Clinic
The Memorial Hospital
The Memorial Hospital was paid $18.85M by Medicaid between Jan 2018 and Dec 2024, across 97 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoTHE MEMORIAL HOSPITAL
CRAIG, CO 81625
CRAIG, CO 81625
33aNPI1063418424assigned 06/21/2005
33bProvider typeRural Health Clinic/Center
28Total paid$18.85M
24GClaims106,646
24DCodes billed97
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Colorado
Rank by total paid#1 of 45
Median peer was paid$716K
This provider vs. median26×
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 | 21,232 | $2.31M | |
| 2019 | 15,807 | $1.97M | |
| 2020 | 11,785 | $1.91M | |
| 2021 | 14,333 | $2.36M | |
| 2022 | 14,570 | $3.92M | |
| 2023 | 17,858 | $4.14M | |
| 2024incomplete | 11,061 | $2.26M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 53% | 30,947 | 24,317 | $10.08M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 17% | 10,854 | 7,920 | $3.14M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 11% | 13,841 | 7,190 | $2.05M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.1% | 2,814 | 2,187 | $782K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.2% | 3,446 | 1,098 | $607K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 2.4% | 3,011 | 1,584 | $447K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.8% | 3,633 | 1,927 | $336K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.0% | 665 | 562 | $190K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 952 | 226 | $145K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 364 | 299 | $125K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 354 | 305 | $111K |
| 80053 | Comprehensive metabolic panel | <1% | 3,033 | 2,465 | $106K |
85 more codes
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 1,941 | $105K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 381 | $99K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 259 | $70K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 134 | $49K |
| 41899 | Unlisted procedure, dentoalveolar structures | <1% | 13 | $46K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 239 | $46K |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | <1% | 3,151 | $45K |
| 99285 | Emergency room visit (most serious) | <1% | 407 | $32K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 49 | $22K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 123 | $15K |
| 80320 | <1% | 70 | $14K | |
| A0427 | Emergency ambulance ride, advanced life support | <1% | 132 | $12K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 3,439 | $11K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 73 | $10K |
| A0425 | Ground mileage, per statute mile | <1% | 479 | $10K |
| 99000 | <1% | 452 | $9K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 358 | $9K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,394 | $8K |
| 87631 | <1% | 58 | $8K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 251 | $7K |
| 97533 | <1% | 160 | $7K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 128 | $7K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 205 | $7K |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | <1% | 31 | $7K |
| A0429 | Emergency ambulance ride, basic life support | <1% | 103 | $7K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,175 | $7K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 17 | $6K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 267 | $6K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 194 | $5K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 287 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 54 | $3K |
| 73630 | <1% | 24 | $3K | |
| 84484 | <1% | 51 | $3K | |
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | <1% | 777 | $3K |
| 0012A | <1% | 55 | $2K | |
| J3490 | Unclassified drugs | <1% | 6,964 | $2K |
| 90648 | <1% | 46 | $2K | |
| 99245 | <1% | 24 | $2K | |
| 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% | 25 | $2K |
| 0011A | <1% | 59 | $2K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 18 | $2K |
| 90716 | <1% | 16 | $1K | |
| 72110 | <1% | 14 | $1K | |
| 87070 | <1% | 16 | $1K | |
| 90670 | <1% | 31 | $958.36 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 48 | $818.68 |
| 96127 | <1% | 494 | $796.10 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 38 | $706.61 |
| 88304 | <1% | 29 | $652.32 | |
| 90633 | <1% | 40 | $592.34 | |
| 90700 | <1% | 15 | $518.20 | |
| 0002A | <1% | 12 | $494.16 | |
| 0072A | <1% | 16 | $480.00 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 25 | $469.88 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 397 | $412.68 |
| 0071A | <1% | 15 | $400.00 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 414 | $371.44 |
| 90723 | <1% | 28 | $331.83 | |
| 99307 | <1% | 13 | $264.58 | |
| 90707 | <1% | 15 | $259.10 | |
| 80305 | <1% | 166 | $227.26 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 140 | $212.40 |
| 80348 | <1% | 40 | $200.50 | |
| 81001 | <1% | 244 | $158.54 | |
| 90461 | <1% | 158 | $158.50 | |
| 81002 | <1% | 47 | $56.68 | |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 65 | $28.09 |
| 81003 | 0% | 136 | $0.00 | |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 47 | $0.00 |
| 83655 | 0% | 13 | $0.00 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 28 | $0.00 |
| 99072 | 0% | 31 | $0.00 | |
| 71045 | Radiologic examination, chest; single view | 0% | 262 | $0.00 |
| J7050 | Infusion, normal saline solution, 250 cc | 0% | 134 | $0.00 |
| 84703 | 0% | 67 | $0.00 | |
| 83690 | 0% | 125 | $0.00 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 0% | 13 | $0.00 |
| 85018 | 0% | 21 | $0.00 | |
| 83735 | 0% | 35 | $0.00 | |
| 96375 | Therapeutic injection; each additional sequential IV push | 0% | 119 | $0.00 |
| 36416 | 0% | 21 | $0.00 | |
| J2704 | Injection, propofol, 10 mg | 0% | 26 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 13 | $0.00 |
| 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 | 0% | 25 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 13 | $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 officialBAILEY, ANNALIA (PROVIDER RELATIONS COORDINATOR)
| Provider | Location | Paid |
|---|---|---|
| The Memorial Hospital | Craig, CO | $127K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.