Medicaid Provider Spending

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

COMMUNITY MERCY HEALTH PARTNERS

NPI: 1144286352 · URBANA, OH 43078 · Critical Access Hospital · NPI assigned 04/25/2006

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

Authorized official RALSTON, KIMBERLY controls 20+ related entities in our dataset. Read more

$8.81M
Total Medicaid Paid
152,357
Total Claims
108,071
Beneficiaries
132
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRALSTON, KIMBERLY (SYSTEM DIRECTOR)
NPI Enumeration Date04/25/2006

Related Entities

Other providers sharing the same authorized official: RALSTON, KIMBERLY

ProviderCityStateTotal Paid
BON SECOURS ST. MARY'S HOSPITAL OF RICHMOND LLC RICHMOND VA $83.03M
MARYVIEW HOSPITAL LLC PORTSMOUTH VA $75.03M
BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC RICHMOND VA $57.21M
BON SECOURS ST FRANCIS MEDICAL CENTER LLC MIDLOTHIAN VA $44.86M
MERCY HEALTH YOUNGSTOWN LLC WARREN OH $43.63M
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC MECHANICSVILLE VA $42.02M
MERCY HEALTH YOUNGSTOWN LLC YOUNGSTOWN OH $36.60M
MERCY HEALTH - FAIRFIELD HOSPITAL LLC FAIRFIELD OH $25.17M
MARY IMMACULATE HOSPITAL LLC NEWPORT NEWS VA $24.51M
ST FRANCIS HOSPITAL INC GREENVILLE SC $17.81M
NWO INTEGRATED LABORATORIES MERCY LLC TOLEDO OH $13.47M
HOSPICE OF THE VALLEY, INC. GIRARD OH $13.33M
MERCY HEALTH - TIFFIN HOSPITAL LLC TIFFIN OH $12.99M
MERCY HEALTH - DEFIANCE HOSPITAL LLC DEFIANCE OH $11.90M
BON SECOURS DEPAUL MEDICAL CENTER LLC NORFOLK VA $11.59M
MERCY HEALTH-ALLEN HOSPITAL LLC OBERLIN OH $8.61M
CHESAPEAKE HOSPITAL LLC KILMARNOCK VA $6.00M
MARYVIEW HOSPITAL, LLC SUFFOLK VA $3.48M
ROPER ST FRANCIS ANCILLARY SERVICES LADSON SC $3.33M
MERCY HEALTH YOUNGSTOWN LLC YOUNGSTOWN OH $3.23M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,460 $667K
2019 13,293 $689K
2020 9,199 $1.44M
2021 9,998 $1.14M
2022 12,395 $735K
2023 57,693 $2.14M
2024 35,319 $1.99M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 13,705 12,473 $1.89M
99284 Emergency department visit for the evaluation and management, high severity 8,224 7,100 $1.14M
90834 Psychotherapy, 45 minutes with patient 9,122 3,680 $1.06M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,366 4,279 $768K
90853 Group psychotherapy (other than of a multiple-family group) 8,300 2,782 $687K
90791 Psychiatric diagnostic evaluation 1,581 1,501 $331K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,050 775 $305K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,084 1,277 $271K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,292 2,135 $256K
96361 Intravenous infusion, hydration; each additional hour 801 510 $240K
70450 Computed tomography, head or brain; without contrast material 1,065 771 $219K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,528 908 $214K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,825 830 $202K
90832 Psychotherapy, 30 minutes with patient 1,830 1,105 $195K
74176 Computed tomography, abdomen and pelvis; without contrast material 581 448 $173K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,495 515 $171K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,036 735 $121K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,032 681 $99K
80053 Comprehensive metabolic panel 9,052 7,396 $62K
0202U Oncology (prostate), multianalyte, gene expression profiling 468 379 $57K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 653 419 $36K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 177 110 $36K
80305 4,956 3,961 $22K
71046 Radiologic examination, chest; 2 views 1,041 903 $21K
71275 Computed tomographic angiography, chest, with contrast material 139 94 $21K
84443 Thyroid stimulating hormone (TSH) 932 809 $16K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 10,852 8,748 $16K
80048 Basic metabolic panel (calcium, ionized) 1,793 1,333 $14K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 314 246 $11K
72125 Computed tomography, cervical spine; without contrast material 310 229 $11K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 652 509 $11K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 406 118 $9K
80061 Lipid panel 708 646 $9K
76705 Ultrasound, abdominal, real time with image documentation; limited 82 59 $8K
36415 Collection of venous blood by venipuncture 3,132 2,557 $8K
97162 148 123 $7K
G0378 Hospital observation service, per hour 170 65 $7K
83036 Hemoglobin; glycosylated (A1C) 562 498 $6K
80320 562 418 $6K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,660 2,809 $4K
83735 1,376 960 $4K
71250 75 51 $4K
H2020 Therapeutic behavioral services, per diem 32 16 $3K
84439 272 248 $3K
73630 244 211 $3K
84484 2,326 1,387 $3K
71045 Radiologic examination, chest; single view 2,723 2,115 $3K
85027 609 479 $3K
73130 203 178 $2K
81001 4,425 3,815 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,551 1,112 $2K
96367 43 26 $2K
94060 12 12 $2K
73030 96 67 $2K
76536 13 12 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 77 68 $2K
87086 Culture, bacterial; quantitative colony count, urine 763 600 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,450 3,505 $2K
73562 153 135 $1K
90837 Psychotherapy, 53 minutes with patient 24 17 $1K
73610 162 143 $1K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 12 12 $1K
82570 147 133 $1K
83880 707 503 $1K
83690 2,260 1,730 $1K
77067 Screening mammography, bilateral, including computer-aided detection 30 24 $1K
81003 1,009 808 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 797 644 $1K
72100 27 24 $999.78
83605 1,290 813 $972.88
82607 51 43 $922.76
84100 185 148 $911.98
96375 Therapeutic injection; each additional sequential IV push 3,425 2,618 $874.06
94729 12 12 $826.22
83540 77 63 $740.54
85610 824 551 $706.27
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 568 274 $673.49
87070 41 40 $635.32
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,816 1,340 $589.93
82746 49 40 $580.17
94727 12 12 $517.38
96376 471 272 $508.62
82962 685 419 $450.98
87186 236 172 $424.29
81025 881 701 $368.67
84156 53 47 $349.38
87040 650 272 $345.93
85730 161 111 $295.88
90715 18 14 $268.41
82728 14 12 $254.15
83550 26 25 $253.97
82248 55 40 $224.91
84702 126 99 $215.46
87081 291 233 $210.79
85652 36 29 $193.34
87077 256 193 $181.64
86140 21 14 $151.98
84703 355 276 $138.38
87430 304 235 $114.22
J2270 Injection, morphine sulfate, up to 10 mg 848 563 $106.13
73502 21 12 $101.71
73110 12 12 $93.05
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 22 15 $60.53
J1885 Injection, ketorolac tromethamine, per 15 mg 1,870 1,406 $51.01
85379 101 69 $49.66
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 17 12 $45.30
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 27 26 $39.45
80329 140 100 $30.59
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,937 1,409 $23.70
J2919 Injection, methylprednisolone sodium succinate, 5 mg 22 13 $19.44
J1200 Injection, diphenhydramine hcl, up to 50 mg 545 362 $18.06
J1170 Injection, hydromorphone, up to 4 mg 84 40 $15.95
J7030 Infusion, normal saline solution , 1000 cc 40 32 $15.31
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 135 78 $11.90
J1100 Injection, dexamethasone sodium phosphate, 1 mg 229 165 $5.61
J3010 Injection, fentanyl citrate, 0.1 mg 123 72 $5.52
J0696 Injection, ceftriaxone sodium, per 250 mg 210 155 $1.95
J2060 Injection, lorazepam, 2 mg 46 25 $1.24
85007 30 24 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 32 25 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 110 60 $0.00
80179 27 27 $0.00
80143 29 27 $0.00
94664 22 13 $0.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 45 42 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 13 12 $0.00
94761 169 94 $0.00
J8540 Dexamethasone, oral, 0.25 mg 14 12 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 65 31 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 15 14 $0.00
77063 Screening digital breast tomosynthesis, bilateral 30 24 $0.00
J2704 Injection, propofol, 10 mg 34 13 $0.00