Tmc/Higgins General Hospital

Tmc/Higgins General Hospital was paid $12.23M by Medicaid between Jan 2018 and Dec 2024, across 123 billing codes. Its largest line is 99283, emergency room visit (moderate) — 24% of everything it billed.

Box 24A · Dates of service

Paid by month

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

Year	Claims	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
2024incomplete	28,109	$1.75M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	24%	19,876	18,688	$2.88M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	19%	10,859	10,184	$2.37M
74177	Computed tomography, abdomen and pelvis; with contrast material	11%	2,119	2,039	$1.29M
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	5.2%	2,669	2,496	$635K
70450	Computed tomography, head or brain; without contrast material	4.1%	2,140	2,038	$496K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	4.0%	12,851	3,605	$492K
99282	Emergency department visit for the evaluation and management, low to moderate severity	3.4%	4,960	4,789	$414K
74176	Computed tomography, abdomen and pelvis; without contrast material	3.0%	689	661	$369K
87428		2.4%	6,461	6,246	$293K
96375	Therapeutic injection; each additional sequential IV push	1.9%	4,950	4,421	$233K
99281	Emergency department visit for the evaluation and management, self-limited or minor	1.8%	3,822	3,662	$224K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	1.7%	3,453	2,454	$211K

111 more codes

71045	Radiologic examination, chest; single view	1.7%	5,182	$203K
96361	Intravenous infusion, hydration; each additional hour	1.6%	4,129	$192K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	1.5%	5,356	$189K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.3%	6,174	$154K
71046	Radiologic examination, chest; 2 views	1.2%	3,127	$150K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	1.1%	2,113	$139K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	1.1%	4,361	$129K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	2,742	$103K
80053	Comprehensive metabolic panel	<1%	11,468	$82K
97014		<1%	3,101	$78K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	12,904	$71K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	4,860	$55K
97161		<1%	1,508	$52K
74018		<1%	652	$41K
72100		<1%	779	$41K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	1,557	$38K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	<1%	654	$37K
73630		<1%	698	$35K
96376		<1%	1,033	$32K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	3,097	$31K
72125	Computed tomography, cervical spine; without contrast material	<1%	100	$31K
84484		<1%	3,204	$30K
73610		<1%	478	$24K
81025		<1%	4,062	$20K
73130		<1%	381	$17K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	101	$17K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	2,366	$17K
83880		<1%	611	$14K
71250		<1%	51	$13K
81001		<1%	6,850	$13K
83690		<1%	2,737	$13K
80048	Basic metabolic panel (calcium, ionized)	<1%	2,358	$12K
71275	Computed tomographic angiography, chest, with contrast material	<1%	27	$12K
87807		<1%	1,580	$12K
73560		<1%	303	$11K
87088		<1%	2,302	$11K
87430		<1%	1,409	$10K
71260	Computed tomography, thorax, diagnostic; with contrast material	<1%	28	$10K
73030		<1%	183	$9K
36415	Collection of venous blood by venipuncture	<1%	13,183	$9K
97164		<1%	774	$8K
76000		<1%	107	$8K
97162		<1%	252	$8K
J0561	Injection, penicillin g benzathine, 100,000 units	<1%	107	$8K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	30	$8K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	<1%	14	$7K
87070		<1%	1,212	$7K
87040		<1%	578	$6K
73110		<1%	164	$6K
85379		<1%	758	$6K
87186		<1%	1,004	$6K
82962		<1%	2,591	$5K
87077		<1%	1,106	$5K
83605		<1%	631	$5K
81003		<1%	3,339	$5K
J7030	Infusion, normal saline solution , 1000 cc	<1%	3,504	$5K
83735		<1%	1,358	$5K
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	295	$4K
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour	<1%	134	$4K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	166	$4K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	13	$3K
84443	Thyroid stimulating hormone (TSH)	<1%	196	$3K
J2270	Injection, morphine sulfate, up to 10 mg	<1%	2,033	$3K
76536		<1%	14	$3K
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	<1%	664	$2K
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	3,319	$2K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	134	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	360	$2K
J2405	Injection, ondansetron hydrochloride, per 1 mg	<1%	5,166	$2K
76775		<1%	12	$2K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	90	$1K
J1170	Injection, hydromorphone, up to 4 mg	<1%	1,148	$1K
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	1,421	$1K
J2272	Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg	<1%	549	$1K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	90	$1K
86140		<1%	331	$1K
85610		<1%	411	$1K
85027		<1%	301	$950.40
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	1,739	$929.05
73502		<1%	19	$609.15
73080		<1%	15	$603.42
J1200	Injection, diphenhydramine hcl, up to 50 mg	<1%	935	$389.67
82550		<1%	161	$387.23
J2550	Injection, promethazine hcl, up to 50 mg	<1%	344	$363.47
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	<1%	20	$359.58
80061	Lipid panel	<1%	45	$325.51
J2704	Injection, propofol, 10 mg	<1%	218	$301.46
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	71	$281.44
J2001	Injection, lidocaine hcl for intravenous infusion, 10 mg	<1%	1,915	$280.41
84703		<1%	44	$262.18
J3010	Injection, fentanyl citrate, 0.1 mg	<1%	324	$253.12
87210		<1%	41	$191.13
85730		<1%	43	$154.40
84702		<1%	29	$153.17
J0780	Injection, prochlorperazine, up to 10 mg	<1%	42	$131.73
73090		<1%	13	$127.54
J1094	Injection, dexamethasone acetate, 1 mg	<1%	205	$117.42
J7120	Ringers lactate infusion, up to 1000 cc	<1%	85	$103.36
J2250	Injection, midazolam hydrochloride, per 1 mg	<1%	1,089	$91.80
J2360	Injection, orphenadrine citrate, up to 60 mg	<1%	26	$67.82
J0690	Injection, cefazolin sodium, 500 mg	<1%	26	$65.08
82565		<1%	12	$47.31
J2919	Injection, methylprednisolone sodium succinate, 5 mg	<1%	33	$40.60
J2060	Injection, lorazepam, 2 mg	<1%	57	$35.95
J7040	Infusion, normal saline solution, sterile (500 ml = 1 unit)	<1%	87	$32.25
J1956	Injection, levofloxacin, 250 mg	<1%	13	$29.66
C9113	Injection, pantoprazole sodium, per vial	<1%	21	$26.08
G1004	Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program	<1%	1,702	$0.10
J2003	Injection, lidocaine hydrochloride, 1 mg	0%	17	$0.00
J1171	Injection, hydromorphone, 0.1 mg	0%	14	$0.00
C1780	Lens, intraocular (new technology)	0%	13	$0.00

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 officialSHERSETH, LEE (CFO)