Medicaid Provider Spending

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

HARTSVILLE, LLC

NPI: 1174500458 · HARTSVILLE, SC 29550 · Certified Registered Nurse Anesthetist · NPI assigned 12/28/2005

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

Authorized official TRAYLOR, JOHNETTA controls 20+ related entities in our dataset. Read more

$18.42M
Total Medicaid Paid
682,544
Total Claims
563,900
Beneficiaries
239
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTRAYLOR, JOHNETTA (DIRECTOR)
NPI Enumeration Date12/28/2005

Related Entities

Other providers sharing the same authorized official: TRAYLOR, JOHNETTA

ProviderCityStateTotal Paid
LOGAN GENERAL HOSPITAL LLC LOGAN WV $43.43M
PHC-CLEVELAND LLC CLEVELAND MS $23.43M
LOGAN MEMORIAL HOSPITAL LLC RUSSELLVILLE KY $14.29M
SOUTHWESTERN MEDICAL CENTER, LLC LAWTON OK $9.40M
PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP PALESTINE TX $6.80M
WATERTOWN MEDICAL CENTER LLC WATERTOWN WI $6.31M
AMG - LIVINGSTON, LLC LIVINGSTON TN $5.52M
LOGAN GENERAL HOSPITAL LLC LOGAN WV $4.91M
ST. JOSEPH HOSPITAL LLC LEWISTON ID $4.67M
RIVERTON MEMORIAL HOSPITAL LLC RIVERTON WY $4.65M
LIVINGSTON REGIONAL HOSPITAL LLC LIVINGSTON TN $4.33M
HARTSVILLE MEDICAL GROUP LLC HARTSVILLE SC $4.16M
MEXIA PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP MEXIA TX $2.19M
PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP PALESTINE TX $1.27M
TEXAS SPECIALTY PHYSICIANS PALESTINE TX $1.26M
ST JOSEPH HOSPITAL LLC LEWISTON ID $1.10M
WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN WI $244K
WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN WI $175K
AMG-LIVINGSTON LLC LIVINGSTON TN $165K
WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN WI $149K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 98,138 $1.88M
2019 96,316 $1.95M
2020 81,489 $2.09M
2021 93,548 $2.78M
2022 108,570 $3.48M
2023 105,461 $3.75M
2024 99,022 $2.48M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36415 Collection of venous blood by venipuncture 31,792 24,819 $1.92M
81025 10,713 9,924 $1.91M
J7120 Ringers lactate infusion, up to 1000 cc 4,356 3,857 $1.46M
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 9,177 8,681 $1.44M
J7030 Infusion, normal saline solution , 1000 cc 8,618 6,996 $1.27M
99283 Emergency department visit for the evaluation and management, moderate severity 40,530 36,082 $1.12M
80053 Comprehensive metabolic panel 31,547 25,949 $1.10M
87070 10,771 10,034 $581K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13,673 11,371 $491K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3,480 3,185 $407K
80048 Basic metabolic panel (calcium, ionized) 11,932 9,796 $380K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 13,813 12,853 $327K
85610 6,200 5,320 $301K
87086 Culture, bacterial; quantitative colony count, urine 13,193 11,724 $242K
70450 Computed tomography, head or brain; without contrast material 4,854 4,319 $210K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,803 2,560 $203K
59025 Fetal non-stress test 1,448 789 $200K
87280 3,459 3,289 $190K
99284 Emergency department visit for the evaluation and management, high severity 24,761 21,881 $188K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,919 1,725 $186K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 5,805 1,576 $185K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,529 2,533 $160K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,380 2,170 $142K
J7050 Infusion, normal saline solution, 250 cc 2,695 1,613 $139K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,614 2,401 $132K
73610 1,564 1,439 $126K
73562 1,916 1,704 $124K
81002 6,664 6,072 $113K
71046 Radiologic examination, chest; 2 views 4,768 4,362 $111K
95810 Polysomnography; sleep staging with 4 or more additional parameters 329 312 $108K
97530 Therapeutic activities, direct patient contact, each 15 minutes 7,114 2,469 $106K
81001 16,469 14,594 $104K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 6,909 2,012 $104K
73130 1,220 1,121 $91K
86900 2,425 2,178 $91K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 13,052 3,114 $90K
73630 1,955 1,774 $89K
82962 7,766 4,228 $88K
71045 Radiologic examination, chest; single view 11,559 9,731 $86K
76705 Ultrasound, abdominal, real time with image documentation; limited 994 935 $84K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 553 514 $81K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 401 362 $79K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 8,695 8,113 $73K
96361 Intravenous infusion, hydration; each additional hour 7,388 5,701 $72K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,084 1,899 $69K
97161 1,029 974 $68K
73030 1,167 1,052 $64K
97162 807 742 $64K
77067 Screening mammography, bilateral, including computer-aided detection 1,466 1,440 $62K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 185 165 $62K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 48,253 38,310 $59K
80306 3,952 3,617 $56K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 4,200 2,358 $52K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 12,814 10,840 $51K
84702 3,105 2,368 $49K
72100 869 823 $49K
J7042 5% dextrose/normal saline (500 ml = 1 unit) 665 571 $47K
74018 1,428 1,299 $45K
88304 1,022 970 $44K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 11,554 10,011 $44K
76819 Fetal biophysical profile; without non-stress testing 470 289 $41K
93971 259 243 $41K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 14,350 11,583 $40K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,930 8,441 $36K
74177 Computed tomography, abdomen and pelvis; with contrast material 3,240 3,026 $36K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,625 2,495 $30K
73110 467 442 $29K
82803 1,134 899 $28K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,128 1,025 $27K
84484 8,278 6,493 $24K
42820 Tonsillectomy and adenoidectomy; younger than age 12 152 151 $24K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,410 1,367 $23K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,049 603 $21K
82565 1,300 1,115 $21K
72125 Computed tomography, cervical spine; without contrast material 856 789 $14K
42830 61 60 $14K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 2,110 667 $14K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,611 1,942 $13K
82272 690 623 $13K
73502 331 307 $13K
97597 347 245 $12K
83605 3,253 2,714 $12K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 185 165 $12K
93017 488 442 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,087 927 $11K
85378 1,705 1,514 $11K
10060 100 92 $11K
87210 1,179 1,125 $10K
12001 93 89 $9K
96376 3,199 2,098 $9K
71250 68 44 $9K
76536 80 75 $9K
96375 Therapeutic injection; each additional sequential IV push 7,409 5,839 $8K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 15 14 $8K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 176 172 $8K
72040 88 81 $8K
95782 12 12 $7K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 416 371 $7K
G0378 Hospital observation service, per hour 3,179 2,752 $6K
J1170 Injection, hydromorphone, up to 4 mg 2,133 1,599 $6K
74022 242 218 $5K
94664 1,389 1,207 $5K
J0690 Injection, cefazolin sodium, 500 mg 1,818 1,506 $5K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 810 775 $5K
95811 12 12 $5K
97032 71 31 $4K
J7060 5% dextrose/water (500 ml = 1 unit) 43 40 $4K
87186 4,904 4,312 $4K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 418 378 $4K
87077 2,224 2,030 $4K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,712 2,606 $4K
36600 1,166 903 $4K
83690 5,951 5,293 $4K
90715 200 191 $4K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,139 2,621 $3K
76642 82 78 $3K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 2,094 1,942 $3K
76830 Ultrasound, transvaginal 14 14 $3K
84145 453 385 $3K
86850 1,678 1,494 $3K
84112 24 24 $3K
80320 1,801 1,685 $3K
30140 125 124 $3K
59050 328 200 $3K
J3490 Unclassified drugs 3,518 3,041 $3K
87088 4,016 3,620 $3K
94060 65 52 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 146 115 $3K
72131 32 32 $2K
73080 63 60 $2K
73590 71 61 $2K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 889 850 $2K
82150 993 912 $2K
84520 1,116 947 $2K
71275 Computed tomographic angiography, chest, with contrast material 394 363 $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 1,371 1,303 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 18 13 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material 46 43 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg 2,435 2,285 $2K
84439 3,708 3,535 $2K
J3475 Injection, magnesium sulfate, per 500 mg 508 316 $2K
83735 9,128 6,993 $2K
84443 Thyroid stimulating hormone (TSH) 8,288 7,706 $2K
76770 30 26 $1K
99001 1,395 1,334 $1K
29580 68 24 $1K
80076 312 287 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 221 200 $1K
97116 118 67 $1K
83880 3,272 2,601 $1K
73552 24 14 $1K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 786 691 $984.01
86141 1,174 1,051 $960.72
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 41 38 $958.76
J2405 Injection, ondansetron hydrochloride, per 1 mg 7,556 6,604 $958.03
76801 25 25 $868.38
73140 17 12 $863.27
83036 Hemoglobin; glycosylated (A1C) 4,342 4,008 $654.23
80177 29 27 $624.56
85651 1,646 1,505 $598.64
51702 15 12 $582.58
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 702 577 $489.34
86592 264 258 $474.59
J2270 Injection, morphine sulfate, up to 10 mg 2,081 1,831 $470.69
10061 17 12 $405.74
87045 16 15 $400.40
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 14 12 $384.60
82607 2,514 2,382 $384.28
70486 16 16 $367.42
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 82 71 $305.46
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,639 2,505 $287.74
80061 Lipid panel 4,216 4,015 $287.59
J1885 Injection, ketorolac tromethamine, per 15 mg 5,298 4,703 $277.74
87040 3,111 2,666 $274.64
85014 212 172 $257.61
85730 4,710 4,066 $252.00
82728 741 637 $223.19
97166 14 12 $218.29
82550 162 138 $202.72
83540 1,026 944 $149.65
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 325 290 $135.76
J1100 Injection, dexamethasone sodium phosphate, 1 mg 5,362 4,876 $116.83
82950 1,441 1,380 $97.37
87205 1,325 1,150 $74.49
82570 230 213 $69.68
87075 83 76 $65.14
84156 163 145 $62.86
84153 433 403 $59.95
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 815 794 $48.68
J3010 Injection, fentanyl citrate, 0.1 mg 2,768 2,578 $29.54
J2550 Injection, promethazine hcl, up to 50 mg 829 661 $27.90
86901 2,424 2,177 $0.00
J2704 Injection, propofol, 10 mg 3,516 3,314 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 68 59 $0.00
G0379 Direct admission of patient for hospital observation care 77 60 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 404 366 $0.00
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 770 728 $0.00
82746 336 320 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 382 345 $0.00
J3480 Injection, potassium chloride, per 2 meq 53 37 $0.00
J1815 Injection, insulin, per 5 units 147 83 $0.00
C1769 Guide wire 13 12 $0.00
J2060 Injection, lorazepam, 2 mg 281 234 $0.00
85018 199 160 $0.00
94762 485 419 $0.00
83550 70 67 $0.00
88307 12 12 $0.00
87046 16 15 $0.00
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 14 13 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 19 19 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 50 45 $0.00
84134 30 26 $0.00
J2785 Injection, regadenoson, 0.1 mg 13 13 $0.00
J0561 Injection, penicillin g benzathine, 100,000 units 17 15 $0.00
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 33 31 $0.00
84100 330 242 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,090 900 $0.00
94799 206 144 $0.00
84550 80 65 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 95 74 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 231 193 $0.00
76000 37 36 $0.00
94726 50 40 $0.00
J7510 Prednisolone oral, per 5 mg 299 272 $0.00
82247 44 25 $0.00
J1171 Injection, hydromorphone, 0.1 mg 35 29 $0.00
94150 17 15 $0.00
C9113 Injection, pantoprazole sodium, per vial 94 74 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 14 12 $0.00
94729 47 38 $0.00
85044 30 24 $0.00
82248 35 33 $0.00
83525 25 25 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 12 12 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 12 12 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 36 32 $0.00
84466 22 18 $0.00
83020 12 12 $0.00
86038 13 12 $0.00