Medicaid Provider Spending

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

PRINCETON COMMUNITY HOSPITAL ASSN INC.

NPI: 1093917643 · PRINCETON, WV 24740 · Urology Physician

$15.37M
Total Medicaid Paid
379,949
Total Claims
280,940
Beneficiaries
177
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,078 $1.37M
2019 22,647 $732K
2020 42,019 $1.29M
2021 68,248 $2.05M
2022 87,763 $3.16M
2023 71,148 $3.55M
2024 62,046 $3.21M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 30,884 27,491 $2.34M
99232 52,577 16,829 $2.09M
99283 26,035 23,491 $1.19M
99214 21,185 18,598 $1.18M
99213 22,358 18,928 $1.03M
99285 8,345 7,320 $867K
99223 Prolong inpt eval add15 m 7,920 6,798 $841K
99231 24,177 9,630 $595K
99239 8,549 7,467 $518K
99204 4,525 3,915 $418K
99221 7,124 6,164 $389K
99222 5,334 4,079 $382K
99203 5,245 4,673 $325K
99233 Prolong inpt eval add15 m 5,499 1,860 $299K
31231 2,883 2,395 $288K
95165 1,619 1,360 $220K
88305 7,139 6,147 $190K
99291 1,287 903 $180K
31575 1,997 1,655 $125K
74176 2,242 2,034 $113K
99238 2,280 1,991 $108K
70450 3,846 3,373 $81K
99215 Prolong outpt/office vis 932 845 $76K
74177 1,442 1,291 $74K
71045 17,103 12,629 $71K
77067 3,169 2,932 $69K
99282 2,419 2,187 $66K
99212 2,022 1,813 $64K
93010 14,130 11,565 $63K
71046 9,488 8,636 $54K
95117 8,181 3,345 $53K
77063 2,968 2,736 $52K
90837 539 444 $51K
99219 564 505 $42K
93306 1,105 1,012 $40K
42820 187 170 $40K
71275 745 676 $38K
69436 263 234 $36K
88342 1,176 969 $34K
76705 1,330 1,272 $28K
47563 85 64 $28K
76805 453 316 $27K
92567 2,552 2,267 $26K
43239 295 273 $22K
70553 276 271 $20K
88307 336 306 $19K
88304 2,135 1,904 $18K
76830 349 294 $18K
76642 717 579 $17K
49083 397 148 $17K
72110 2,194 1,990 $16K
87426 483 412 $16K
72125 527 484 $15K
99217 341 313 $15K
99460 232 215 $12K
72148 268 258 $12K
81002 2,776 2,053 $12K
74019 1,823 1,617 $12K
99391 179 163 $11K
99225 244 148 $11K
87804 860 374 $11K
59025 333 111 $11K
76536 422 400 $11K
45378 92 83 $10K
71250 301 284 $10K
71260 269 249 $9K
70486 357 340 $9K
90471 932 851 $9K
99205 Prolong outpt/office vis 74 68 $9K
36415 1,075 910 $8K
73562 1,476 1,190 $8K
30802 98 87 $8K
90834 131 108 $8K
93971 438 404 $7K
73030 1,256 1,076 $7K
73630 1,302 1,134 $6K
90472 313 263 $6K
95027 48 44 $6K
31500 65 53 $6K
70551 126 110 $5K
73610 1,062 954 $5K
78227 206 192 $5K
93000 748 654 $5K
72050 628 586 $5K
69210 235 172 $5K
76815 90 55 $5K
73130 872 743 $5K
87880 347 306 $4K
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 425 374 $4K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 202 170 $4K
74018 784 702 $4K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 250 202 $4K
73721 95 91 $4K
96372 333 245 $3K
73502 532 480 $3K
90686 384 348 $3K
90792 27 24 $3K
76775 176 169 $3K
72070 507 452 $3K
73110 558 490 $3K
76700 105 104 $3K
99202 59 57 $2K
12001 71 67 $2K
51798 462 412 $2K
76817 53 40 $2K
88104 144 129 $2K
90832 45 37 $2K
72141 36 36 $2K
93016 68 67 $2K
99392 29 26 $2K
93970 83 73 $2K
93975 41 39 $1K
90671 110 101 $1K
99281 98 94 $1K
77066 Tomosynthesis, mammo 59 40 $1K
73080 258 230 $1K
76770 56 54 $1K
93018 56 55 $1K
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 133 110 $1K
G9744 Patient not eligible due to active diagnosis of hypertension 538 469 $1K
99393 14 14 $1K
99395 15 14 $1K
72100 159 144 $1K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 15,639 13,612 $1K
73564 150 126 $1K
99306 Prolong nursin fac eval 15m 36 30 $977.63
88108 45 41 $949.40
90833 29 16 $940.82
88302 132 127 $940.78
76870 40 38 $795.39
36556 16 14 $779.74
73590 167 149 $768.59
93880 25 24 $767.57
73090 156 139 $721.10
95004 132 127 $654.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,166 1,039 $629.36
G8783 Normal blood pressure reading documented, follow-up not required 146 107 $568.37
78452 15 14 $564.81
76856 26 25 $546.10
90961 40 30 $539.99
12002 12 12 $520.61
70490 12 12 $516.24
90960 12 12 $486.72
90656 51 48 $474.61
G8754 Most recent diastolic blood pressure < 90 mmhg 357 301 $452.36
77080 72 69 $448.44
73221 13 12 $425.14
G0407 Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth 241 73 $392.52
78582 12 12 $351.50
90474 46 41 $340.83
72131 12 12 $323.24
71100 43 42 $298.28
76000 81 42 $292.11
99443 14 12 $274.15
93244 13 13 $224.37
73522 28 26 $217.94
72040 30 27 $217.65
99211 17 13 $212.99
74420 20 12 $207.11
87210 42 39 $204.83
99304 15 14 $172.79
95024 33 31 $161.75
72081 14 12 $110.50
G8752 Most recent systolic blood pressure < 140 mmhg 220 190 $109.62
96127 30 30 $83.84
73560 14 13 $65.92
1111F 970 886 $65.00
3046F 13 13 $61.86
73140 12 12 $53.97
3023F 15 14 $32.00
3288F 577 518 $0.00
4040F 44 43 $0.00
90633 14 12 $0.00
90648 97 89 $0.00
93356 39 37 $0.00
90723 80 71 $0.00
90680 78 70 $0.00