Medicaid Provider Spending

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

SMYTH COUNTY COMMUNITY HOSPITAL

NPI: 1073519377 · MARION, VA 24354 · General Acute Care Hospital · NPI assigned 06/22/2005

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

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

$15.33M
Total Medicaid Paid
478,081
Total Claims
382,108
Beneficiaries
201
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHILTON, SHANE (EVP/CFO)
NPI Enumeration Date06/22/2005

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
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
WELLMONT HEALTH SYSTEM SNEEDVILLE TN $1.90M
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 57,342 $1.10M
2019 76,330 $1.83M
2020 62,018 $1.91M
2021 71,882 $2.37M
2022 76,173 $2.70M
2023 78,895 $3.05M
2024 55,441 $2.38M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 24,028 20,437 $3.30M
99283 Emergency department visit for the evaluation and management, moderate severity 17,108 14,793 $2.09M
96361 Intravenous infusion, hydration; each additional hour 9,149 7,142 $1.77M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 11,094 9,375 $1.22M
74177 Computed tomography, abdomen and pelvis; with contrast material 3,323 2,975 $574K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 12,359 3,680 $567K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,237 3,766 $548K
70450 Computed tomography, head or brain; without contrast material 3,260 2,797 $468K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 7,835 7,041 $421K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,309 2,069 $393K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,042 4,340 $268K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,513 791 $238K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 904 823 $234K
80053 Comprehensive metabolic panel 32,722 26,006 $199K
36415 Collection of venous blood by venipuncture 21,214 15,552 $194K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,118 1,800 $188K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,540 1,945 $183K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,164 1,029 $182K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,747 2,091 $154K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,156 4,581 $120K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,102 2,336 $107K
97162 1,232 1,107 $91K
G0378 Hospital observation service, per hour 834 683 $91K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 588 403 $87K
97113 1,438 563 $68K
71046 Radiologic examination, chest; 2 views 3,925 3,510 $67K
84443 Thyroid stimulating hormone (TSH) 9,576 8,487 $67K
77067 Screening mammography, bilateral, including computer-aided detection 1,594 1,533 $62K
76705 Ultrasound, abdominal, real time with image documentation; limited 576 535 $50K
81001 10,486 8,911 $49K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,428 3,179 $46K
J7030 Infusion, normal saline solution , 1000 cc 1,366 1,035 $43K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 34,140 26,680 $42K
71275 Computed tomographic angiography, chest, with contrast material 213 198 $41K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,431 1,346 $37K
73130 1,562 1,382 $35K
73610 1,511 1,364 $34K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 223 207 $33K
72100 1,444 1,339 $32K
73630 1,814 1,600 $32K
83880 2,823 2,330 $31K
80048 Basic metabolic panel (calcium, ionized) 4,994 4,161 $29K
73562 1,683 1,414 $28K
71045 Radiologic examination, chest; single view 8,982 7,490 $27K
81025 3,800 3,390 $26K
97014 1,132 441 $25K
73030 1,089 938 $24K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 72 62 $23K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,317 593 $23K
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 2,384 2,013 $22K
87040 4,670 2,287 $21K
71260 Computed tomography, thorax, diagnostic; with contrast material 165 151 $21K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 111 102 $21K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 11,602 8,998 $20K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 190 151 $20K
77063 Screening digital breast tomosynthesis, bilateral 870 846 $20K
J3490 Unclassified drugs 1,439 1,131 $20K
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 911 844 $19K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,082 1,033 $17K
73110 808 715 $17K
80061 Lipid panel 4,587 4,251 $17K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 915 381 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,803 6,355 $16K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,381 2,200 $15K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,083 1,034 $15K
83036 Hemoglobin; glycosylated (A1C) 3,990 3,730 $14K
97035 406 179 $14K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 13,551 11,116 $14K
82607 3,454 3,164 $13K
84484 9,300 6,380 $13K
81003 6,579 5,744 $13K
0202U Oncology (prostate), multianalyte, gene expression profiling 65 65 $12K
93971 150 136 $12K
80329 1,634 772 $12K
74018 730 658 $11K
87077 3,220 2,943 $11K
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 377 322 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,949 2,225 $11K
90715 676 591 $10K
76830 Ultrasound, transvaginal 85 82 $10K
84439 1,873 1,633 $9K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 288 231 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 448 359 $7K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 852 737 $7K
73502 545 487 $7K
96375 Therapeutic injection; each additional sequential IV push 9,283 7,261 $7K
87086 Culture, bacterial; quantitative colony count, urine 2,648 2,402 $7K
J2405 Injection, ondansetron hydrochloride, per 1 mg 8,752 7,076 $7K
J7120 Ringers lactate infusion, up to 1000 cc 674 574 $6K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 14 12 $6K
80143 1,137 999 $6K
83605 3,750 2,858 $5K
73221 28 27 $5K
80320 1,075 923 $5K
12001 25 24 $5K
97530 Therapeutic activities, direct patient contact, each 15 minutes 129 53 $5K
71250 84 79 $4K
85027 3,744 3,210 $4K
82140 1,874 1,572 $4K
87070 612 549 $4K
S0020 Injection, bupivicaine hydrochloride, 30 ml 80 72 $4K
82728 1,211 1,071 $4K
88305 Level IV - Surgical pathology, gross and microscopic examination 628 551 $3K
87088 1,914 1,683 $3K
71101 134 120 $3K
87186 2,313 2,055 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16 14 $3K
83540 2,322 2,087 $3K
85379 854 763 $3K
83735 4,453 3,426 $3K
86140 823 725 $3K
99281 Emergency department visit for the evaluation and management, self-limited or minor 20 13 $3K
82746 690 628 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 840 685 $2K
72040 87 80 $2K
80179 1,125 992 $2K
J7050 Infusion, normal saline solution, 250 cc 86 45 $2K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 18 15 $2K
83690 8,057 6,752 $2K
85610 1,793 1,357 $2K
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 47 44 $2K
85652 1,135 981 $2K
73080 89 81 $1K
83550 616 573 $1K
72125 Computed tomography, cervical spine; without contrast material 205 180 $1K
87081 1,079 971 $1K
84703 2,425 2,190 $1K
96376 2,179 1,482 $1K
94729 26 26 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 9,283 7,817 $1K
93017 26 24 $836.59
96523 17 12 $804.36
36600 185 141 $716.76
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,753 1,378 $708.51
J3010 Injection, fentanyl citrate, 0.1 mg 1,212 1,015 $682.13
84100 1,098 787 $660.82
96367 17 12 $609.70
83615 1,097 798 $609.29
87807 275 261 $561.44
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,260 2,716 $475.81
84466 352 279 $440.00
87205 367 323 $372.99
72072 14 12 $361.17
J2360 Injection, orphenadrine citrate, up to 60 mg 1,143 1,013 $354.92
80164 114 93 $350.57
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,219 953 $319.79
J2250 Injection, midazolam hydrochloride, per 1 mg 910 778 $297.84
94727 12 12 $245.37
J2270 Injection, morphine sulfate, up to 10 mg 1,940 1,493 $239.06
86141 31 29 $228.17
J0696 Injection, ceftriaxone sodium, per 250 mg 3,042 2,474 $212.40
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 950 812 $202.94
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 72 72 $182.67
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 859 450 $172.19
85730 179 150 $144.83
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf 16 15 $128.43
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 12 12 $121.26
73090 12 12 $118.65
J2060 Injection, lorazepam, 2 mg 468 372 $114.09
83970 14 12 $108.35
J8540 Dexamethasone, oral, 0.25 mg 45 41 $97.01
87147 74 68 $95.82
J1170 Injection, hydromorphone, up to 4 mg 1,470 1,070 $74.39
J0780 Injection, prochlorperazine, up to 10 mg 1,169 1,016 $66.98
86850 49 42 $66.17
87210 29 27 $62.70
82803 355 255 $62.07
84702 13 13 $54.48
82550 148 119 $52.13
88312 89 77 $45.78
J2919 Injection, methylprednisolone sodium succinate, 5 mg 156 140 $44.52
82272 28 25 $37.73
80050 General health panel 12 12 $35.22
86900 70 55 $35.21
86901 66 55 $31.73
94760 323 287 $29.24
82565 30 28 $23.48
82150 26 18 $21.64
J2550 Injection, promethazine hcl, up to 50 mg 282 223 $17.26
J0690 Injection, cefazolin sodium, 500 mg 332 287 $14.03
J2471 Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg 12 12 $13.00
J1815 Injection, insulin, per 5 units 139 80 $6.86
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 170 145 $4.69
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 14 13 $3.71
J1020 Injection, methylprednisolone acetate, 20 mg 37 35 $2.48
J2704 Injection, propofol, 10 mg 1,878 1,622 $2.44
84550 13 13 $2.41
J2765 Injection, metoclopramide hcl, up to 10 mg 64 56 $2.18
99153 Mod sedat endo service >5yrs 14 13 $1.19
C9113 Injection, pantoprazole sodium, per vial 95 65 $0.72
J1040 Injection, methylprednisolone acetate, 80 mg 32 26 $0.23
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 14 12 $0.00
J1171 Injection, hydromorphone, 0.1 mg 36 31 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 17 14 $0.00
S0028 Injection, famotidine, 20 mg 21 15 $0.00
A9270 Non-covered item or service 31 24 $0.00
J3480 Injection, potassium chloride, per 2 meq 22 15 $0.00
94761 93 69 $0.00
J2785 Injection, regadenoson, 0.1 mg 14 12 $0.00
G8991 Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 40 24 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 146 50 $0.00