Medicaid Provider Spending

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

MONROE MEDICAL FOUNDATION, INC.

NPI: 1053499350 · TOMPKINSVILLE, KY 42167 · General Acute Care Hospital · NPI assigned 11/02/2006

$7.31M
Total Medicaid Paid
166,387
Total Claims
111,163
Beneficiaries
98
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRICH-MCLERRAN, ANDREA (CEO)
NPI Enumeration Date11/02/2006

Related Entities

Other providers sharing the same authorized official: RICH-MCLERRAN, ANDREA

ProviderCityStateTotal Paid
MONROE MEDICAL FOUNDATION, INC. TOMPKINSVILLE KY $1.30M
MONROE MEDICAL FOUNDATION, INC. TOMPKINSVILLE KY $632K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25,614 $1.17M
2019 25,227 $1.22M
2020 19,458 $894K
2021 25,056 $1.04M
2022 22,506 $1.04M
2023 29,992 $1.22M
2024 18,534 $725K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,835 5,679 $1.01M
74176 Computed tomography, abdomen and pelvis; without contrast material 1,624 1,284 $704K
99283 Emergency department visit for the evaluation and management, moderate severity 8,250 7,214 $620K
G0378 Hospital observation service, per hour 2,671 2,166 $606K
99284 Emergency department visit for the evaluation and management, high severity 3,457 2,802 $426K
96361 Intravenous infusion, hydration; each additional hour 2,392 1,109 $424K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 8,940 2,107 $347K
G0379 Direct admission of patient for hospital observation care 2,699 1,521 $268K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,301 2,987 $256K
70450 Computed tomography, head or brain; without contrast material 1,326 951 $220K
71046 Radiologic examination, chest; 2 views 3,607 2,826 $205K
74177 Computed tomography, abdomen and pelvis; with contrast material 356 264 $198K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,178 1,222 $196K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,892 3,457 $169K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,519 2,084 $160K
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 1,985 1,644 $129K
71045 Radiologic examination, chest; single view 3,104 1,961 $103K
80053 Comprehensive metabolic panel 22,591 10,719 $98K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,724 604 $94K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12,569 9,952 $85K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,532 1,272 $78K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,035 1,891 $60K
36415 Collection of venous blood by venipuncture 14,722 8,913 $54K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,654 2,349 $50K
97161 1,323 887 $48K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,832 1,419 $47K
96375 Therapeutic injection; each additional sequential IV push 1,163 904 $46K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 113 106 $38K
97035 1,653 456 $36K
84484 2,172 1,506 $33K
84443 Thyroid stimulating hormone (TSH) 2,227 1,976 $31K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 520 382 $28K
80061 Lipid panel 2,812 1,651 $28K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 448 403 $28K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,204 1,005 $27K
99281 Emergency department visit for the evaluation and management, self-limited or minor 497 452 $24K
94760 1,592 715 $23K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 434 389 $18K
87581 598 533 $17K
96376 427 210 $17K
80048 Basic metabolic panel (calcium, ionized) 3,192 2,043 $17K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 274 247 $17K
81001 4,602 3,768 $16K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 194 152 $11K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,405 1,136 $11K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 269 63 $10K
84480 825 785 $10K
87086 Culture, bacterial; quantitative colony count, urine 1,396 1,222 $10K
77067 Screening mammography, bilateral, including computer-aided detection 159 155 $9K
83690 1,241 1,059 $9K
A0425 Ground mileage, per statute mile 2,424 1,231 $9K
74022 82 75 $9K
73564 108 84 $8K
83735 1,058 906 $7K
83036 Hemoglobin; glycosylated (A1C) 858 791 $7K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 12 12 $7K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 108 98 $7K
82150 1,171 986 $7K
76705 Ultrasound, abdominal, real time with image documentation; limited 40 39 $6K
73630 70 58 $5K
84436 883 831 $5K
82607 468 359 $5K
83880 151 120 $4K
77063 Screening digital breast tomosynthesis, bilateral 341 271 $4K
80305 407 338 $4K
85379 426 268 $4K
84439 462 440 $4K
85610 1,044 842 $4K
82962 700 350 $3K
82746 266 255 $3K
73610 41 37 $3K
85730 646 540 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 119 117 $3K
72110 35 24 $2K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 224 40 $2K
93017 14 13 $2K
84702 95 83 $2K
82728 127 125 $1K
87070 171 139 $1K
83540 204 197 $1K
73110 13 12 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 35 31 $758.98
73030 21 16 $688.27
84703 85 80 $667.97
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 153 96 $666.13
87040 62 50 $643.90
86140 155 139 $636.19
82550 66 38 $539.83
93041 36 27 $537.08
83605 58 42 $466.90
84466 33 32 $369.43
86803 32 28 $336.24
82553 18 12 $320.35
85652 93 80 $216.12
83615 19 13 $173.67
82248 33 30 $119.42
85045 33 32 $115.57
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 152 134 $83.48