Medicaid Provider Spending

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

SULLIVAN COUNTY MEMORIAL HOSPITAL

NPI: 1114067832 · MILAN, MO 63556 · Critical Access Hospital · NPI assigned 02/08/2007

$199K
Total Medicaid Paid
3,575
Total Claims
2,819
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialMICHAEL, AMY (CHIEF OPERATINGOFFICER)
NPI Enumeration Date02/08/2007

Related Entities

Other providers sharing the same authorized official: MICHAEL, AMY

ProviderCityStateTotal Paid
SULLIVAN COUNTY MEMORIAL HOSPITAL MILAN MO $710K
SULLIVAN COUNTY MEMORIAL HOSPITAL MILAN MO $363K
SULLIVAN COUNTY MEMORIAL HOSPITAL GREEN CITY MO $107K
SULLIVAN COUNTY MEMORIAL HOSPITAL MILAN MO $38K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 948 $51K
2019 501 $51K
2020 227 $7K
2021 418 $7K
2022 612 $29K
2023 520 $42K
2024 349 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 596 507 $79K
99284 Emergency department visit for the evaluation and management, high severity 143 114 $25K
J3490 Unclassified drugs 332 268 $19K
Y7506 139 99 $18K
80053 Comprehensive metabolic panel 793 598 $15K
X4011 State-specific procedure code 37 29 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 171 145 $8K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 254 207 $7K
94760 586 455 $6K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 20 12 $4K
36415 Collection of venous blood by venipuncture 323 227 $3K
99282 Emergency department visit for the evaluation and management, low to moderate severity 14 13 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 81 78 $2K
80305 29 26 $599.01
83605 39 25 $220.80
87420 18 16 $131.75