Medicaid Provider Spending

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

ST JOHN MEDICAL CENTER INC

NPI: 1154417368 · TULSA, OK 74104 · General Acute Care Hospital · NPI assigned 10/05/2006

$5.27M
Total Medicaid Paid
70,627
Total Claims
68,696
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHOFFMAN, RONNIE (CHIEF OPERATING OFFICER)
NPI Enumeration Date10/05/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,351 $751K
2019 7,229 $440K
2020 3,771 $226K
2021 9,120 $606K
2022 14,793 $1.01M
2023 19,490 $1.65M
2024 6,873 $582K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 14,317 14,102 $2.23M
99284 Emergency department visit for the evaluation and management, high severity 3,675 3,659 $898K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,007 4,971 $643K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,968 1,948 $521K
99281 Emergency department visit for the evaluation and management, self-limited or minor 4,516 4,387 $243K
80053 Comprehensive metabolic panel 11,925 11,805 $175K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 882 482 $162K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 16,185 15,958 $109K
95810 Polysomnography; sleep staging with 4 or more additional parameters 281 281 $106K
95811 212 211 $83K
96375 Therapeutic injection; each additional sequential IV push 863 822 $24K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,025 1,998 $11K
71045 Radiologic examination, chest; single view 807 801 $10K
71046 Radiologic examination, chest; 2 views 618 610 $10K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,516 982 $8K
70450 Computed tomography, head or brain; without contrast material 131 131 $6K
74177 Computed tomography, abdomen and pelvis; with contrast material 37 37 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 98 98 $5K
84484 351 303 $4K
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 31 31 $3K
72082 39 38 $2K
36415 Collection of venous blood by venipuncture 432 429 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity 12 12 $1K
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 12 12 $1K
J3010 Injection, fentanyl citrate, 0.1 mg 1,082 1,074 $1K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 16 15 $884.32
81025 115 113 $849.48
83690 119 118 $711.08
83735 130 129 $667.52
81001 173 169 $480.92
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,140 1,126 $464.83
83605 43 38 $442.47
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 28 14 $388.16
81003 161 161 $309.15
97804 12 12 $308.91
97597 38 28 $190.77
A6197 Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 19 13 $145.09
80048 Basic metabolic panel (calcium, ionized) 13 13 $89.89
J0690 Injection, cefazolin sodium, 500 mg 613 585 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 833 828 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 24 24 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 128 128 $0.00