Medicaid Provider Spending

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

WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL INC

NPI: 1174553598 · ROGERSVILLE, TN 37857 · General Acute Care Hospital · NPI assigned 07/03/2006

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

Authorized official HILTON, SHANE controls 20+ related entities in our dataset. Read more

$5.11M
Total Medicaid Paid
102,744
Total Claims
86,777
Beneficiaries
56
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHILTON, SHANE (EVP/CFO)
NPI Enumeration Date07/03/2006

Related Entities

Other providers sharing the same authorized official: HILTON, SHANE

ProviderCityStateTotal Paid
JOHNSTON MEMORIAL HOSPITAL, INC ABINGDON VA $35.91M
WELLMONT HEALTH SYSTEM BIG STONE GAP VA $33.71M
MOUNTAIN STATES HEALTH ALLIANCE JOHNSON CITY TN $31.31M
WELLMONT MEDICAL ASSOCIATES INC KINGSPORT TN $27.84M
WELLMONT HEALTH SYSTEM BRISTOL TN $27.35M
TAKOMA REGIONAL HOSPITAL INC GREENEVILLE TN $20.22M
WELLMONT HEALTH SYSTEM KINGSPORT TN $17.64M
MOUNTAIN STATES HEALTH ALLIANCE KINGSPORT TN $15.47M
SMYTH COUNTY COMMUNITY HOSPITAL MARION VA $15.33M
MOUNTAIN STATES HEALTH ALLIANCE LEBANON VA $11.37M
MOUNTAIN STATES HEALTH ALLIANCE PENNINGTON GAP VA $8.28M
MOUNTAIN STATES HEALTH ALLIANCE JOHNSON CITY TN $8.14M
MOUNTAIN STATES HEALTH ALLIANCE ELIZABETHTON TN $7.25M
DICKENSON COMMUNITY HOSPITAL, INC. CLINTWOOD VA $6.94M
EAST TENNESSEE HEALTHCARE HOLDINGS INC GRAY TN $3.30M
MOUNTAIN STATES HEALTH ALLIANCE MOUNTAIN CITY TN $3.03M
WELLMONT HEALTH SYSTEM SNEEDVILLE TN $1.90M
MOUNTAIN STATES HEALTH ALLIANCE ERWIN TN $1.48M
WILSON PHARMACY INC JOHNSON CITY TN $1.26M
MOUNTAIN STATES HEALTH ALLIANCE NORTON VA $376K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,751 $511K
2019 15,362 $509K
2020 11,184 $609K
2021 17,893 $833K
2022 15,124 $961K
2023 15,747 $894K
2024 12,683 $789K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 15,599 13,963 $2.54M
99283 Emergency department visit for the evaluation and management, moderate severity 11,263 10,382 $1.09M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,970 3,358 $831K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2,376 2,210 $209K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,628 2,436 $134K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,584 2,233 $70K
G0378 Hospital observation service, per hour 379 188 $35K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,291 7,793 $29K
84484 2,534 1,918 $20K
71045 Radiologic examination, chest; single view 2,583 2,214 $18K
80053 Comprehensive metabolic panel 7,606 6,471 $18K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,028 2,584 $13K
36415 Collection of venous blood by venipuncture 13,466 10,689 $12K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 465 419 $7K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,689 2,177 $7K
80048 Basic metabolic panel (calcium, ionized) 3,642 2,937 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,195 1,187 $6K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 564 509 $6K
85027 2,368 1,887 $6K
96375 Therapeutic injection; each additional sequential IV push 495 396 $5K
96361 Intravenous infusion, hydration; each additional hour 507 409 $5K
74176 Computed tomography, abdomen and pelvis; without contrast material 105 89 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 315 300 $4K
83690 1,134 973 $4K
83735 1,141 937 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg 474 401 $2K
71046 Radiologic examination, chest; 2 views 98 98 $2K
83605 614 433 $2K
87040 610 266 $2K
81001 2,982 2,643 $2K
70450 Computed tomography, head or brain; without contrast material 50 37 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 35 32 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 280 262 $1K
74177 Computed tomography, abdomen and pelvis; with contrast material 13 13 $964.65
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 26 20 $872.27
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 48 40 $574.73
81025 223 208 $516.88
87081 200 189 $495.69
84443 Thyroid stimulating hormone (TSH) 86 66 $374.44
81003 604 560 $278.62
83880 45 38 $221.10
85007 54 50 $115.09
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 66 50 $100.24
74018 12 12 $93.31
87086 Culture, bacterial; quantitative colony count, urine 12 12 $75.70
73630 13 13 $61.32
84100 42 27 $57.76
84703 13 13 $29.26
J1885 Injection, ketorolac tromethamine, per 15 mg 2,224 1,819 $24.76
82553 12 12 $20.82
J7030 Infusion, normal saline solution , 1000 cc 563 496 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 136 116 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 16 13 $0.00
A9270 Non-covered item or service 188 117 $0.00
J7050 Infusion, normal saline solution, 250 cc 34 24 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 44 38 $0.00