Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

T J Health Columbia INC

T J Health Columbia INC was paid $11.51M by Medicaid between Jan 2018 and Dec 2024, across 163 billing codes. Its largest line is 99284, emergency room visit (serious) — 19% of everything it billed.

33Billing provider infoT J HEALTH COLUMBIA INC
COLUMBIA, KY 42728
33aNPI1134585656assigned 01/13/2016
28Total paid$11.51M
24GClaims341,704
24DCodes billed163
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Kentucky

Rank by total paid#29 of 36
Median peer was paid$36.08M
This provider vs. median0.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official THORNBURY, NEIL controls 17+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201835,368$1.25M
201942,559$1.32M
202039,205$1.28M
202152,499$1.89M
202253,049$1.75M
202361,884$1.98M
2024incomplete57,140$2.05M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 19% 9,592 7,814 $2.13M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 13% 10,673 9,209 $1.51M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 9.5% 4,878 2,980 $1.09M
74176 Computed tomography, abdomen and pelvis; without contrast material 6.9% 1,796 1,352 $790K
74177 Computed tomography, abdomen and pelvis; with contrast material 4.1% 989 744 $473K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4.1% 4,857 3,581 $473K
70450 Computed tomography, head or brain; without contrast material 3.9% 2,865 1,832 $448K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.5% 9,240 2,438 $292K
80053 Comprehensive metabolic panel 2.4% 31,108 16,153 $278K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.3% 3,365 3,005 $268K
71046 Radiologic examination, chest; 2 views 2.0% 5,038 3,890 $229K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2.0% 8,802 7,064 $228K
151 more codes
87428 1.7% 7,427 $198K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.7% 5,288 $192K
36415 Collection of venous blood by venipuncture 1.5% 46,492 $168K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1.4% 3,696 $162K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.4% 6,006 $160K
96361 Intravenous infusion, hydration; each additional hour 1.4% 3,857 $157K
71045 Radiologic examination, chest; single view 1.3% 6,395 $155K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.3% 2,104 $148K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.1% 10,730 $131K
96375 Therapeutic injection; each additional sequential IV push <1% 3,169 $114K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 17,636 $99K
84443 Thyroid stimulating hormone (TSH) <1% 7,402 $96K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,442 $92K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 4,400 $85K
80061 Lipid panel <1% 6,819 $70K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,547 $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 <1% 406 $65K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 4,497 $61K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 674 $59K
82607 <1% 4,487 $50K
72100 <1% 847 $41K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 162 $41K
80048 Basic metabolic panel (calcium, ionized) <1% 8,062 $39K
97161 <1% 800 $39K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,988 $39K
83036 Hemoglobin; glycosylated (A1C) <1% 5,343 $37K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 1,847 $33K
73630 <1% 891 $33K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 179 $28K
83880 <1% 1,572 $28K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 790 $26K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 558 $26K
73562 <1% 579 $26K
73130 <1% 672 $26K
84484 <1% 3,998 $24K
73030 <1% 634 $23K
73610 <1% 590 $22K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 506 $20K
81025 <1% 3,727 $19K
87086 Culture, bacterial; quantitative colony count, urine <1% 4,772 $18K
87070 <1% 2,574 $18K
81001 <1% 7,353 $18K
84439 <1% 2,424 $17K
85027 <1% 3,606 $16K
80306 <1% 1,524 $16K
76830 Ultrasound, transvaginal <1% 116 $15K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 3,988 $14K
83690 <1% 2,683 $13K
82728 <1% 1,229 $13K
83735 <1% 2,663 $12K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 336 $11K
87186 <1% 1,483 $10K
J3490 Unclassified drugs <1% 2,275 $10K
81003 <1% 6,220 $10K
85610 <1% 3,490 $9K
73110 <1% 220 $9K
97162 <1% 123 $8K
0012A <1% 364 $7K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 50 $7K
0011A <1% 392 $6K
74019 <1% 92 $6K
87040 <1% 1,098 $6K
83605 <1% 896 $6K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 995 $6K
84703 <1% 873 $5K
85730 <1% 1,666 $5K
83540 <1% 1,069 $5K
71275 Computed tomographic angiography, chest, with contrast material <1% 17 $5K
82043 <1% 1,091 $5K
85007 <1% 2,067 $5K
82570 <1% 1,124 $4K
97750 <1% 201 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 2,605 $4K
72125 Computed tomography, cervical spine; without contrast material <1% 12 $4K
74022 <1% 48 $3K
83550 <1% 491 $3K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 14 $3K
93971 <1% 26 $3K
87077 <1% 360 $3K
87807 <1% 301 $2K
82150 <1% 538 $2K
71250 <1% 13 $2K
87088 <1% 449 $2K
84403 <1% 112 $2K
72040 <1% 54 $2K
J2270 Injection, morphine sulfate, up to 10 mg <1% 662 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 267 $2K
76536 <1% 15 $2K
82803 <1% 124 $2K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 196 $2K
36600 <1% 74 $2K
94060 <1% 15 $1K
72110 <1% 13 $1K
85652 <1% 520 $1K
86140 <1% 292 $1K
74018 <1% 28 $1K
85379 <1% 177 $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 <1% 165 $949.92
84702 <1% 94 $941.55
86038 <1% 92 $879.85
80076 <1% 97 $877.89
90715 <1% 24 $802.98
84145 <1% 53 $774.13
72072 <1% 34 $739.92
83525 <1% 74 $666.29
82962 <1% 311 $626.60
82550 <1% 131 $611.46
84481 <1% 45 $600.89
J1040 Injection, methylprednisolone acetate, 80 mg <1% 30 $597.83
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 42 $593.10
87522 Neg quan hep c or qual rna <1% 17 $536.71
80051 <1% 168 $450.24
80074 <1% 13 $442.00
97035 <1% 47 $400.46
96376 <1% 34 $380.82
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 150 $372.13
85018 <1% 34 $359.18
82375 <1% 30 $350.42
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 16 $315.32
97010 <1% 122 $300.46
73502 <1% 16 $272.75
86008 <1% 14 $262.95
87075 <1% 41 $255.54
86200 <1% 24 $246.31
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 13 $240.03
82565 <1% 67 $229.74
87581 <1% 14 $223.09
87486 <1% 14 $223.09
86308 <1% 46 $212.83
86430 <1% 36 $186.65
82947 <1% 61 $182.50
82746 <1% 12 $173.61
86060 <1% 12 $166.87
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 13 $166.68
87205 <1% 62 $157.31
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 13 $152.80
84436 <1% 27 $141.59
83655 <1% 12 $126.38
0064A <1% 15 $124.40
87350 <1% 13 $107.02
86702 <1% 13 $104.49
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 42 $87.28
84520 <1% 46 $83.66
86580 <1% 13 $75.58
86701 <1% 13 $68.69
84550 <1% 14 $51.02
J2550 Injection, promethazine hcl, up to 50 mg <1% 18 $31.47
85014 <1% 19 $28.92
J8499 Prescription drug, oral, non chemotherapeutic, nos <1% 52 $15.12
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 12 $14.27
A9270 Non-covered item or service 0% 1,212 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialTHORNBURY, NEIL (CEO)
Parent organizationTJ REGIONAL HEALTH INC
Same official

Other billing entities under THORNBURY, NEIL

Full network →
ProviderLocationPaid
T J Samson Community HospitalGlasgow, KY$95.74M
T J Samson Community HospitalGlasgow, KY$15.53M
T J Health Columbia INCColumbia, KY$1.40M
T J Samson Community HospitalGlasgow, KY$1.22M
T J Health Columbia INCEdmonton, KY$1.20M
T J Health Columbia INCColumbia, KY$682K
T J Health Columbia INCRussell Springs, KY$630K
T J Health Columbia INCScottsville, KY$611K
T J Samson Community HospitalCave City, KY$567K
T J Samson Community HospitalGlasgow, KY$549K
T J Samson Community HospitalGlasgow, KY$524K
T J Health Columbia INCTompkinsville, KY$312K
T J Health Columbia INCGreensburg, KY$277K
T J Health Columbia INCColumbia, KY$125K
T J Samson Community HospitalGlasgow, KY$36K
T J Samson Community HospitalGlasgow, KY$1K
T J Samson Community HospitalGlasgow, KY$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.