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

Albany General Hospital

Albany General Hospital was paid $25.57M by Medicaid between Jan 2018 and Dec 2024, across 111 billing codes. Its largest line is 99284, emergency room visit (serious) — 30% of everything it billed.

33Billing provider infoALBANY GENERAL HOSPITAL
ALBANY, OR 97321
33aNPI1154372340assigned 05/13/2006
28Total paid$25.57M
24GClaims381,750
24DCodes billed111
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Oregon

Rank by total paid#6 of 17
Median peer was paid$13.35M
This provider vs. median1.9×

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$200K$400K$600K2018201920202021202220232024
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
201852,130$3.48M
201953,593$3.97M
202046,082$3.35M
202153,466$3.49M
202258,013$3.70M
202356,994$3.44M
2024incomplete61,472$4.15M
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 30% 29,027 24,456 $7.61M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 29% 40,421 33,859 $7.40M
95810 Polysomnography; sleep staging with 4 or more additional parameters 7.0% 2,499 2,094 $1.80M
95811 5.3% 2,007 1,671 $1.35M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.0% 3,710 3,341 $1.27M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3.3% 6,122 5,548 $846K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3.0% 7,296 6,119 $766K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.9% 11,408 10,325 $486K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1.8% 10,278 6,847 $457K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1.6% 3,041 1,134 $399K
71045 Radiologic examination, chest; single view 1.5% 7,175 6,408 $373K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.1% 949 866 $276K
99 more codes
41899 Unlisted procedure, dentoalveolar structures <1% 436 $193K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,627 $192K
G0330 Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room <1% 124 $165K
96375 Therapeutic injection; each additional sequential IV push <1% 3,553 $159K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 811 $145K
81514 <1% 459 $110K
J7030 Infusion, normal saline solution , 1000 cc <1% 5,275 $109K
70450 Computed tomography, head or brain; without contrast material <1% 1,124 $104K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,879 $102K
80053 Comprehensive metabolic panel <1% 39,020 $97K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 654 $86K
84443 Thyroid stimulating hormone (TSH) <1% 6,282 $76K
99214 Doctor's office visit, returning patient (more involved) <1% 1,978 $70K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 926 $65K
71046 Radiologic examination, chest; 2 views <1% 1,100 $62K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,831 $57K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,830 $57K
99213 Doctor's office visit, returning patient (routine) <1% 1,911 $55K
86850 <1% 2,709 $54K
83036 Hemoglobin; glycosylated (A1C) <1% 7,157 $49K
86900 <1% 623 $47K
97602 <1% 459 $42K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 34,882 $36K
80061 Lipid panel <1% 3,383 $34K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,066 $32K
85027 <1% 5,963 $28K
J8499 Prescription drug, oral, non chemotherapeutic, nos <1% 2,951 $27K
36415 Collection of venous blood by venipuncture <1% 40,143 $27K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,750 $27K
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,333 $22K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 198 $21K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 146 $19K
88142 <1% 1,026 $18K
86780 <1% 1,606 $17K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 720 $15K
87800 <1% 348 $14K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 679 $13K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 206 $11K
87086 Culture, bacterial; quantitative colony count, urine <1% 4,524 $11K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 12 $10K
95805 <1% 12 $6K
00170 Anesthesia for intraoral procedures, including biopsy <1% 25 $5K
99232 Hospital visit by a doctor, follow-up day <1% 120 $5K
82728 <1% 439 $5K
97597 <1% 45 $4K
87340 <1% 470 $4K
86803 <1% 317 $4K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 575 $4K
96361 Intravenous infusion, hydration; each additional hour <1% 53 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 25 $3K
82607 <1% 190 $2K
84702 <1% 174 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 11,181 $2K
93922 <1% 27 $2K
83550 <1% 276 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 36 $2K
84703 <1% 1,119 $2K
86762 <1% 141 $2K
83540 <1% 276 $1K
83525 <1% 170 $1K
80048 Basic metabolic panel (calcium, ionized) <1% 1,934 $1K
95800 <1% 12 $1K
84439 <1% 156 $1K
82746 <1% 81 $896.70
87653 <1% 30 $831.63
87522 Neg quan hep c or qual rna <1% 26 $823.48
A9270 Non-covered item or service <1% 4,407 $766.04
99223 Prolong inpt eval add15 m <1% 12 $752.71
82105 <1% 52 $751.41
81001 <1% 19,625 $571.49
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 78 $547.11
87081 <1% 75 $425.95
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 13 $369.20
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,106 $293.27
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 14 $240.11
80306 <1% 2,912 $201.98
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 4,373 $200.08
87420 <1% 45 $153.01
83690 <1% 7,595 $116.22
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% 1,033 $114.43
87077 <1% 151 $105.04
87186 <1% 117 $103.80
85652 <1% 43 $97.38
84484 <1% 4,729 $62.75
81025 <1% 2,715 $49.05
81002 <1% 313 $19.64
90686 <1% 15 $15.68
85610 <1% 917 $8.71
83880 <1% 515 $5.33
83735 <1% 2,920 $1.26
82948 <1% 434 $0.83
86901 0% 624 $0.00
83605 0% 952 $0.00
85379 0% 123 $0.00
82803 0% 115 $0.00
85730 0% 56 $0.00
87040 0% 62 $0.00
74018 0% 31 $0.00
72125 Computed tomography, cervical spine; without contrast material 0% 31 $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 officialKETERI, DANIEL (CEO-SAGH)
Same official

Other billing entities under KETERI, DANIEL

Full network →
ProviderLocationPaid
Albany General HospitalAlbany, OR$2.40M
Albany General HospitalAlbany, OR$1.02M
Albany General HospitalAlbany, OR$569K
Albany General HospitalAlbany, OR$79K
Albany General HospitalAlbany, OR$37K
Albany General HospitalAlbany, OR$14K
Albany General HospitalAlbany, OR$668.86

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