Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Henry Heywood Memorial Hospital

Henry Heywood Memorial Hospital was paid $54.50M by Medicaid between Jan 2018 and Dec 2024, across 445 billing codes. Its largest line is 99284, emergency room visit (serious) — 7.9% of everything it billed.

33Billing provider infoHENRY HEYWOOD MEMORIAL HOSPITAL
GARDNER, MA 01440
33aNPI1205823879assigned 09/29/2005
28Total paid$54.50M
24GClaims1,506,494
24DCodes billed445
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Geriatric Psychiatry Physician providers in Massachusetts

Rank by total paid#1 of 6
Median peer was paid$6K
This provider vs. median8,821×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
2018216,603$6.99M
2019230,624$7.45M
2020190,908$6.24M
2021221,120$7.77M
2022250,902$9.04M
2023217,808$9.03M
2024incomplete178,529$7.98M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 7.9% 40,861 37,701 $4.33M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 7.9% 37,960 34,211 $4.29M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 7.2% 31,652 27,802 $3.94M
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6.4% 22,880 20,496 $3.50M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5.2% 18,959 15,812 $2.85M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.2% 20,874 19,032 $2.84M
96361 Intravenous infusion, hydration; each additional hour 4.5% 7,561 6,603 $2.43M
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 3.5% 33,789 27,242 $1.90M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3.2% 33,940 9,353 $1.73M
96110 Developmental screening, with scoring and documentation, per standardized instrument 3.2% 9,958 9,283 $1.72M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2.1% 44,169 35,646 $1.14M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.9% 1,742 1,537 $1.04M
433 more codes
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.7% 7,334 $950K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.6% 6,582 $860K
99204 Doctor's office visit, new patient (more involved) 1.4% 5,055 $784K
99203 Doctor's office visit, new patient (routine) 1.4% 4,306 $750K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.3% 5,015 $714K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1.2% 4,934 $649K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.2% 6,757 $639K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.1% 4,408 $620K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.1% 20,821 $613K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1.1% 698 $602K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1.0% 16,444 $556K
70450 Computed tomography, head or brain; without contrast material <1% 5,223 $529K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 4,137 $501K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed <1% 10,057 $489K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 3,857 $468K
77067 Screening mammography, bilateral, including computer-aided detection <1% 6,116 $428K
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 <1% 26,372 $424K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 3,578 $369K
G0378 Hospital observation service, per hour <1% 7,297 $368K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 2,759 $365K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 5,995 $321K
20610 <1% 2,007 $290K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,675 $283K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 2,044 $253K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 69,956 $250K
97161 <1% 3,706 $247K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,787 $242K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 3,895 $229K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 2,084 $211K
76830 Ultrasound, transvaginal <1% 2,253 $211K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 8,929 $196K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 8,928 $193K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,726 $191K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 1,587 $181K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 338 $162K
71046 Radiologic examination, chest; 2 views <1% 10,272 $162K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 9,511 $150K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 995 $149K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 558 $137K
84443 Thyroid stimulating hormone (TSH) <1% 18,518 $134K
80053 Comprehensive metabolic panel <1% 60,768 $130K
ATP14 <1% 20,215 $129K
92551 <1% 1,530 $127K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 969 $127K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 1,450 $126K
97803 <1% 2,245 $126K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 110 $123K
80050 General health panel <1% 8,504 $120K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 409 $119K
62323 <1% 358 $110K
99215 Doctor's office visit, returning patient (complex) <1% 679 $102K
97162 <1% 1,826 $102K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 5,143 $96K
96127 <1% 6,067 $94K
93017 <1% 1,218 $91K
83036 Hemoglobin; glycosylated (A1C) <1% 19,484 $88K
99218 <1% 3,854 $86K
71250 <1% 1,584 $86K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 560 $86K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 4,671 $86K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 3,953 $84K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 2,041 $83K
80061 Lipid panel <1% 27,050 $83K
87070 <1% 13,133 $80K
76642 <1% 1,025 $80K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 14,777 $78K
90839 <1% 1,315 $73K
93971 <1% 525 $71K
82607 <1% 9,182 $67K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,003 $67K
83880 <1% 5,906 $66K
73630 <1% 3,627 $62K
84702 <1% 5,076 $58K
84484 <1% 11,227 $57K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 2,138 $57K
99173 <1% 1,932 $56K
87634 <1% 1,424 $56K
S9485 Crisis intervention mental health services, per diem <1% 226 $56K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 7,105 $56K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 724 $55K
73610 <1% 3,083 $54K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,929 $53K
73562 <1% 2,641 $53K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 15,440 $53K
82746 <1% 6,676 $51K
83690 <1% 13,187 $51K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 2,398 $50K
77065 Tomosynthesis, mammo <1% 732 $50K
87077 <1% 10,740 $49K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 1,123 $48K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 1,065 $47K
86803 <1% 5,046 $47K
71275 Computed tomographic angiography, chest, with contrast material <1% 313 $46K
99223 Prolong inpt eval add15 m <1% 584 $46K
87186 <1% 9,255 $46K
87086 Culture, bacterial; quantitative colony count, urine <1% 10,662 $46K
73030 <1% 2,703 $45K
H0035 Mental health partial hospitalization, treatment, less than 24 hours <1% 154 $45K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 7,318 $45K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 311 $45K
59025 Fetal non-stress test <1% 180 $44K
84466 <1% 6,780 $43K
43235 <1% 190 $43K
87088 <1% 8,641 $43K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 6,620 $43K
87143 <1% 6,660 $42K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 3,495 $42K
82728 <1% 5,998 $41K
73110 <1% 2,438 $40K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 3,457 $39K
99232 Hospital visit by a doctor, follow-up day <1% 1,133 $39K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,043 $38K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 129 $38K
72100 <1% 1,342 $38K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 238 $38K
73130 <1% 2,382 $38K
ATP08 <1% 8,968 $35K
97597 <1% 762 $34K
80048 Basic metabolic panel (calcium, ionized) <1% 24,113 $33K
90853 Group psychotherapy (other than of a multiple-family group) <1% 722 $33K
90715 <1% 1,570 $33K
85027 <1% 11,361 $33K
76801 <1% 284 $32K
83735 <1% 10,412 $32K
83655 <1% 2,879 $31K
ATP17 <1% 7,164 $31K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,768 $29K
95886 <1% 281 $28K
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 <1% 1,886 $28K
84439 <1% 5,856 $28K
71271 <1% 731 $27K
64635 <1% 60 $27K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 20,465 $27K
84153 <1% 3,230 $26K
81001 <1% 16,653 $25K
97164 <1% 438 $24K
76000 <1% 670 $24K
73564 <1% 1,647 $23K
83540 <1% 6,999 $23K
73502 <1% 1,565 $23K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 13,483 $22K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 1,923 $21K
ATP03 <1% 5,535 $21K
81002 <1% 9,373 $21K
ATP15 <1% 3,228 $21K
99221 <1% 784 $21K
81025 <1% 4,011 $20K
76536 <1% 206 $19K
76775 <1% 243 $19K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,828 $18K
92557 <1% 285 $18K
86618 <1% 1,270 $18K
90381 <1% 14 $17K
71045 Radiologic examination, chest; single view <1% 6,667 $17K
76770 <1% 114 $17K
85610 <1% 13,624 $17K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 6,468 $17K
96375 Therapeutic injection; each additional sequential IV push <1% 11,476 $16K
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 <1% 174 $15K
00731 <1% 405 $15K
86850 <1% 1,906 $14K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 26 $14K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 362 $14K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 575 $14K
86140 <1% 4,957 $14K
81003 <1% 12,283 $14K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 207 $14K
87040 <1% 1,988 $14K
G0379 Direct admission of patient for hospital observation care <1% 103 $14K
82043 <1% 5,882 $13K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 551 $13K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 333 $13K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 9,539 $13K
86317 <1% 978 $13K
77080 <1% 316 $13K
82570 <1% 5,604 $12K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 4,091 $12K
99220 <1% 89 $12K
12001 <1% 97 $12K
85379 <1% 2,195 $12K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 604 $11K
70551 Magnetic resonance imaging, brain; without contrast material <1% 124 $11K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 7,362 $11K
87340 <1% 1,411 $11K
90677 <1% 156 $10K
64636 <1% 89 $10K
90832 Psychotherapy session, about 30 minutes <1% 2,092 $10K
82948 <1% 4,945 $9K
99205 Prolong outpt/office vis <1% 60 $8K
95831 <1% 1,173 $8K
93296 <1% 432 $8K
83605 <1% 1,646 $8K
99239 Hospital discharge day management, more than 30 minutes <1% 140 $8K
74018 <1% 348 $8K
85018 <1% 4,646 $8K
20552 <1% 64 $8K
92567 <1% 542 $7K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 125 $7K
94726 <1% 255 $7K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 1,043 $7K
86038 <1% 928 $7K
72125 Computed tomography, cervical spine; without contrast material <1% 457 $7K
36415 Collection of venous blood by venipuncture <1% 66,157 $7K
90837 Psychotherapy session, about an hour <1% 255 $7K
86592 <1% 1,375 $6K
84146 <1% 557 $6K
90688 <1% 448 $6K
97750 <1% 144 $6K
85730 <1% 2,096 $6K
99222 Initial hospital care, per day, moderate complexity <1% 96 $5K
94729 <1% 240 $5K
83516 <1% 566 $5K
94664 <1% 1,136 $5K
99238 Hospital discharge day management, 30 minutes or less <1% 132 $5K
93299 <1% 347 $5K
86900 <1% 2,230 $5K
87807 <1% 516 $5K
97802 <1% 74 $5K
90686 <1% 1,941 $5K
96160 <1% 692 $5K
77066 Tomosynthesis, mammo <1% 64 $5K
94060 <1% 42 $5K
97116 <1% 258 $4K
85651 <1% 2,206 $4K
86901 <1% 2,190 $4K
V5266 Battery for use in hearing device <1% 247 $4K
85652 <1% 2,964 $4K
95911 <1% 13 $4K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,935 $4K
83970 <1% 223 $4K
92588 <1% 13 $4K
ATP13 <1% 655 $4K
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg <1% 45 $4K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 72 $4K
93975 <1% 27 $3K
88342 <1% 1,549 $3K
J1650 Injection, enoxaparin sodium, 10 mg <1% 470 $3K
0072A <1% 72 $3K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 13 $3K
85014 <1% 2,383 $3K
00812 <1% 53 $3K
77061 <1% 68 $3K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 46 $3K
88304 <1% 1,138 $3K
11043 <1% 19 $3K
82784 <1% 444 $3K
87653 <1% 95 $3K
72141 <1% 32 $3K
J1756 Injection, iron sucrose, 1 mg <1% 53 $3K
84460 <1% 4,149 $3K
11721 <1% 140 $2K
96367 <1% 88 $2K
J0690 Injection, cefazolin sodium, 500 mg <1% 1,336 $2K
ATP11 <1% 549 $2K
80164 <1% 554 $2K
80076 <1% 2,400 $2K
74183 <1% 43 $2K
73080 <1% 172 $2K
73140 <1% 114 $2K
90461 <1% 3,031 $2K
ATP07 <1% 465 $2K
94761 <1% 3,832 $2K
0071A <1% 48 $2K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,794 $2K
92587 <1% 18 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 12 $2K
86762 <1% 170 $2K
82248 <1% 3,850 $2K
82150 <1% 417 $2K
76819 Fetal biophysical profile; without non-stress testing <1% 76 $2K
84450 <1% 2,961 $2K
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,904 $2K
99406 <1% 119 $2K
85007 <1% 1,482 $2K
97150 Therapeutic procedure(s), group (2 or more individuals) <1% 37 $1K
88141 <1% 118 $1K
97166 <1% 15 $1K
90670 <1% 1,076 $1K
82805 <1% 45 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 30 $1K
Q3014 Telehealth originating site facility fee <1% 322 $1K
J3475 Injection, magnesium sulfate, per 500 mg <1% 569 $1K
90792 Psychiatric diagnostic evaluation with medical services <1% 12 $1K
85049 <1% 578 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 41 $1K
J2060 Injection, lorazepam, 2 mg <1% 1,362 $974.72
93016 <1% 65 $956.69
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) <1% 5,381 $912.90
83721 <1% 311 $884.94
86706 <1% 132 $880.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 214 $858.87
87081 <1% 170 $814.37
82950 <1% 169 $706.70
83525 <1% 92 $695.52
0073A <1% 15 $688.05
84402 <1% 44 $673.80
51798 <1% 735 $672.97
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 1,437 $669.82
93018 <1% 65 $637.07
93041 <1% 6,064 $636.44
94010 <1% 12 $622.21
72050 <1% 25 $614.80
84425 <1% 39 $597.90
77062 <1% 12 $597.19
72040 <1% 43 $569.14
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 <1% 867 $561.79
86431 <1% 183 $554.36
G0008 Administration of influenza virus vaccine <1% 423 $543.01
90656 <1% 56 $536.51
94760 <1% 10,372 $534.23
83001 <1% 39 $531.92
74019 <1% 50 $529.27
90662 <1% 114 $514.39
93880 <1% 13 $497.68
84550 <1% 761 $461.25
82550 <1% 838 $437.97
86787 <1% 46 $408.96
84100 <1% 1,775 $391.70
J1170 Injection, hydromorphone, up to 4 mg <1% 766 $390.04
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 27 $382.17
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 9,749 $368.62
87046 <1% 66 $362.72
99217 <1% 12 $352.02
82565 <1% 895 $297.91
ATP10 <1% 115 $295.68
86430 <1% 68 $269.20
70486 <1% 12 $246.80
90834 Psychotherapy session, about 45 minutes <1% 96 $243.39
85045 <1% 134 $235.84
82803 <1% 30 $235.26
ATP18 <1% 71 $230.97
ATP09 <1% 106 $219.58
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 1,287 $213.03
84311 <1% 207 $200.10
ATP02 <1% 61 $187.95
J1790 Injection, droperidol, up to 5 mg <1% 409 $164.06
J1644 Injection, heparin sodium, per 1000 units <1% 61 $152.28
87210 <1% 51 $137.60
87075 <1% 50 $135.20
86666 <1% 14 $120.05
ATP16 <1% 17 $108.90
83986 <1% 214 $103.04
83789 <1% 38 $93.10
80178 <1% 53 $88.16
86704 <1% 12 $87.92
96376 <1% 922 $86.02
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge <1% 5,176 $77.71
ATP04 <1% 14 $72.40
84134 <1% 14 $61.96
84436 <1% 14 $56.64
J1020 Injection, methylprednisolone acetate, 20 mg <1% 1,103 $50.40
J1815 Injection, insulin, per 5 units <1% 55 $47.30
83615 <1% 171 $43.41
88302 <1% 12 $41.27
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 371 $27.02
84520 <1% 135 $20.71
82947 <1% 38 $20.25
81000 <1% 13 $19.62
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 38 $16.78
99188 <1% 306 $13.92
88112 <1% 15 $11.88
84132 <1% 15 $9.46
85008 <1% 68 $3.03
P9603 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled <1% 1,400 $2.48
95851 <1% 261 $1.72
G9744 Patient not eligible due to active diagnosis of hypertension <1% 294 $0.02
80320 0% 1,025 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 0% 302 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 0% 569 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 100 $0.00
90716 0% 52 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 0% 356 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 106 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 0% 217 $0.00
90723 0% 687 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 377 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 79 $0.00
80358 0% 110 $0.00
87493 0% 53 $0.00
80329 0% 197 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 0% 167 $0.00
80359 0% 110 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 0% 26 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 0% 65 $0.00
91307 0% 163 $0.00
80324 0% 112 $0.00
72170 0% 13 $0.00
80353 0% 110 $0.00
90651 0% 14 $0.00
90697 0% 52 $0.00
90696 0% 12 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 12 $0.00
88311 0% 13 $0.00
S3005 Performance measurement, evaluation of patient self assessment, depression 0% 609 $0.00
90648 0% 1,116 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 16 $0.00
90671 0% 46 $0.00
A9576 Injection, gadoteridol, (prohance multipack), per ml 0% 533 $0.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 0% 68 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 0% 99 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 289 $0.00
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 0% 298 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 404 $0.00
80179 0% 99 $0.00
80365 0% 110 $0.00
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 153 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 0% 441 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 0% 33 $0.00
90633 0% 402 $0.00
99053 0% 102 $0.00
73590 0% 15 $0.00
84145 0% 95 $0.00
80143 0% 126 $0.00
80354 0% 110 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 26 $0.00
90681 0% 126 $0.00
99244 Office or other outpatient consultation, moderate to high complexity 0% 30 $0.00
80348 0% 149 $0.00
90658 0% 28 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 63 $0.00
90700 0% 25 $0.00
80373 0% 110 $0.00
90685 0% 35 $0.00
51702 0% 29 $0.00
80372 0% 110 $0.00
80346 0% 110 $0.00
90707 0% 12 $0.00
82542 0% 44 $0.00
90473 0% 27 $0.00
90791 Psychiatric diagnostic evaluation 0% 13 $0.00
90710 0% 24 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 18 $0.00
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography 0% 17 $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 officialSULLIVAN, THOMAS (CEO)
Parent organizationNORTH CENTRAL HEALTHCARE, INC
Same official

Other billing entities under SULLIVAN, THOMAS

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.