Medicaid Provider Spending

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

TMC/HIGGINS GENERAL HOSPITAL

NPI: 1194712083 · BREMEN, GA 30110 · Critical Access Hospital · NPI assigned 10/05/2005

$12.23M
Total Medicaid Paid
236,452
Total Claims
202,853
Beneficiaries
123
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHERSETH, LEE (CFO)
NPI Enumeration Date10/05/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 33,515 $1.69M
2019 32,977 $1.63M
2020 27,352 $1.02M
2021 35,288 $1.63M
2022 39,172 $2.24M
2023 40,039 $2.26M
2024 28,109 $1.75M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 19,876 18,688 $2.88M
99284 Emergency department visit for the evaluation and management, high severity 10,859 10,184 $2.37M
74177 Computed tomography, abdomen and pelvis; with contrast material 2,119 2,039 $1.29M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,669 2,496 $635K
70450 Computed tomography, head or brain; without contrast material 2,140 2,038 $496K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 12,851 3,605 $492K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,960 4,789 $414K
74176 Computed tomography, abdomen and pelvis; without contrast material 689 661 $369K
87428 6,461 6,246 $293K
96375 Therapeutic injection; each additional sequential IV push 4,950 4,421 $233K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3,822 3,662 $224K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,453 2,454 $211K
71045 Radiologic examination, chest; single view 5,182 4,875 $203K
96361 Intravenous infusion, hydration; each additional hour 4,129 3,595 $192K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,356 4,745 $189K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,174 5,204 $154K
71046 Radiologic examination, chest; 2 views 3,127 2,971 $150K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,113 1,698 $139K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,361 4,079 $129K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,742 2,563 $103K
80053 Comprehensive metabolic panel 11,468 10,336 $82K
97014 3,101 1,232 $78K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12,904 11,388 $71K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4,860 4,743 $55K
97161 1,508 1,184 $52K
74018 652 613 $41K
72100 779 756 $41K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,557 1,393 $38K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 654 623 $37K
73630 698 672 $35K
96376 1,033 829 $32K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,097 2,932 $31K
72125 Computed tomography, cervical spine; without contrast material 100 97 $31K
84484 3,204 2,749 $30K
73610 478 466 $24K
81025 4,062 3,892 $20K
73130 381 369 $17K
76705 Ultrasound, abdominal, real time with image documentation; limited 101 97 $17K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,366 2,273 $17K
83880 611 548 $14K
71250 51 51 $13K
81001 6,850 6,385 $13K
83690 2,737 2,560 $13K
80048 Basic metabolic panel (calcium, ionized) 2,358 1,689 $12K
71275 Computed tomographic angiography, chest, with contrast material 27 25 $12K
87807 1,580 1,548 $12K
73560 303 293 $11K
87088 2,302 2,175 $11K
87430 1,409 1,371 $10K
71260 Computed tomography, thorax, diagnostic; with contrast material 28 26 $10K
73030 183 172 $9K
36415 Collection of venous blood by venipuncture 13,183 10,859 $9K
97164 774 639 $8K
76000 107 89 $8K
97162 252 233 $8K
J0561 Injection, penicillin g benzathine, 100,000 units 107 96 $8K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 30 25 $8K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 14 13 $7K
87070 1,212 1,179 $7K
87040 578 466 $6K
73110 164 157 $6K
85379 758 729 $6K
87186 1,004 958 $6K
82962 2,591 1,777 $5K
87077 1,106 1,054 $5K
83605 631 566 $5K
81003 3,339 3,183 $5K
J7030 Infusion, normal saline solution , 1000 cc 3,504 3,105 $5K
83735 1,358 1,002 $5K
97530 Therapeutic activities, direct patient contact, each 15 minutes 295 114 $4K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 134 80 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 166 160 $4K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 13 13 $3K
84443 Thyroid stimulating hormone (TSH) 196 187 $3K
J2270 Injection, morphine sulfate, up to 10 mg 2,033 1,748 $3K
76536 14 13 $3K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 664 584 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 3,319 3,131 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 134 64 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 360 355 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,166 4,601 $2K
76775 12 12 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 90 89 $1K
J1170 Injection, hydromorphone, up to 4 mg 1,148 933 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,421 1,092 $1K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 549 497 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 90 89 $1K
86140 331 262 $1K
85610 411 380 $1K
85027 301 170 $950.40
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,739 1,481 $929.05
73502 19 17 $609.15
73080 15 15 $603.42
J1200 Injection, diphenhydramine hcl, up to 50 mg 935 856 $389.67
82550 161 128 $387.23
J2550 Injection, promethazine hcl, up to 50 mg 344 316 $363.47
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 20 12 $359.58
80061 Lipid panel 45 43 $325.51
J2704 Injection, propofol, 10 mg 218 141 $301.46
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 71 64 $281.44
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,915 1,357 $280.41
84703 44 44 $262.18
J3010 Injection, fentanyl citrate, 0.1 mg 324 286 $253.12
87210 41 39 $191.13
85730 43 41 $154.40
84702 29 28 $153.17
J0780 Injection, prochlorperazine, up to 10 mg 42 40 $131.73
73090 13 13 $127.54
J1094 Injection, dexamethasone acetate, 1 mg 205 199 $117.42
J7120 Ringers lactate infusion, up to 1000 cc 85 81 $103.36
J2250 Injection, midazolam hydrochloride, per 1 mg 1,089 773 $91.80
J2360 Injection, orphenadrine citrate, up to 60 mg 26 25 $67.82
J0690 Injection, cefazolin sodium, 500 mg 26 24 $65.08
82565 12 12 $47.31
J2919 Injection, methylprednisolone sodium succinate, 5 mg 33 26 $40.60
J2060 Injection, lorazepam, 2 mg 57 27 $35.95
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 87 54 $32.25
J1956 Injection, levofloxacin, 250 mg 13 12 $29.66
C9113 Injection, pantoprazole sodium, per vial 21 12 $26.08
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,702 1,447 $0.10
J2003 Injection, lidocaine hydrochloride, 1 mg 17 12 $0.00
J1171 Injection, hydromorphone, 0.1 mg 14 12 $0.00
C1780 Lens, intraocular (new technology) 13 12 $0.00