Medicaid Provider Spending

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

T J HEALTH COLUMBIA INC

NPI: 1134585656 · COLUMBIA, KY 42728 · General Acute Care Hospital · NPI assigned 01/13/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official THORNBURY, NEIL controls 17+ related entities in our dataset. Read more

$11.51M
Total Medicaid Paid
341,704
Total Claims
237,702
Beneficiaries
163
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHORNBURY, NEIL (CEO)
Parent OrganizationTJ REGIONAL HEALTH INC
NPI Enumeration Date01/13/2016

Related Entities

Other providers sharing the same authorized official: THORNBURY, NEIL

ProviderCityStateTotal Paid
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $95.74M
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $15.53M
T J HEALTH COLUMBIA INC COLUMBIA KY $1.40M
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $1.22M
T J HEALTH COLUMBIA INC EDMONTON KY $1.20M
T J HEALTH COLUMBIA INC COLUMBIA KY $682K
T J HEALTH COLUMBIA INC RUSSELL SPRINGS KY $630K
T J HEALTH COLUMBIA INC SCOTTSVILLE KY $611K
T J SAMSON COMMUNITY HOSPITAL CAVE CITY KY $567K
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $549K
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $524K
T J HEALTH COLUMBIA INC TOMPKINSVILLE KY $312K
T J HEALTH COLUMBIA INC GREENSBURG KY $277K
T J HEALTH COLUMBIA INC COLUMBIA KY $125K
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $36K
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $1K
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 35,368 $1.25M
2019 42,559 $1.32M
2020 39,205 $1.28M
2021 52,499 $1.89M
2022 53,049 $1.75M
2023 61,884 $1.98M
2024 57,140 $2.05M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 9,592 7,814 $2.13M
99283 Emergency department visit for the evaluation and management, moderate severity 10,673 9,209 $1.51M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,878 2,980 $1.09M
74176 Computed tomography, abdomen and pelvis; without contrast material 1,796 1,352 $790K
74177 Computed tomography, abdomen and pelvis; with contrast material 989 744 $473K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,857 3,581 $473K
70450 Computed tomography, head or brain; without contrast material 2,865 1,832 $448K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 9,240 2,438 $292K
80053 Comprehensive metabolic panel 31,108 16,153 $278K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,365 3,005 $268K
71046 Radiologic examination, chest; 2 views 5,038 3,890 $229K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,802 7,064 $228K
87428 7,427 5,956 $198K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5,288 3,996 $192K
36415 Collection of venous blood by venipuncture 46,492 17,724 $168K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,696 3,278 $162K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,006 4,293 $160K
96361 Intravenous infusion, hydration; each additional hour 3,857 2,588 $157K
71045 Radiologic examination, chest; single view 6,395 3,003 $155K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,104 1,028 $148K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 10,730 9,279 $131K
96375 Therapeutic injection; each additional sequential IV push 3,169 2,634 $114K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 17,636 14,836 $99K
84443 Thyroid stimulating hormone (TSH) 7,402 6,829 $96K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,442 1,303 $92K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4,400 4,053 $85K
80061 Lipid panel 6,819 6,012 $70K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,547 1,427 $65K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 406 366 $65K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,497 2,200 $61K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 674 462 $59K
82607 4,487 4,159 $50K
72100 847 723 $41K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 162 144 $41K
80048 Basic metabolic panel (calcium, ionized) 8,062 3,909 $39K
97161 800 589 $39K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,988 1,880 $39K
83036 Hemoglobin; glycosylated (A1C) 5,343 4,946 $37K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,847 644 $33K
73630 891 803 $33K
76705 Ultrasound, abdominal, real time with image documentation; limited 179 169 $28K
83880 1,572 1,229 $28K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 790 701 $26K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 558 422 $26K
73562 579 510 $26K
73130 672 617 $26K
84484 3,998 2,860 $24K
73030 634 527 $23K
73610 590 517 $22K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 506 456 $20K
81025 3,727 3,364 $19K
87086 Culture, bacterial; quantitative colony count, urine 4,772 2,992 $18K
87070 2,574 2,031 $18K
81001 7,353 6,367 $18K
84439 2,424 2,255 $17K
85027 3,606 3,009 $16K
80306 1,524 1,336 $16K
76830 Ultrasound, transvaginal 116 109 $15K
J1885 Injection, ketorolac tromethamine, per 15 mg 3,988 3,499 $14K
83690 2,683 2,344 $13K
82728 1,229 1,116 $13K
83735 2,663 2,152 $12K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 336 318 $11K
87186 1,483 1,333 $10K
J3490 Unclassified drugs 2,275 1,174 $10K
81003 6,220 5,644 $10K
85610 3,490 2,502 $9K
73110 220 201 $9K
97162 123 114 $8K
0012A 364 361 $7K
76700 Ultrasound, abdominal, real time with image documentation; complete 50 47 $7K
0011A 392 384 $6K
74019 92 80 $6K
87040 1,098 618 $6K
83605 896 684 $6K
J0696 Injection, ceftriaxone sodium, per 250 mg 995 804 $6K
84703 873 772 $5K
85730 1,666 1,412 $5K
83540 1,069 993 $5K
71275 Computed tomographic angiography, chest, with contrast material 17 13 $5K
82043 1,091 1,009 $5K
85007 2,067 1,551 $5K
82570 1,124 1,057 $4K
97750 201 155 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,605 2,182 $4K
72125 Computed tomography, cervical spine; without contrast material 12 12 $4K
74022 48 42 $3K
83550 491 468 $3K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 14 13 $3K
93971 26 26 $3K
87077 360 320 $3K
87807 301 246 $2K
82150 538 477 $2K
71250 13 12 $2K
87088 449 380 $2K
84403 112 104 $2K
72040 54 49 $2K
J2270 Injection, morphine sulfate, up to 10 mg 662 522 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 267 208 $2K
76536 15 14 $2K
82803 124 97 $2K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 196 157 $2K
36600 74 56 $2K
94060 15 12 $1K
72110 13 12 $1K
85652 520 460 $1K
86140 292 263 $1K
74018 28 24 $1K
85379 177 142 $1K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 165 42 $949.92
84702 94 79 $941.55
86038 92 88 $879.85
80076 97 86 $877.89
90715 24 24 $802.98
84145 53 49 $774.13
72072 34 12 $739.92
83525 74 69 $666.29
82962 311 214 $626.60
82550 131 101 $611.46
84481 45 40 $600.89
J1040 Injection, methylprednisolone acetate, 80 mg 30 27 $597.83
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 42 37 $593.10
87522 Neg quan hep c or qual rna 17 16 $536.71
80051 168 59 $450.24
80074 13 12 $442.00
97035 47 13 $400.46
96376 34 27 $380.82
J1100 Injection, dexamethasone sodium phosphate, 1 mg 150 144 $372.13
85018 34 15 $359.18
82375 30 28 $350.42
J2360 Injection, orphenadrine citrate, up to 60 mg 16 15 $315.32
97010 122 45 $300.46
73502 16 13 $272.75
86008 14 14 $262.95
87075 41 37 $255.54
86200 24 24 $246.31
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 13 12 $240.03
82565 67 59 $229.74
87581 14 13 $223.09
87486 14 13 $223.09
86308 46 42 $212.83
86430 36 36 $186.65
82947 61 53 $182.50
82746 12 12 $173.61
86060 12 12 $166.87
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 13 12 $166.68
87205 62 51 $157.31
J2919 Injection, methylprednisolone sodium succinate, 5 mg 13 12 $152.80
84436 27 25 $141.59
83655 12 12 $126.38
0064A 15 15 $124.40
87350 13 12 $107.02
86702 13 12 $104.49
J2765 Injection, metoclopramide hcl, up to 10 mg 42 40 $87.28
84520 46 39 $83.66
86580 13 13 $75.58
86701 13 12 $68.69
84550 14 14 $51.02
J2550 Injection, promethazine hcl, up to 50 mg 18 12 $31.47
85014 19 17 $28.92
J8499 Prescription drug, oral, non chemotherapeutic, nos 52 43 $15.12
J1200 Injection, diphenhydramine hcl, up to 50 mg 12 12 $14.27
A9270 Non-covered item or service 1,212 535 $0.00