Medicaid Provider Spending

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

WRAY COMMUNITY DISTRICT HOSPITAL

NPI: 1083640239 · WRAY, CO 80758 · Critical Access Hospital · NPI assigned 06/22/2006

$78K
Total Medicaid Paid
8,992
Total Claims
7,254
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHART, JOHN (CEO)
NPI Enumeration Date06/22/2006

Related Entities

Other providers sharing the same authorized official: HART, JOHN

ProviderCityStateTotal Paid
FPA HOSPITAL BASED NEW YORK NY $16.67M
FPA HOSPITAL BASED NEW YORK NY $4.05M
FPA HOSPITAL BASED NEW YORK NY $1.30M
WRAY COMMUNITY DISTRICT HOSPITAL WRAY CO $1.23M
MMI HOLDINGS LLC JOHNSON CITY TN $12K
MMI HOLDINGS LLC HOOVER AL $5K
HEARTLAND FOOT & ANKLE CLINIC PC MT PLEASANT IA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 816 $5K
2019 984 $6K
2020 804 $5K
2021 1,982 $32K
2022 1,894 $11K
2023 1,691 $15K
2024 821 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36415 Collection of venous blood by venipuncture 5,506 4,480 $18K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,761 1,424 $14K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 95 93 $10K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 205 53 $8K
80053 Comprehensive metabolic panel 508 409 $8K
0011A 128 120 $5K
99283 Emergency department visit for the evaluation and management, moderate severity 33 28 $5K
0012A 83 78 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 83 73 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 360 307 $1K
0064A 25 25 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 114 77 $866.99
0002A 14 14 $627.45
0001A 13 12 $539.69
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 24 24 $372.71
83036 Hemoglobin; glycosylated (A1C) 27 25 $159.40
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 12 $53.56