Medicaid Provider Spending

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

WASHINGTON COUNTY MEMORIAL HOSPITAL

NPI: 1194838821 · POTOSI, MO 63664 · Critical Access Hospital · NPI assigned 08/16/2006

$7.96M
Total Medicaid Paid
110,092
Total Claims
95,628
Beneficiaries
55
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRATT, DEBRA (CFO)
NPI Enumeration Date08/16/2006

Related Entities

Other providers sharing the same authorized official: PRATT, DEBRA

ProviderCityStateTotal Paid
WASHINGTON COUNTY MEMORIAL HOSPITAL POTOSI MO $2.30M
WASHINGTON COUNTY MEMORIAL HOSPITAL POTOSI MO $2.01M
WASHINGTON COUNTY MEMORIAL HOSPITAL POTOSI MO $864K
WASHINGTON COUNTY MEMORIAL HOSPITAL POTOSI MO $824K
WASHINGTON COUNTY MEMORIAL HOSPITAL POTOSI MO $218.76

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,660 $1.72M
2019 13,675 $1.33M
2020 12,498 $985K
2021 15,143 $464K
2022 16,936 $1.02M
2023 19,757 $1.42M
2024 15,423 $1.03M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 15,856 14,946 $2.26M
99284 Emergency department visit for the evaluation and management, high severity 7,422 6,844 $1.42M
X4011 State-specific procedure code 4,688 4,062 $944K
Y7506 4,948 3,216 $444K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 13,305 11,814 $429K
80053 Comprehensive metabolic panel 12,707 11,408 $407K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,266 3,416 $325K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 881 809 $267K
81000 6,597 6,114 $245K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,808 2,562 $200K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,549 4,344 $157K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,619 1,524 $129K
36415 Collection of venous blood by venipuncture 8,622 7,229 $125K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 598 594 $120K
71045 Radiologic examination, chest; single view 1,872 1,739 $90K
71046 Radiologic examination, chest; 2 views 421 408 $61K
84484 2,208 1,997 $53K
G0378 Hospital observation service, per hour 117 96 $38K
82550 1,484 1,362 $35K
82553 976 902 $30K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 361 320 $20K
84443 Thyroid stimulating hormone (TSH) 1,380 1,280 $19K
J3490 Unclassified drugs 5,904 2,566 $18K
74176 Computed tomography, abdomen and pelvis; without contrast material 99 91 $16K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,032 978 $13K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,019 1,003 $12K
70450 Computed tomography, head or brain; without contrast material 125 109 $12K
83874 194 177 $11K
83605 326 301 $8K
80061 Lipid panel 726 682 $8K
87086 Culture, bacterial; quantitative colony count, urine 247 232 $6K
83880 253 228 $6K
87807 431 426 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 121 113 $5K
87040 40 38 $5K
80048 Basic metabolic panel (calcium, ionized) 41 39 $4K
84439 481 446 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 29 25 $3K
74177 Computed tomography, abdomen and pelvis; with contrast material 15 12 $3K
87186 55 52 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 115 104 $3K
83036 Hemoglobin; glycosylated (A1C) 262 239 $2K
82607 154 141 $2K
83735 308 268 $1K
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 13 12 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor 17 17 $964.62
83721 80 76 $871.92
85610 69 64 $820.19
85730 53 49 $804.25
88305 Level IV - Surgical pathology, gross and microscopic examination 14 13 $549.74
83690 101 90 $408.04
82150 14 13 $36.26
81025 12 12 $32.55
85652 14 14 $3.40
A9270 Non-covered item or service 43 12 $0.00