Medicaid Provider Spending

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

JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY

NPI: 1093763781 · ALTUS, OK 73521 · General Acute Care Hospital · NPI assigned 05/04/2006

$9.01M
Total Medicaid Paid
144,568
Total Claims
124,769
Beneficiaries
113
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHARTGRAVES, STEVE (PRESIDENT CEO)
NPI Enumeration Date05/04/2006

Related Entities

Other providers sharing the same authorized official: HARTGRAVES, STEVE

ProviderCityStateTotal Paid
JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY ALTUS OK $4.19M
JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY ALTUS OK $2.97M
JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY ALTUS OK $2.90M
JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY MANGUM OK $621K
JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY HOLLIS OK $290K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,749 $971K
2019 17,407 $999K
2020 12,936 $742K
2021 18,848 $1.41M
2022 29,104 $2.00M
2023 33,211 $2.06M
2024 14,313 $826K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 28,166 19,208 $2.91M
99284 Emergency department visit for the evaluation and management, high severity 16,367 12,803 $2.59M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,536 4,246 $1.30M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,173 3,156 $274K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,449 2,552 $255K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,637 1,598 $205K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,683 2,536 $135K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 800 779 $109K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,529 393 $105K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 6,086 5,874 $96K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 552 542 $75K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,300 5,161 $74K
99215 Prolong outpt/office vis 427 381 $57K
80053 Comprehensive metabolic panel 4,635 4,524 $51K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,893 6,710 $49K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,726 1,712 $48K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 447 443 $46K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,738 1,724 $45K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 596 596 $45K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 525 516 $29K
87070 3,551 3,492 $28K
87480 1,520 1,507 $28K
71045 Radiologic examination, chest; single view 2,304 2,266 $26K
87510 1,520 1,506 $24K
87660 1,512 1,498 $24K
99223 Prolong inpt eval add15 m 264 252 $23K
36415 Collection of venous blood by venipuncture 9,197 8,444 $23K
96375 Therapeutic injection; each additional sequential IV push 483 470 $21K
81003 9,673 8,842 $20K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 644 628 $20K
99238 Hospital discharge day management, 30 minutes or less 290 290 $19K
87807 1,673 1,596 $19K
97530 Therapeutic activities, direct patient contact, each 15 minutes 378 81 $17K
99239 Hospital discharge day management, more than 30 minutes 266 256 $15K
99233 Prolong inpt eval add15 m 298 128 $14K
99232 Subsequent hospital care, per day, moderate complexity 403 194 $13K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 287 280 $13K
81001 3,703 3,613 $11K
87428 366 359 $10K
84443 Thyroid stimulating hormone (TSH) 666 664 $10K
87086 Culture, bacterial; quantitative colony count, urine 1,306 1,274 $9K
99460 95 95 $9K
86780 742 741 $8K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,243 1,208 $7K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 122 121 $6K
86850 584 578 $5K
83655 400 400 $4K
88341 12 12 $4K
86803 362 361 $4K
84703 636 627 $4K
20610 119 106 $4K
80055 102 102 $4K
87430 303 302 $4K
99222 Initial hospital care, per day, moderate complexity 57 57 $4K
86787 324 323 $4K
99281 Emergency department visit for the evaluation and management, self-limited or minor 101 99 $4K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 53 53 $3K
86703 321 320 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 46 46 $2K
86762 190 189 $2K
84481 151 151 $2K
84439 270 269 $2K
80061 Lipid panel 186 185 $2K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 83 83 $2K
86900 572 568 $2K
87340 203 202 $2K
85027 333 331 $2K
87420 130 129 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 28 28 $2K
96127 329 308 $1K
86901 584 578 $1K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 13 13 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 381 316 $1K
99220 14 13 $1K
85660 251 250 $1K
88305 Level IV - Surgical pathology, gross and microscopic examination 25 24 $1K
80050 General health panel 12 12 $964.83
80048 Basic metabolic panel (calcium, ionized) 121 119 $861.95
83036 Hemoglobin; glycosylated (A1C) 117 116 $859.36
82247 169 105 $853.80
96361 Intravenous infusion, hydration; each additional hour 27 26 $762.93
94060 67 67 $761.79
83605 65 65 $729.53
85018 323 321 $683.47
82248 170 107 $652.65
96110 Developmental screening, with scoring and documentation, per standardized instrument 71 71 $593.22
83721 65 65 $568.28
84484 50 50 $554.50
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 153 151 $550.11
88342 12 12 $528.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 14 $498.13
80306 34 34 $488.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 33 33 $473.94
70450 Computed tomography, head or brain; without contrast material 12 12 $452.45
71046 Radiologic examination, chest; 2 views 27 27 $451.65
86592 118 118 $439.15
82947 128 128 $430.70
73562 12 12 $369.13
84702 28 27 $348.14
83690 58 56 $342.31
51798 57 55 $307.00
85049 73 73 $279.13
99307 27 27 $249.63
85014 111 111 $232.71
81015 41 39 $111.11
83735 12 12 $67.24
82962 29 29 $58.40
82950 12 12 $46.53
J2405 Injection, ondansetron hydrochloride, per 1 mg 91 91 $33.52
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 230 228 $0.16
J1885 Injection, ketorolac tromethamine, per 15 mg 27 26 $0.00
J0690 Injection, cefazolin sodium, 500 mg 26 24 $0.00
J3490 Unclassified drugs 12 12 $0.00