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

Southwest General Health Center

Southwest General Health Center was paid $22.82M by Medicaid between Jan 2018 and Dec 2024, across 305 billing codes. Its largest line is 99284, emergency room visit (serious) — 13% of everything it billed.

33Billing provider infoSOUTHWEST GENERAL HEALTH CENTER
CLEVELAND, OH 44130
33aNPI1154353993assigned 07/06/2006
28Total paid$22.82M
24GClaims659,230
24DCodes billed305
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Psychiatric Hospital Unit providers in Ohio

Rank by total paid#4 of 6
Median peer was paid$22.82M
This provider vs. median1.0×

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
201860,498$1.99M
201951,169$1.79M
202041,916$1.84M
202149,650$2.00M
202257,567$2.24M
2023236,511$7.72M
2024incomplete161,919$5.23M
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 13% 25,632 22,991 $3.04M
96361 Intravenous infusion, hydration; each additional hour 12% 10,147 7,755 $2.84M
90853 Group psychotherapy (other than of a multiple-family group) 12% 41,874 5,059 $2.84M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 12% 26,176 24,271 $2.78M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.3% 9,453 8,069 $1.22M
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 3.2% 3,617 3,243 $733K
70450 Computed tomography, head or brain; without contrast material 2.8% 2,986 2,518 $648K
74177 Computed tomography, abdomen and pelvis; with contrast material 2.8% 2,432 2,020 $644K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.2% 10,377 2,660 $513K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2.0% 6,617 5,483 $454K
80053 Comprehensive metabolic panel 1.9% 45,122 39,051 $445K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.8% 1,287 1,083 $404K
293 more codes
74176 Computed tomography, abdomen and pelvis; without contrast material 1.8% 1,544 $399K
G0378 Hospital observation service, per hour 1.4% 3,128 $318K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.3% 1,569 $294K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.2% 2,095 $267K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.1% 14,622 $258K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1.0% 3,575 $234K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 2,203 $201K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 833 $186K
71275 Computed tomographic angiography, chest, with contrast material <1% 784 $185K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 320 $174K
41899 Unlisted procedure, dentoalveolar structures <1% 142 $164K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 428 $159K
59025 Fetal non-stress test <1% 913 $149K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 6,113 $146K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 3,950 $142K
84443 Thyroid stimulating hormone (TSH) <1% 10,049 $129K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 4,199 $121K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 45,852 $116K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 2,941 $105K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 408 $89K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 904 $81K
80061 Lipid panel <1% 7,034 $80K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 770 $79K
84439 <1% 6,419 $78K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 477 $78K
36415 Collection of venous blood by venipuncture <1% 41,524 $71K
86141 <1% 2,565 $69K
82607 <1% 3,967 $69K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 1,431 $58K
80048 Basic metabolic panel (calcium, ionized) <1% 4,290 $54K
71046 Radiologic examination, chest; 2 views <1% 3,103 $46K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,684 $42K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 2,306 $41K
83036 Hemoglobin; glycosylated (A1C) <1% 3,634 $41K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 462 $38K
76830 Ultrasound, transvaginal <1% 883 $36K
84481 <1% 2,231 $36K
72131 <1% 574 $35K
97161 <1% 894 $34K
87086 Culture, bacterial; quantitative colony count, urine <1% 5,527 $31K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 258 $31K
97602 <1% 215 $30K
82746 <1% 3,170 $29K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,666 $29K
96367 <1% 359 $28K
82728 <1% 1,948 $28K
93975 <1% 211 $28K
71250 <1% 398 $25K
12001 <1% 182 $25K
84484 <1% 9,215 $25K
86850 <1% 1,289 $24K
77067 Screening mammography, bilateral, including computer-aided detection <1% 745 $24K
93971 <1% 304 $24K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 15,557 $22K
93970 <1% 198 $22K
83735 <1% 5,253 $22K
86803 <1% 849 $22K
72125 Computed tomography, cervical spine; without contrast material <1% 981 $21K
85027 <1% 3,730 $21K
83550 <1% 2,180 $20K
83540 <1% 2,220 $20K
80349 <1% 1,191 $20K
71045 Radiologic examination, chest; single view <1% 7,382 $19K
86038 <1% 974 $19K
76642 <1% 220 $18K
97113 <1% 393 $18K
76536 <1% 169 $17K
84702 <1% 1,307 $16K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 167 $16K
72100 <1% 624 $16K
97535 Self-care/home management training, each 15 minutes <1% 613 $16K
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education <1% 148 $16K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 453 $16K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 8,116 $15K
97162 <1% 469 $15K
86900 <1% 1,444 $15K
87653 <1% 406 $15K
90837 Psychotherapy session, about an hour <1% 109 $14K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 3,312 $14K
90832 Psychotherapy session, about 30 minutes <1% 158 $14K
86140 <1% 2,190 $14K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 104 $13K
73562 <1% 836 $13K
86592 <1% 623 $12K
86376 <1% 585 $12K
87070 <1% 2,684 $12K
87340 <1% 494 $11K
77063 Screening digital breast tomosynthesis, bilateral <1% 330 $11K
97116 <1% 415 $10K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 11,476 $10K
80361 <1% 1,088 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,544 $10K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 239 $9K
73630 <1% 701 $9K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 627 $9K
70486 <1% 179 $8K
84153 <1% 523 $8K
73610 <1% 623 $8K
73130 <1% 552 $8K
73030 <1% 608 $8K
81001 <1% 10,995 $8K
82570 <1% 1,276 $8K
85610 <1% 8,259 $7K
90834 Psychotherapy session, about 45 minutes <1% 53 $7K
97165 <1% 110 $7K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 266 $7K
97533 <1% 181 $7K
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% 687 $6K
80348 <1% 622 $6K
80076 <1% 516 $6K
88341 <1% 83 $6K
85652 <1% 2,232 $6K
82950 <1% 444 $6K
81003 <1% 5,408 $6K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 34 $6K
73110 <1% 453 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 12,484 $5K
86901 <1% 1,449 $5K
74018 <1% 163 $5K
81025 <1% 4,433 $5K
93880 <1% 56 $5K
90715 <1% 344 $5K
88342 <1% 1,463 $5K
70491 <1% 14 $5K
82043 <1% 668 $4K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 112 $4K
0011A <1% 171 $4K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 14 $4K
87493 <1% 157 $4K
84403 <1% 234 $4K
86039 <1% 212 $4K
87186 <1% 850 $4K
0012A <1% 152 $4K
83690 <1% 7,622 $4K
84550 <1% 673 $3K
80069 <1% 234 $3K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 30 $3K
96375 Therapeutic injection; each additional sequential IV push <1% 8,149 $3K
96376 <1% 1,942 $3K
82784 <1% 282 $3K
83970 <1% 132 $3K
97597 <1% 37 $3K
80081 <1% 121 $3K
87088 <1% 645 $3K
87338 <1% 114 $3K
86430 <1% 170 $3K
85379 <1% 2,063 $3K
72128 <1% 144 $3K
H0005 Alcohol and/or drug services; group counseling by a clinician <1% 70 $3K
73502 <1% 118 $2K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r <1% 14 $2K
88307 <1% 16 $2K
85007 <1% 744 $2K
85730 <1% 6,754 $2K
83880 <1% 1,081 $2K
83605 <1% 2,190 $2K
82150 <1% 2,095 $2K
84146 <1% 130 $2K
72050 <1% 55 $2K
87077 <1% 475 $2K
70551 Magnetic resonance imaging, brain; without contrast material <1% 17 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 263 $2K
73080 <1% 154 $2K
00731 <1% 686 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 18 $2K
93017 <1% 25 $2K
86762 <1% 70 $2K
84425 <1% 121 $2K
83615 <1% 768 $1K
82550 <1% 576 $1K
94010 <1% 167 $1K
83001 <1% 76 $1K
12011 <1% 13 $1K
87040 <1% 1,763 $1K
76775 <1% 18 $1K
86308 <1% 327 $1K
J1756 Injection, iron sucrose, 1 mg <1% 114 $1K
84482 <1% 228 $1K
80074 <1% 68 $1K
73140 <1% 97 $1K
72072 <1% 28 $1K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 34 $1K
00170 Anesthesia for intraoral procedures, including biopsy <1% 165 $1K
82553 <1% 71 $964.03
86480 <1% 25 $958.26
84480 <1% 1,272 $957.51
84703 <1% 2,039 $883.43
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,131 $803.96
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,282 $787.53
J7999 Compounded drug, not otherwise classified <1% 256 $760.69
73590 <1% 30 $759.36
87807 <1% 925 $706.59
C9113 Injection, pantoprazole sodium, per vial <1% 831 $693.65
84402 <1% 26 $650.05
97166 <1% 16 $647.60
84630 <1% 28 $610.44
84156 <1% 181 $592.95
97129 <1% 16 $580.49
87015 <1% 45 $550.47
87427 <1% 90 $533.15
J1170 Injection, hydromorphone, up to 4 mg <1% 1,493 $460.87
84450 <1% 71 $437.30
85014 <1% 67 $430.81
82565 <1% 95 $422.96
J7030 Infusion, normal saline solution , 1000 cc <1% 9,591 $408.36
87046 <1% 58 $396.11
77066 Tomosynthesis, mammo <1% 46 $386.85
87449 <1% 64 $372.25
84460 <1% 92 $371.53
72170 <1% 95 $370.29
87045 <1% 58 $364.64
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 91 $343.37
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens <1% 147 $337.91
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 414 $319.97
J1650 Injection, enoxaparin sodium, 10 mg <1% 782 $297.52
82803 <1% 79 $290.45
J1815 Injection, insulin, per 5 units <1% 715 $279.01
J7120 Ringers lactate infusion, up to 1000 cc <1% 5,043 $245.55
83520 <1% 18 $239.37
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 3,969 $237.22
84520 <1% 91 $231.13
82533 <1% 13 $228.76
84145 <1% 38 $226.96
88304 <1% 126 $225.65
77065 Tomosynthesis, mammo <1% 18 $218.39
88313 <1% 436 $212.31
80354 <1% 25 $208.32
74022 <1% 15 $205.04
80178 <1% 13 $202.66
J3370 Injection, vancomycin hcl, 500 mg <1% 328 $185.31
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 526 $181.73
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 1,477 $166.79
85045 <1% 70 $162.16
J2704 Injection, propofol, 10 mg <1% 6,215 $161.70
87329 <1% 15 $161.26
87328 <1% 14 $161.24
J3535 Drug administered through a metered dose inhaler <1% 33 $143.69
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,420 $143.27
82140 <1% 76 $114.18
84100 <1% 64 $111.92
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 8,302 $92.38
J2470 Injection, pantoprazole sodium, 40 mg <1% 155 $87.43
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 457 $83.71
84155 <1% 17 $72.10
J3475 Injection, magnesium sulfate, per 500 mg <1% 250 $70.29
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 787 $68.78
73090 <1% 13 $50.25
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,176 $50.24
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 878 $48.89
J0690 Injection, cefazolin sodium, 500 mg <1% 807 $48.04
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 85 $47.40
J7060 5% dextrose/water (500 ml = 1 unit) <1% 360 $45.65
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 3,935 $44.56
85018 <1% 17 $25.55
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,815 $24.48
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg <1% 215 $24.11
87899 <1% 18 $15.87
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,462 $15.45
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 396 $15.15
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 571 $14.69
J2060 Injection, lorazepam, 2 mg <1% 209 $13.07
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 467 $9.60
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 154 $8.64
J3360 Injection, diazepam, up to 5 mg <1% 22 $7.63
J8540 Dexamethasone, oral, 0.25 mg <1% 58 $6.52
J7050 Infusion, normal saline solution, 250 cc <1% 591 $5.93
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 108 $5.58
J1644 Injection, heparin sodium, per 1000 units <1% 57 $4.64
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 <1% 739 $4.21
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 115 $3.23
J1171 Injection, hydromorphone, 0.1 mg <1% 75 $2.75
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 1,154 $1.35
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 535 $0.40
Q0177 Hydroxyzine pamoate, 25 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 <1% 41 $0.22
A9270 Non-covered item or service <1% 448 $0.20
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen <1% 73 $0.13
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 346 $0.06
J8597 Antiemetic drug, oral, not otherwise specified <1% 22 $0.05
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 260 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 13 $0.00
J1790 Injection, droperidol, up to 5 mg 0% 83 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 0% 20 $0.00
C1769 Guide wire 0% 41 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 26 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 34 $0.00
88311 0% 18 $0.00
00811 0% 317 $0.00
99152 0% 34 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 250 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 0% 235 $0.00
00812 0% 91 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 34 $0.00
82010 0% 17 $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 officialYOUNG, WILLIAM (PRESIDENT/CEO)
Same official

Other billing entities under YOUNG, WILLIAM

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