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

Shelby County Health Care Corporation

Shelby County Health Care Corporation was paid $56.20M by Medicaid between Jan 2018 and Dec 2024, across 312 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 25% of everything it billed.

33Billing provider infoSHELBY COUNTY HEALTH CARE CORPORATION
MEMPHIS, TN 38103
33aNPI1144213117assigned 08/25/2005
28Total paid$56.20M
24GClaims1,793,671
24DCodes billed312
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Tennessee

Rank by total paid#1 of 71
Median peer was paid$6.96M
This provider vs. median8.1×

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.

Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
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
2018285,215$8.94M
2019275,660$9.59M
2020247,817$7.93M
2021268,125$7.47M
2022264,653$8.13M
2023277,546$8.73M
2024incomplete174,655$5.41M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 25% 333,922 278,180 $14.04M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 22% 38,011 32,118 $12.31M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 16% 43,859 38,051 $9.04M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 11% 12,689 10,041 $5.92M
59025 Fetal non-stress test 1.8% 8,605 6,502 $1.03M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.6% 17,953 16,293 $884K
G0378 Hospital observation service, per hour 1.4% 6,566 1,830 $794K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.2% 5,080 4,453 $696K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.1% 103,334 78,275 $593K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 4,900 4,313 $446K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 3,126 2,891 $408K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 5,028 4,724 $407K
300 more codes
P9016 Red blood cells, leukocytes reduced, each unit <1% 4,887 $399K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 22,527 $348K
76819 Fetal biophysical profile; without non-stress testing <1% 4,355 $299K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 3,131 $261K
36415 Collection of venous blood by venipuncture <1% 124,121 $258K
80048 Basic metabolic panel (calcium, ionized) <1% 69,066 $238K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 14,208 $236K
96361 Intravenous infusion, hydration; each additional hour <1% 10,270 $228K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 10,111 $221K
83735 <1% 52,365 $216K
84484 <1% 15,743 $212K
87536 <1% 13,831 $208K
36512 <1% 879 $207K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 14,130 $196K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 2,577 $185K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 2,848 $184K
86885 <1% 14,634 $176K
80053 Comprehensive metabolic panel <1% 54,105 $164K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 5,853 $164K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 9,167 $163K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 9,532 $162K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 2,874 $151K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 12,744 $147K
86900 <1% 14,790 $132K
85027 <1% 36,394 $129K
81025 <1% 27,451 $128K
90461 <1% 6,756 $125K
83605 <1% 16,613 $121K
86901 <1% 14,972 $118K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 4,906 $110K
84100 <1% 44,311 $109K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 19,635 $108K
99214 Doctor's office visit, returning patient (more involved) <1% 4,631 $106K
99213 Doctor's office visit, returning patient (routine) <1% 8,096 $104K
71045 Radiologic examination, chest; single view <1% 14,041 $100K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,494 $95K
70450 Computed tomography, head or brain; without contrast material <1% 2,388 $93K
86360 <1% 7,637 $89K
Q3014 Telehealth originating site facility fee <1% 6,071 $88K
82947 <1% 22,300 $88K
86359 <1% 7,686 $87K
80076 <1% 28,317 $84K
99215 Doctor's office visit, returning patient (complex) <1% 3,380 $83K
81003 <1% 43,774 $80K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 2,841 $78K
11721 <1% 5,144 $76K
76801 <1% 1,153 $71K
T1015 A visit at a community health center or clinic (one all-in rate) <1% 8,389 $68K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 4,282 $65K
96375 Therapeutic injection; each additional sequential IV push <1% 4,938 $60K
87340 <1% 12,205 $58K
29581 <1% 2,518 $58K
97597 <1% 1,142 $56K
90686 <1% 6,504 $56K
82962 <1% 23,104 $51K
86592 <1% 21,038 $51K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 5,726 $50K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 1,300 $48K
96367 <1% 1,683 $47K
87086 Culture, bacterial; quantitative colony count, urine <1% 8,686 $45K
80061 Lipid panel <1% 11,701 $44K
86803 <1% 6,201 $44K
83690 <1% 8,883 $41K
86902 <1% 3,460 $40K
36430 <1% 1,082 $35K
J2997 Injection, alteplase recombinant, 1 mg <1% 486 $33K
73610 <1% 2,313 $31K
73552 <1% 1,751 $31K
84703 <1% 5,097 $31K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 237 $31K
80047 <1% 4,002 $28K
76818 <1% 373 $28K
72125 Computed tomography, cervical spine; without contrast material <1% 391 $28K
83880 <1% 2,946 $27K
83036 Hemoglobin; glycosylated (A1C) <1% 13,640 $27K
86920 <1% 1,286 $26K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 3,414 $24K
88184 <1% 6,168 $23K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 150 $23K
96160 <1% 1,980 $23K
85610 <1% 8,670 $23K
73590 <1% 1,707 $22K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 7,548 $22K
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use) <1% 251 $22K
11720 <1% 741 $20K
73560 <1% 1,410 $20K
76820 <1% 431 $19K
76821 <1% 422 $18K
81001 <1% 17,642 $18K
85018 <1% 6,772 $17K
82728 <1% 7,672 $17K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 596 $17K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 123 $17K
92550 <1% 878 $17K
72190 <1% 886 $16K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 611 $16K
71046 Radiologic examination, chest; 2 views <1% 2,960 $16K
88185 <1% 6,191 $15K
83020 <1% 4,416 $15K
85660 <1% 4,908 $15K
84702 <1% 939 $15K
86762 <1% 2,300 $14K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 2,340 $14K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 630 $13K
86480 <1% 1,109 $13K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 608 $13K
90715 <1% 488 $13K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 55 $12K
52000 <1% 47 $12K
11056 <1% 1,669 $12K
70496 <1% 114 $12K
70498 <1% 114 $12K
85014 <1% 7,412 $12K
86922 <1% 1,430 $11K
82565 <1% 2,471 $10K
90472 Immunization administration, each additional vaccine (list separately) <1% 1,106 $9K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 42 $9K
99204 Doctor's office visit, new patient (more involved) <1% 227 $8K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 38 $8K
G0480 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; 1-7 drug class(es), including metabolite(s) if performed <1% 305 $8K
85730 <1% 1,421 $8K
87081 <1% 1,910 $7K
84443 Thyroid stimulating hormone (TSH) <1% 2,318 $7K
73630 <1% 596 $7K
85045 <1% 6,590 $7K
82550 <1% 1,269 $6K
90670 <1% 177 $6K
86140 <1% 4,043 $6K
87210 <1% 1,501 $6K
83550 <1% 3,799 $6K
90677 <1% 54 $5K
73130 <1% 416 $5K
51798 <1% 129 $5K
76827 <1% 120 $5K
99201 <1% 349 $5K
82570 <1% 1,251 $5K
G0008 Administration of influenza virus vaccine <1% 2,232 $5K
99205 Prolong outpt/office vis <1% 71 $5K
76770 <1% 122 $5K
11719 <1% 291 $5K
87077 <1% 958 $5K
94760 <1% 592 $4K
83540 <1% 3,807 $4K
92551 <1% 428 $4K
83970 <1% 669 $4K
96127 <1% 840 $4K
73562 <1% 478 $4K
36416 <1% 1,528 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 60 $4K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 2,411 $4K
99195 <1% 616 $4K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 398 $3K
97802 <1% 63 $3K
70551 Magnetic resonance imaging, brain; without contrast material <1% 12 $3K
84153 <1% 1,585 $3K
J7030 Infusion, normal saline solution , 1000 cc <1% 12,128 $3K
77067 Screening mammography, bilateral, including computer-aided detection <1% 72 $3K
95115 <1% 163 $3K
86706 <1% 1,038 $3K
J1170 Injection, hydromorphone, up to 4 mg <1% 2,834 $3K
51702 <1% 29 $3K
86704 <1% 830 $3K
76830 Ultrasound, transvaginal <1% 44 $2K
74178 <1% 14 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 311 $2K
96417 <1% 56 $2K
17110 <1% 16 $2K
94726 <1% 87 $2K
90656 <1% 181 $2K
20610 <1% 17 $2K
83615 <1% 914 $2K
82378 <1% 1,049 $2K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 17 $2K
87522 Neg quan hep c or qual rna <1% 192 $2K
71275 Computed tomographic angiography, chest, with contrast material <1% 16 $2K
J1650 Injection, enoxaparin sodium, 10 mg <1% 320 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 8,701 $2K
93325 <1% 83 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 8,139 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,429 $2K
81000 <1% 347 $1K
99173 <1% 2,910 $1K
94729 <1% 87 $1K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 19 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 347 $1K
73110 <1% 75 $1K
72110 <1% 75 $1K
85004 <1% 748 $1K
96161 <1% 187 $1K
73120 <1% 82 $1K
84439 <1% 576 $1K
J7120 Ringers lactate infusion, up to 1000 cc <1% 5,003 $1K
84154 <1% 145 $1K
97602 <1% 45 $1K
90734 <1% 83 $1K
82948 <1% 708 $1K
85652 <1% 559 $1K
82677 <1% 60 $980.12
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit <1% 18 $959.39
90694 <1% 338 $900.58
82397 <1% 569 $850.34
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 3,575 $839.17
93017 <1% 16 $805.22
84156 <1% 1,222 $802.34
82105 <1% 94 $780.19
36591 <1% 304 $624.08
87529 <1% 40 $614.03
93926 <1% 15 $580.34
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 81 $559.88
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 12 $546.28
84144 <1% 25 $506.69
83516 <1% 196 $504.86
82607 <1% 168 $502.76
73620 <1% 26 $500.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 12 $458.14
85378 <1% 62 $436.92
99203 Doctor's office visit, new patient (routine) <1% 55 $434.49
81002 <1% 222 $398.48
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 31 $396.40
86708 <1% 201 $386.77
87040 <1% 20 $386.05
73090 <1% 38 $378.20
90732 <1% 39 $365.79
87430 <1% 20 $351.40
82784 <1% 137 $348.84
94060 <1% 15 $348.79
84550 <1% 121 $345.94
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard <1% 1,486 $344.69
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 211 $332.54
82465 <1% 427 $322.33
84155 <1% 296 $315.74
80069 <1% 234 $313.80
82310 <1% 856 $308.95
82040 <1% 855 $307.89
85007 <1% 371 $300.56
73030 <1% 31 $298.84
J2270 Injection, morphine sulfate, up to 10 mg <1% 584 $287.52
86431 <1% 174 $229.33
90634 <1% 74 $227.80
82803 <1% 19 $221.04
73060 <1% 12 $211.88
84480 <1% 83 $208.63
90700 <1% 12 $208.16
90723 <1% 29 $201.90
84165 <1% 271 $201.60
90633 <1% 12 $197.00
92511 <1% 43 $185.52
83883 <1% 75 $170.04
85379 <1% 17 $150.60
86300 <1% 87 $130.14
72170 <1% 12 $116.82
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 966 $113.54
90714 <1% 29 $111.75
82330 <1% 17 $109.44
J1030 Injection, methylprednisolone acetate, 40 mg <1% 210 $105.35
84436 <1% 83 $99.40
86320 <1% 34 $93.48
84479 <1% 83 $91.90
90648 <1% 109 $88.28
90658 <1% 52 $84.64
87186 <1% 100 $81.09
73502 <1% 18 $75.52
83718 <1% 69 $68.24
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 35 $66.69
74019 <1% 12 $55.22
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 626 $51.20
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml <1% 526 $47.85
J1171 Injection, hydromorphone, 0.1 mg <1% 29 $44.99
J3490 Unclassified drugs <1% 505 $42.81
86705 <1% 20 $36.78
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 18 $35.92
86709 <1% 20 $35.19
J3475 Injection, magnesium sulfate, per 500 mg <1% 84 $34.88
82044 <1% 20 $34.46
J3010 Injection, fentanyl citrate, 0.1 mg <1% 478 $32.14
82746 <1% 22 $30.64
85048 <1% 74 $15.90
J2704 Injection, propofol, 10 mg <1% 1,779 $9.88
J1644 Injection, heparin sodium, per 1000 units <1% 81 $9.68
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 199 $3.89
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 1,547 $2.24
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 246 $1.80
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 33 $1.16
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 79 $1.04
96376 0% 31 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 85 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 70 $0.00
90716 0% 35 $0.00
90698 0% 21 $0.00
45380 Colonoscopy, flexible; with biopsy, single or multiple 0% 22 $0.00
90680 0% 43 $0.00
80320 0% 18 $0.00
J0613 Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg 0% 20 $0.00
36514 0% 21 $0.00
90657 0% 13 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 42 $0.00
G0009 Administration of pneumococcal vaccine 0% 20 $0.00
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 0% 46 $0.00
90707 0% 16 $0.00
99152 0% 15 $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 officialPROCTOR, JAMES (SVP/CHIEF FINANCIAL OFFICER)
Same official

Other billing entities under PROCTOR, JAMES

Full network →
ProviderLocationPaid
Shelby County Health Care CorporationMemphis, TN$448K

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