Medicaid Provider Spending

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

HIGHLANDS HOSPITAL CORP

NPI: 1194818138 · PRESTONSBURG, KY 41653 · Nurse Practitioner · NPI assigned 10/02/2006

$15.88M
Total Medicaid Paid
405,692
Total Claims
294,144
Beneficiaries
308
Codes Billed
2018-01
First Month
2020-09
Last Month

Provider Details

Authorized OfficialBLACKWELL, JACK (CFO)
NPI Enumeration Date10/02/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 183,295 $6.64M
2019 184,320 $7.65M
2020 38,077 $1.59M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 10,360 6,908 $2.97M
99284 Emergency department visit for the evaluation and management, high severity 7,084 5,871 $1.57M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 18,198 12,933 $1.08M
74176 Computed tomography, abdomen and pelvis; without contrast material 3,024 2,171 $645K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,791 1,445 $495K
99283 Emergency department visit for the evaluation and management, moderate severity 4,351 3,747 $488K
41899 Unlisted procedure, dentoalveolar structures 481 424 $459K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,344 4,668 $392K
20610 2,600 1,903 $326K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 942 704 $313K
70450 Computed tomography, head or brain; without contrast material 2,430 1,815 $274K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,188 602 $253K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,241 1,087 $238K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,290 3,668 $219K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7,603 1,705 $206K
80053 Comprehensive metabolic panel 32,664 16,439 $200K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 5,165 2,855 $199K
71045 Radiologic examination, chest; single view 8,486 5,291 $185K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,494 4,770 $175K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 507 463 $154K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 149 139 $153K
G0379 Direct admission of patient for hospital observation care 164 136 $148K
G0378 Hospital observation service, per hour 2,800 1,855 $143K
96361 Intravenous infusion, hydration; each additional hour 3,574 2,647 $132K
72131 833 573 $130K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 531 484 $126K
59025 Fetal non-stress test 1,531 1,043 $118K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 22,292 17,473 $113K
71046 Radiologic examination, chest; 2 views 3,431 2,597 $109K
72125 Computed tomography, cervical spine; without contrast material 646 551 $108K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 424 394 $107K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,090 1,016 $96K
71260 Computed tomography, thorax, diagnostic; with contrast material 697 429 $96K
20550 857 684 $89K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,274 1,147 $88K
96375 Therapeutic injection; each additional sequential IV push 3,301 2,341 $86K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,122 5,215 $85K
99218 595 245 $80K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 229 117 $77K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,060 1,174 $77K
77067 Screening mammography, bilateral, including computer-aided detection 1,389 1,346 $75K
71250 840 619 $74K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,639 1,407 $73K
76536 963 841 $72K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,283 593 $68K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 9,271 5,179 $68K
84443 Thyroid stimulating hormone (TSH) 4,811 4,442 $66K
71275 Computed tomographic angiography, chest, with contrast material 378 248 $54K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,322 1,151 $53K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,932 1,508 $53K
70486 409 363 $52K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,450 3,895 $50K
80061 Lipid panel 4,317 3,441 $50K
73564 1,763 1,445 $49K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,648 1,476 $48K
93225 412 347 $45K
45380 Colonoscopy, flexible; with biopsy, single or multiple 82 67 $42K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,177 5,651 $39K
36415 Collection of venous blood by venipuncture 17,201 8,651 $38K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 855 248 $36K
73610 1,460 1,095 $35K
73110 1,382 966 $35K
J7120 Ringers lactate infusion, up to 1000 cc 5,421 4,597 $35K
73030 1,447 1,160 $34K
42820 Tonsillectomy and adenoidectomy; younger than age 12 14 13 $34K
93017 670 607 $34K
73130 1,177 896 $33K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,350 1,230 $31K
82607 2,610 2,353 $31K
77065 Tomosynthesis, mammo 604 505 $30K
93971 386 346 $29K
73630 1,143 963 $29K
80048 Basic metabolic panel (calcium, ionized) 5,090 3,176 $28K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,535 483 $27K
72141 102 87 $27K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 154 132 $27K
84484 4,561 3,626 $27K
97162 508 478 $27K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 500 447 $27K
J7030 Infusion, normal saline solution , 1000 cc 4,680 3,620 $26K
20551 431 275 $26K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 5,143 867 $25K
80074 621 568 $25K
76775 409 343 $24K
82550 3,809 3,124 $23K
87086 Culture, bacterial; quantitative colony count, urine 4,481 3,812 $22K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 638 591 $22K
72110 410 328 $22K
J2704 Injection, propofol, 10 mg 1,963 1,369 $21K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 75 60 $21K
83036 Hemoglobin; glycosylated (A1C) 2,730 2,527 $20K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 43 42 $20K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 507 471 $20K
97014 1,940 536 $20K
83880 1,173 1,047 $18K
99051 2,546 2,278 $18K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 38 38 $18K
97161 321 314 $17K
87902 72 34 $17K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 179 94 $17K
80306 1,786 1,631 $16K
73080 652 450 $16K
99281 Emergency department visit for the evaluation and management, self-limited or minor 454 398 $16K
76642 232 218 $16K
83690 4,076 3,597 $15K
88304 596 555 $15K
84703 3,636 3,184 $15K
87522 Neg quan hep c or qual rna 403 376 $15K
74018 676 583 $14K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 291 271 $13K
93226 311 292 $13K
81001 5,340 4,627 $12K
82150 3,772 3,337 $12K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 553 497 $12K
73502 630 488 $12K
97164 415 335 $12K
87496 552 484 $12K
84436 1,902 1,774 $11K
87581 523 476 $11K
87040 1,828 1,620 $11K
36600 1,058 451 $11K
77066 Tomosynthesis, mammo 169 146 $11K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,060 1,740 $10K
73562 550 486 $10K
J7050 Infusion, normal saline solution, 250 cc 1,956 1,390 $10K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,527 1,160 $9K
73590 394 297 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 450 403 $9K
84702 1,098 897 $9K
84479 1,470 1,398 $9K
82746 941 844 $9K
83735 1,781 1,396 $8K
96376 736 461 $8K
73090 339 253 $8K
81003 4,888 4,367 $8K
97012 717 196 $7K
52000 37 26 $7K
86677 830 771 $7K
85610 2,324 1,831 $7K
C1769 Guide wire 172 142 $7K
86900 1,037 826 $7K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 459 410 $7K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,178 1,032 $7K
29075 73 61 $7K
87077 1,438 1,053 $7K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 137 119 $6K
87186 1,076 979 $6K
70491 37 28 $6K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 2,580 2,099 $6K
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 779 249 $6K
88342 230 212 $6K
82803 494 446 $6K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 247 235 $6K
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,887 2,257 $6K
J3010 Injection, fentanyl citrate, 0.1 mg 1,612 1,436 $6K
74021 192 167 $5K
87807 1,041 979 $5K
83605 687 611 $5K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 292 80 $5K
J2270 Injection, morphine sulfate, up to 10 mg 1,228 843 $5K
85379 939 843 $5K
86140 1,308 1,140 $5K
84439 653 586 $5K
87070 878 688 $5K
J1815 Injection, insulin, per 5 units 620 281 $5K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,813 1,559 $5K
87900 41 28 $5K
86850 1,009 554 $5K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 173 103 $5K
72128 27 27 $4K
86038 413 395 $4K
J2250 Injection, midazolam hydrochloride, per 1 mg 2,904 2,599 $4K
97116 327 91 $4K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 155 54 $4K
85730 1,290 1,109 $4K
83540 753 696 $4K
85651 1,201 1,110 $4K
83550 554 524 $4K
95911 15 14 $4K
86592 786 627 $4K
10060 19 18 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 29 29 $3K
82728 368 311 $3K
43450 12 12 $3K
74178 20 14 $3K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 425 369 $3K
81000 918 631 $3K
76641 30 30 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 257 238 $2K
86901 958 820 $2K
86738 315 292 $2K
29705 23 18 $2K
72052 33 28 $2K
97530 Therapeutic activities, direct patient contact, each 15 minutes 41 19 $2K
80348 256 235 $2K
J3480 Injection, potassium chloride, per 2 meq 143 94 $2K
72083 14 14 $2K
J2785 Injection, regadenoson, 0.1 mg 27 24 $2K
84550 626 543 $2K
J2550 Injection, promethazine hcl, up to 50 mg 352 282 $2K
82977 262 224 $2K
77002 46 40 $2K
77080 51 44 $2K
25600 15 13 $2K
82172 99 97 $2K
83883 161 106 $1K
80069 321 173 $1K
82247 352 270 $1K
93041 173 104 $1K
93922 42 39 $1K
J2175 Injection, meperidine hydrochloride, per 100 mg 148 101 $1K
80050 General health panel 488 464 $1K
83010 100 98 $1K
51701 76 67 $1K
82553 245 192 $1K
83615 303 246 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete 13 12 $1K
83655 76 75 $969.76
72072 34 27 $967.87
87205 430 388 $962.55
76830 Ultrasound, transvaginal 14 13 $937.63
81002 337 257 $875.37
82043 165 154 $840.24
91200 14 13 $803.16
74230 18 16 $794.59
82140 92 63 $757.88
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 591 407 $749.10
86235 14 12 $726.44
73521 30 25 $717.96
J0690 Injection, cefazolin sodium, 500 mg 256 220 $692.12
86308 229 207 $690.03
80337 203 194 $664.11
J3490 Unclassified drugs 176 106 $660.29
90686 47 38 $635.78
80076 99 75 $566.55
82948 285 245 $518.87
99406 43 40 $500.42
88307 12 12 $490.35
80349 58 57 $489.72
51798 33 30 $488.71
G0103 Prostate cancer screening; prostate specific antigen test (psa) 111 39 $486.42
J1956 Injection, levofloxacin, 250 mg 60 44 $481.80
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 12 12 $474.28
51702 27 25 $463.17
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 100 89 $458.54
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 45 29 $435.71
80359 171 163 $435.46
84460 101 99 $417.27
99201 20 19 $407.84
29125 15 12 $388.14
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 30 29 $382.50
80324 46 44 $381.59
A9270 Non-covered item or service 1,516 396 $374.92
73552 30 25 $363.75
80364 151 144 $243.13
80331 151 144 $240.08
96127 47 38 $236.31
80334 151 144 $231.93
80355 151 144 $230.81
83992 151 144 $225.61
84481 12 12 $225.40
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 44 39 $222.25
80370 151 144 $219.52
80347 151 144 $213.77
80338 151 144 $210.65
80346 27 25 $206.99
80344 151 144 $206.83
80341 151 144 $203.02
80326 151 144 $199.97
80358 170 162 $198.39
80361 176 165 $195.69
C1887 Catheter, guiding (may include infusion/perfusion capability) 28 26 $192.66
80372 151 144 $183.64
80354 151 144 $179.04
80356 151 144 $179.04
80373 151 144 $179.04
80365 157 148 $179.02
80367 151 144 $179.02
80377 151 144 $175.56
80368 151 144 $173.30
84153 12 12 $171.68
80366 151 144 $169.73
80353 151 144 $153.42
84156 75 65 $151.82
80357 151 144 $150.69
80360 151 144 $132.42
80371 151 144 $132.42
87045 41 27 $123.37
87046 33 26 $123.37
87209 13 13 $112.73
82248 27 13 $111.12
82784 44 26 $107.09
87324 15 15 $75.18
87449 15 15 $75.18
36000 31 31 $67.74
82010 13 13 $61.14
J1170 Injection, hydromorphone, up to 4 mg 13 12 $60.67
87177 13 13 $55.83
82272 27 26 $42.56
Q4012 Cast supplies, short arm cast, pediatric (0-10 years), fiberglass 25 25 $30.53
J7510 Prednisolone oral, per 5 mg 15 12 $12.56
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 493 416 $1.41
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 101 80 $0.28
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 88 68 $0.00
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 68 63 $0.00
99000 15 13 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 67 63 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 17 17 $0.00