HMA FENTRESS COUNTY GENERAL HOSPITAL LLC
NPI: 1093760712
· JAMESTOWN, TN 38556
· 367500000X
$215K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,343 |
$215K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
682 |
628 |
$74K |
| 99284 |
|
498 |
459 |
$65K |
| 99285 |
|
187 |
171 |
$21K |
| G0378 |
Hospital observation per hr |
123 |
106 |
$12K |
| G0379 |
Direct refer hospital observ |
20 |
18 |
$10K |
| 85025 |
|
908 |
700 |
$5K |
| 11042 |
|
88 |
44 |
$5K |
| 96372 |
|
302 |
272 |
$3K |
| 80053 |
|
490 |
430 |
$3K |
| 93005 |
|
254 |
219 |
$2K |
| 84484 |
|
169 |
141 |
$2K |
| 87400 |
|
235 |
216 |
$2K |
| 36415 |
|
1,139 |
839 |
$2K |
| 96374 |
|
105 |
96 |
$1K |
| 99282 |
|
16 |
16 |
$1K |
| 96375 |
|
79 |
74 |
$853.72 |
| 80048 |
|
176 |
117 |
$786.78 |
| 71045 |
|
87 |
77 |
$778.57 |
| 99281 |
|
12 |
12 |
$732.46 |
| 70450 |
|
15 |
14 |
$610.20 |
| 71046 |
|
107 |
96 |
$594.89 |
| 87070 |
|
70 |
70 |
$559.57 |
| 96361 |
|
52 |
47 |
$513.29 |
| 81001 |
|
154 |
142 |
$511.67 |
| 87450 |
|
91 |
90 |
$481.54 |
| J2405 |
Ondansetron hcl injection |
37 |
37 |
$314.51 |
| 86738 |
|
14 |
12 |
$122.94 |
| J1100 |
Dexamethasone sodium phos |
44 |
40 |
$92.49 |
| 81003 |
|
14 |
14 |
$10.88 |
| J1885 |
Ketorolac tromethamine inj |
29 |
29 |
$0.00 |
| 94640 |
|
21 |
13 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
36 |
26 |
$0.00 |
| 96365 |
|
14 |
12 |
$0.00 |
| J7030 |
Normal saline solution infus |
75 |
61 |
$0.00 |