Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KS › TOPEKA › STORMONT-VAIL HEALTHCARE INC

STORMONT-VAIL HEALTHCARE INC

NPI: 1194782409 · TOPEKA, KS 66604 · General Acute Care Hospital · NPI assigned 04/28/2006

$4.59M
Total Medicaid Paid
279,415
Total Claims
261,205
Beneficiaries
165
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKONGS, MICHAEL (INTERIM CFO)
NPI Enumeration Date04/28/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 62,052 $1.10M
2019 42,543 $815K
2020 30,753 $517K
2021 34,186 $585K
2022 39,575 $631K
2023 43,827 $531K
2024 26,479 $413K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 29,731 29,181 $1.26M
99284 Emergency department visit for the evaluation and management, high severity 14,737 14,328 $651K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 16,113 15,689 $581K
80053 Comprehensive metabolic panel 37,278 35,861 $342K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 9,750 9,301 $175K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 39,273 37,413 $156K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,742 4,658 $146K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,492 817 $124K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,151 7,456 $83K
96375 Therapeutic injection; each additional sequential IV push 2,867 2,635 $83K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,475 2,443 $82K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 152 149 $66K
81001 17,963 17,482 $64K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 825 485 $56K
96361 Intravenous infusion, hydration; each additional hour 2,030 1,875 $46K
93325 753 742 $44K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 404 399 $42K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 307 305 $35K
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 537 521 $30K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,338 657 $26K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 74 72 $26K
70450 Computed tomography, head or brain; without contrast material 343 329 $23K
G0378 Hospital observation service, per hour 720 501 $22K
84484 2,488 2,270 $22K
84703 2,409 2,348 $22K
74177 Computed tomography, abdomen and pelvis; with contrast material 204 199 $20K
0240U 177 177 $17K
83690 2,651 2,571 $17K
86140 2,864 2,791 $14K
93304 201 199 $14K
71046 Radiologic examination, chest; 2 views 1,290 1,264 $14K
42820 Tonsillectomy and adenoidectomy; younger than age 12 34 34 $13K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 340 228 $12K
83735 2,209 2,125 $12K
93320 307 305 $12K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 158 126 $12K
93321 285 279 $12K
59025 Fetal non-stress test 355 287 $12K
87081 1,383 1,377 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 617 536 $11K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 70 70 $9K
87507 14 12 $9K
71260 Computed tomography, thorax, diagnostic; with contrast material 61 60 $9K
71275 Computed tomographic angiography, chest, with contrast material 67 66 $9K
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 442 432 $8K
84443 Thyroid stimulating hormone (TSH) 1,216 1,180 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 185 183 $7K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 40 40 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 118 116 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 118 116 $5K
87086 Culture, bacterial; quantitative colony count, urine 481 467 $5K
80061 Lipid panel 813 800 $5K
72125 Computed tomography, cervical spine; without contrast material 60 60 $5K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 13 13 $4K
70551 Magnetic resonance imaging, brain; without contrast material 25 25 $4K
83605 550 508 $4K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 94 92 $4K
99281 Emergency department visit for the evaluation and management, self-limited or minor 71 70 $4K
83036 Hemoglobin; glycosylated (A1C) 445 435 $4K
64483 55 53 $4K
85610 1,431 1,132 $4K
87807 189 184 $3K
80164 613 582 $3K
85730 792 765 $3K
84145 162 157 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 323 321 $3K
83880 193 184 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 29 28 $2K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 986 535 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 46 46 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 224 157 $2K
80048 Basic metabolic panel (calcium, ionized) 733 552 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 441 437 $2K
87040 153 123 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,012 1,484 $2K
96376 87 77 $2K
62369 25 24 $1K
87077 160 146 $1K
84439 127 122 $1K
87186 123 119 $1K
36415 Collection of venous blood by venipuncture 37,745 33,656 $1K
J3010 Injection, fentanyl citrate, 0.1 mg 1,571 1,217 $1K
J7120 Ringers lactate infusion, up to 1000 cc 796 761 $1K
87808 88 86 $1K
82247 145 108 $977.19
73502 28 27 $926.07
77336 20 12 $860.79
74176 Computed tomography, abdomen and pelvis; without contrast material 21 21 $857.81
82803 83 77 $830.75
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 12 12 $762.21
81025 94 92 $755.21
J1040 Injection, methylprednisolone acetate, 80 mg 263 256 $748.87
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,650 1,318 $740.28
87205 141 137 $736.83
85379 85 84 $728.44
93017 42 37 $708.75
74018 52 49 $674.43
88304 58 58 $670.72
84702 61 54 $648.45
73562 46 41 $612.79
72100 29 29 $608.96
71045 Radiologic examination, chest; single view 131 126 $606.07
64484 13 13 $539.02
J1815 Injection, insulin, per 5 units 58 30 $482.42
J1100 Injection, dexamethasone sodium phosphate, 1 mg 903 773 $476.41
73630 36 32 $438.13
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 19 14 $437.34
73030 29 29 $430.40
73610 34 32 $417.00
87070 61 57 $409.41
86850 60 58 $395.15
83525 26 25 $379.20
0202U Oncology (prostate), multianalyte, gene expression profiling 512 511 $375.10
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 28 28 $356.57
82550 42 36 $322.12
86308 37 37 $303.15
87147 33 33 $293.71
86901 59 57 $283.41
J2270 Injection, morphine sulfate, up to 10 mg 144 127 $279.88
81003 379 328 $277.25
82248 77 60 $276.14
73130 17 16 $274.78
85651 48 48 $265.16
86592 41 41 $258.24
J0696 Injection, ceftriaxone sodium, per 250 mg 129 88 $251.11
J0780 Injection, prochlorperazine, up to 10 mg 30 28 $222.64
86900 59 57 $222.44
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 47 37 $216.64
85027 39 35 $197.09
83655 12 12 $188.64
J0690 Injection, cefazolin sodium, 500 mg 130 107 $148.54
73590 14 13 $147.79
J2550 Injection, promethazine hcl, up to 50 mg 71 54 $147.05
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 617 601 $145.45
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 677 628 $126.58
99152 34 32 $108.83
82607 14 13 $107.43
J2469 Injection, palonosetron hcl, 25 mcg 16 12 $98.26
82272 31 30 $89.54
J2250 Injection, midazolam hydrochloride, per 1 mg 643 592 $76.62
J1200 Injection, diphenhydramine hcl, up to 50 mg 88 83 $72.59
G0463 Hospital outpatient clinic visit for assessment and management of a patient 137 106 $67.46
J2704 Injection, propofol, 10 mg 133 130 $65.35
J1170 Injection, hydromorphone, up to 4 mg 28 25 $54.22
99153 Mod sedat endo service >5yrs 13 12 $54.12
J2060 Injection, lorazepam, 2 mg 51 45 $44.13
87340 18 18 $31.76
J1010 Injection, methylprednisolone acetate, 1 mg 13 13 $22.84
J1644 Injection, heparin sodium, per 1000 units 43 26 $17.73
J2360 Injection, orphenadrine citrate, up to 60 mg 15 15 $12.09
J1630 Injection, haloperidol, up to 5 mg 65 60 $10.12
J3370 Injection, vancomycin hcl, 500 mg 14 12 $9.93
J0171 Injection, adrenalin, epinephrine, 0.1 mg 14 12 $9.01
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 29 26 $7.82
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 25 25 $7.50
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 335 319 $6.07
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 5,893 4,630 $0.02
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 63 58 $0.00
C1780 Lens, intraocular (new technology) 14 12 $0.00
36600 50 47 $0.00
36416 62 45 $0.00
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 12 12 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 62 61 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 29 28 $0.00
J1790 Injection, droperidol, up to 5 mg 15 15 $0.00