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

Methodist Health, INC.

Methodist Health, INC. was paid $1.32M by Medicaid between Jul 2019 and Sep 2021, across 76 billing codes. Its largest line is 99284, emergency room visit (serious) — 29% of everything it billed.

33Billing provider infoMETHODIST HEALTH, INC.
MORGANFIELD, KY 42437
33aNPI1174511620assigned 10/10/2005
33bProvider typeCritical Access Hospital
28Total paid$1.32M
24GClaims22,512
24DCodes billed76
24AFirst – last monthJul 2019 – Sep 2021
Compared with peers

Next to other Critical Access Hospital providers in Kentucky

Rank by total paid#16 of 16
Median peer was paid$11.73M
This provider vs. median0.1×

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$100K$200K2018201920202021202220232024
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
2019312$11K
20205,163$287K
202117,037$1.02M
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 29% 1,069 776 $384K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 21% 1,543 1,239 $275K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 11% 347 225 $143K
70450 Computed tomography, head or brain; without contrast material 4.1% 191 138 $54K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4.1% 1,048 268 $54K
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 2.8% 575 489 $37K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2.3% 535 368 $31K
74177 Computed tomography, abdomen and pelvis; with contrast material 2.2% 37 32 $29K
80053 Comprehensive metabolic panel 1.9% 2,357 1,467 $26K
36415 Collection of venous blood by venipuncture 1.8% 2,814 1,368 $24K
71045 Radiologic examination, chest; single view 1.5% 363 246 $20K
71046 Radiologic examination, chest; 2 views 1.5% 318 249 $19K
64 more codes
80050 General health panel 1.5% 443 $19K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.2% 2,061 $16K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.0% 15 $13K
G0378 Hospital observation service, per hour <1% 137 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 240 $12K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 161 $9K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 114 $9K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 157 $7K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 66 $7K
80061 Lipid panel <1% 323 $7K
81001 <1% 941 $7K
83735 <1% 573 $6K
84439 <1% 430 $5K
84443 Thyroid stimulating hormone (TSH) <1% 244 $5K
83690 <1% 376 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 98 $4K
97014 <1% 112 $4K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 75 $4K
86803 <1% 148 $4K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 86 $4K
80048 Basic metabolic panel (calcium, ionized) <1% 406 $4K
82607 <1% 98 $3K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 33 $3K
96375 Therapeutic injection; each additional sequential IV push <1% 35 $3K
87086 Culture, bacterial; quantitative colony count, urine <1% 253 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 14 $3K
73130 <1% 30 $3K
82550 <1% 230 $3K
87040 <1% 113 $2K
82553 <1% 145 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 182 $2K
83605 <1% 121 $2K
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% 161 $2K
73630 <1% 14 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 84 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 15 $2K
87077 <1% 313 $1K
0012A <1% 95 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 234 $1K
81025 <1% 113 $1K
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 <1% 93 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 391 $1K
87081 <1% 66 $1K
87807 <1% 31 $1K
J2270 Injection, morphine sulfate, up to 10 mg <1% 189 $1K
96361 Intravenous infusion, hydration; each additional hour <1% 26 $1K
77067 Screening mammography, bilateral, including computer-aided detection <1% 13 $976.32
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 27 $964.16
0011A <1% 93 $952.08
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 173 $548.92
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 373 $500.52
85379 <1% 39 $479.51
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 40 $478.56
83880 <1% 15 $448.22
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 18 $447.25
87186 <1% 28 $353.05
84703 <1% 35 $342.06
85652 <1% 39 $271.52
82947 <1% 48 $241.31
77063 Screening digital breast tomosynthesis, bilateral <1% 18 $222.04
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% 13 $199.86
86140 <1% 17 $185.24
83540 <1% 12 $174.39
85610 <1% 29 $121.14

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 officialEISENMANN, CLAUDA (CEO)