain; without contrast material 527 523 $43K
84702 10,896 9,074 $40K
80074 1,704 1,693 $38K
84481 4,061 3,999 $37K
77065 Tomosynthesis, mammo 854 840 $36K
36415 Collection of venous blood by venipuncture 61,050 56,577 $34K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 111 111 $32K
77063 Screening digital breast tomosynthesis, bilateral 2,526 2,526 $32K
87340 6,910 6,846 $30K
83970 1,456 1,425 $30K
83655 4,118 4,093 $28K
72131 699 693 $28K
G0379 Direct admission of patient for hospital observation care 41 41 $28K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 2,746 2,737 $27K
87081 11,247 11,092 $27K
84466 3,686 3,614 $27K
72125 Computed tomography, cervical spine; without contrast material 2,690 2,631 $26K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,560 2,502 $26K
71250 561 558 $25K
82746 3,466 3,441 $24K
41899 Unlisted procedure, dentoalveolar structures 15 15 $24K
83540 6,954 6,759 $23K
70486 831 823 $23K
0002A 643 634 $21K
93017 1,368 1,345 $21K
96367 679 522 $21K
84403 1,631 1,591 $20K
83735 29,516 23,279 $20K
73030 2,259 2,199 $19K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 6,933 6,704 $19K
36430 130 115 $19K
73562 1,682 1,665 $19K
72050 523 520 $19K
82105 2,258 2,241 $19K
0001A 673 668 $18K
86762 3,296 3,286 $18K
87077 5,682 5,526 $17K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,355 1,345 $17K
86850 9,674 9,142 $17K
82565 10,716 9,429 $17K
81001 39,324 36,662 $17K
77080 296 296 $17K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 1,418 1,417 $17K
76813 1,639 1,629 $16K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 138 74 $16K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 686 679 $16K
73564 995 983 $16K
87070 4,000 3,811 $15K
82570 5,978 5,479 $15K
83001 1,432 1,418 $15K
73630 2,614 2,568 $15K
82043 4,311 4,270 $15K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 55 55 $15K
83880 4,514 4,262 $14K
84460 10,816 9,895 $14K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 51 51 $14K
84450 10,547 9,620 $13K
P9016 Red blood cells, leukocytes reduced, each unit 121 104 $13K
87186 4,210 4,083 $13K
73610 2,156 2,114 $13K
97162 109 108 $13K
82670 820 814 $13K
73130 2,627 2,572 $13K
97165 240 235 $12K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4,673 4,435 $12K
86769 657 649 $12K
82784 1,352 1,335 $12K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 6,947 5,646 $12K
84146 1,112 1,102 $11K
86235 216 212 $11K
83002 1,051 1,042 $11K
85610 12,444 10,618 $11K
74018 1,337 1,303 $10K
82785 1,132 1,126 $10K
73502 1,096 1,075 $10K
83550 2,561 2,519 $10K
82465 1,449 1,445 $10K
88304 1,668 1,661 $10K
80051 6,311 5,377 $9K
73110 1,396 1,374 $9K
86592 3,459 3,426 $9K
87147 3,241 2,380 $9K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 23,582 20,519 $9K
84520 10,092 8,915 $9K
84100 10,807 8,406 $9K
82950 3,017 2,995 $8K
85730 8,786 7,947 $8K
78815 Positron emission tomography (PET) for limited area imaging 12 12 $8K
80055 331 329 $8K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 680 679 $8K
83516 723 486 $8K
82248 5,578 4,984 $8K
83020 1,284 1,258 $8K
0012A 214 214 $7K
86039 1,328 1,313 $7K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 5,697 4,748 $7K
84153 641 638 $7K
85652 5,659 5,346 $7K
86140 3,754 3,433 $7K
86787 1,144 1,141 $7K
83615 3,276 2,796 $7K
0011A 236 236 $7K
86364 592 523 $7K
70491 66 65 $7K
Q9957 Injection, perflutren lipid microspheres, per ml 970 958 $6K
87807 1,782 1,745 $6K
88307 170 167 $6K
82247 6,779 5,806 $6K
80076 2,650 2,515 $6K
95810 Polysomnography; sleep staging with 4 or more additional parameters 12 12 $6K
86696 600 593 $6K
76820 13,296 6,053 $6K
95811 12 12 $6K
74019 851 833 $5K
84156 3,645 3,233 $5K
84550 2,460 2,319 $5K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 241 114 $5K
83690 15,858 14,515 $5K
70498 988 971 $5K
86038 708 705 $5K
86901 10,479 9,888 $5K
96417 134 92 $5K
A9575 Injection, gadoterate meglumine, 0.1 ml 1,830 1,794 $5K
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 13 12 $5K
G0297 Low dose ct scan (ldct) for lung cancer screening 130 130 $5K
82677 456 453 $5K
72040 268 267 $5K
73221 37 37 $4K
86431 1,430 1,425 $4K
82550 2,929 2,667 $4K
87205 2,724 2,502 $4K
86695 599 592 $4K
87522 Neg quan hep c or qual rna 237 231 $4K
86480 99 98 $4K
96376 13,704 7,936 $4K
82150 2,032 1,960 $4K
86258 236 236 $4K
92523 37 37 $4K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 14 12 $4K
84144 356 344 $3K
64400 28 27 $3K
83721 508 507 $3K
81003 7,769 7,452 $3K
82731 209 198 $3K
97166 68 68 $3K
82652 141 140 $3K
86336 457 454 $3K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,162 1,140 $3K
93880 43 42 $3K
86706 502 498 $3K
0352U 849 831 $3K
84075 4,937 4,597 $3K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 27 26 $3K
87529 103 91 $3K
87400 3,793 3,718 $3K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 264 263 $3K
90686 156 156 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 36 36 $3K
86225 330 327 $3K
71101 222 219 $2K
86376 238 237 $2K
84402 157 156 $2K
82310 3,143 3,004 $2K
82040 1,673 1,617 $2K
86200 288 285 $2K
97116 556 405 $2K
84484 21,561 15,620 $2K
74022 3,115 3,046 $2K
73560 286 281 $2K
J7030 Infusion, normal saline solution , 1000 cc 25,118 20,126 $2K
85007 1,625 1,422 $2K
0202U Oncology (prostate), multianalyte, gene expression profiling 118 117 $2K
84703 2,460 2,401 $2K
85379 3,924 3,790 $2K
73590 689 679 $2K
76870 94 92 $1K
81025 7,885 7,457 $1K
86694 249 247 $1K
86665 112 109 $1K
97032 218 91 $1K
85045 704 620 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 87 87 $1K
82747 120 120 $1K
82378 120 119 $1K
72170 181 178 $1K
83090 154 151 $1K
87634 24 24 $1K
73080 267 262 $1K
87040 4,002 2,628 $1K
87631 12 12 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 85 69 $1K
99219 13 13 $981.98
92586 13 13 $972.06
80164 491 448 $937.77
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 15 13 $930.21
86304 80 75 $905.71
86800 94 93 $881.79
74174 12 12 $859.91
0004A 27 27 $847.77
87521 Neg quan hep c or qual rna 40 39 $842.38
87536 17 16 $757.14
73090 343 326 $723.58
82374 2,549 2,456 $701.14
81015 438 429 $697.46
84295 2,562 2,473 $681.27
82435 2,534 2,440 $659.35
93976 13 13 $653.10
84155 799 771 $590.85
82533 80 79 $580.09
70360 62 62 $559.90
86664 98 97 $541.32
83605 4,022 3,286 $531.54
83013 14 14 $510.81
84480 95 94 $502.95
86663 98 97 $470.77
86147 13 13 $450.10
84165 74 74 $432.51
84436 218 215 $426.97
87075 173 160 $415.27
72128 12 12 $400.76
90656 19 19 $391.17
86141 67 65 $381.32
86765 95 95 $380.44
86160 27 27 $335.74
76827 15 12 $333.12
83525 55 55 $332.65
82951 41 41 $317.07
87899 32 27 $315.17
84132 1,319 1,241 $292.84
72080 15 14 $269.11
G0008 Administration of influenza virus vaccine 45 44 $260.40
87498 12 12 $247.93
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 637 615 $243.20
76937 817 730 $233.12
83521 12 12 $228.14
86923 42 25 $206.67
80177 41 41 $194.98
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,156 2,136 $189.99
86735 73 73 $189.43
87046 27 26 $189.03
86300 13 13 $184.68
72072 12 12 $166.62
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 38 38 $160.79
84163 29 29 $150.17
86334 12 12 $141.96
82274 12 12 $134.49
86308 135 134 $131.03
88311 60 54 $124.81
99152 42 40 $109.00
85018 137 119 $108.80
86301 13 12 $108.14
72220 52 52 $106.88
84145 205 198 $101.71
76376 50 50 $96.50
87045 28 26 $94.52
J1650 Injection, enoxaparin sodium, 10 mg 4,971 2,366 $87.80
83520 1,243 1,051 $84.00
12001 684 678 $78.05
82952 29 29 $77.53
12011 178 174 $64.58
87015 14 14 $64.46
93922 12 12 $53.99
82140 44 40 $47.63
85651 79 73 $43.03
87449 29 27 $33.54
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 370 356 $32.73
C1769 Guide wire 951 907 $32.73
85014 40 39 $32.05
80178 15 12 $31.11
J1885 Injection, ketorolac tromethamine, per 15 mg 15,143 13,106 $26.81
J2405 Injection, ondansetron hydrochloride, per 1 mg 20,976 17,139 $23.02
J2370 Injection, phenylephrine hcl, up to 1 ml 295 285 $20.64
J2270 Injection, morphine sulfate, up to 10 mg 6,869 5,098 $19.62
84300 13 12 $17.92
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 437 348 $17.43
97535 Self-care/home management training, each 15 minutes 28 24 $17.03
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,002 751 $10.50
J2060 Injection, lorazepam, 2 mg 8,430 5,288 $10.36
J2360 Injection, orphenadrine citrate, up to 60 mg 960 930 $9.65
J0780 Injection, prochlorperazine, up to 10 mg 1,184 931 $6.12
J1100 Injection, dexamethasone sodium phosphate, 1 mg 9,076 7,823 $5.26
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 527 471 $4.50
J2704 Injection, propofol, 10 mg 8,719 8,085 $4.12
J1170 Injection, hydromorphone, up to 4 mg 3,774 2,565 $1.92
J1200 Injection, diphenhydramine hcl, up to 50 mg 8,118 6,580 $1.90
J1644 Injection, heparin sodium, per 1000 units 1,169 718 $1.15
J2765 Injection, metoclopramide hcl, up to 10 mg 4,246 3,756 $0.99
J1920 Injection, labetalol hydrochloride, 5 mg 20 12 $0.41
J1815 Injection, insulin, per 5 units 998 469 $0.20
J3475 Injection, magnesium sulfate, per 500 mg 1,984 1,567 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,753 1,578 $0.00
C1758 Catheter, ureteral 234 230 $0.00
90715 1,372 1,367 $0.00
93356 1,237 1,226 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 7,119 5,695 $0.00
90714 187 186 $0.00
J3370 Injection, vancomycin hcl, 500 mg 386 208 $0.00
93325 252 249 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,004 835 $0.00
J1756 Injection, iron sucrose, 1 mg 456 234 $0.00
J7510 Prednisolone oral, per 5 mg 441 406 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 114 51 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 306 218 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 125 121 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 171 170 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 41 40 $0.00
J1171 Injection, hydromorphone, 0.1 mg 90 55 $0.00
C9113 Injection, pantoprazole sodium, per vial 45 26 $0.00
91300 68 60 $0.00
99053 28 25 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 13 12 $0.00
J1953 Injection, levetiracetam, 10 mg 17 13 $0.00
82010 16 12 $0.00
J0690 Injection, cefazolin sodium, 500 mg 2,573 2,189 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 4,704 3,763 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 7,085 5,588 $0.00
J3490 Unclassified drugs 3,954 2,684 $0.00
J7050 Infusion, normal saline solution, 250 cc 4,494 2,524 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 4,191 4,055 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 231 204 $0.00
J1630 Injection, haloperidol, up to 5 mg 3,016 2,031 $0.00
93320 14 14 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 103 102 $0.00
J1836 Injection, metronidazole, 10 mg 85 58 $0.00
J2469 Injection, palonosetron hcl, 25 mcg 255 174 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 238 144 $0.00
J3480 Injection, potassium chloride, per 2 meq 1,199 715 $0.00
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 43 43 $0.00
94760 246 140 $0.00
36410 529 458 $0.00
12002 66 66 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 1,018 531 $0.00
A9585 Injection, gadobutrol, 0.1 ml 308 298 $0.00
36416 477 305 $0.00
82553 203 173 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 535 340 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 48 25 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 57 45 $0.00
A9270 Non-covered item or service 2,307 883 $0.00
99153 Mod sedat endo service >5yrs 25 24 $0.00
92567 12 12 $0.00
A4344 Indwelling catheter, foley type, two-way, all silicone or polyurethane, each 12 12 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 118 57 $0.00
J0461 Injection, atropine sulfate, 0.01 mg 24 24 $0.00
0399T 39 38 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 52 34 $0.00
J1940 Injection, furosemide, up to 20 mg 46 26 $0.00
80320 40 35 $0.00