Medicaid Provider Spending

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

WATAUGA MEDICAL CENTER INC

NPI: 1205859766 · BOONE, NC 28607 · Cardiovascular Disease Physician · NPI assigned 07/25/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LONG, MARY controls 20+ related entities in our dataset. Read more

$1.44M
Total Medicaid Paid
68,472
Total Claims
50,229
Beneficiaries
92
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLONG, MARY (SR VP MEDICAL STAFF RELATIONS)
Parent OrganizationAPPALACHIAN REGIONAL HEALTHCARE SYSTEM
NPI Enumeration Date07/25/2006

Related Entities

Other providers sharing the same authorized official: LONG, MARY

ProviderCityStateTotal Paid
CHARLES A CANNON JR MEMORIAL HOSPITAL INC. LINVILLE NC $752K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC. LINVILLE NC $705K
CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC LINVILLE NC $277K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC. BOONE NC $246K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC BOONE NC $177K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES BANNER ELK NC $128K
APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE INC LINVILLE NC $114K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC BOONE NC $112K
WATAUGA MEDICAL CENTER INC BOONE NC $108K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES BOONE NC $91K
WATAUGA MEDICAL CENTER INC BOONE NC $78K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC. BOONE NC $64K
WATAUGA MEDICAL CENTER INC BOONE NC $46K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC. BOONE NC $43K
CHARLES A CANNON JR MEMORIAL HOSPITAL INC LINVILLE NC $33K
ABERDEEN EYE CLINIC P A ABERDEEN MS $28K
WATAUGA MEDICAL CENTER, INC. BOONE NC $19K
WATAUGA MEDICAL CENTER, INC. BOONE NC $19K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC BOONE NC $18K
APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC BLOWING ROCK NC $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,789 $130K
2019 9,440 $117K
2020 7,123 $56K
2021 9,338 $118K
2022 10,186 $189K
2023 9,394 $258K
2024 13,202 $574K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 5,744 5,224 $447K
41899 Unlisted procedure, dentoalveolar structures 119 108 $192K
99284 Emergency department visit for the evaluation and management, high severity 786 704 $109K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 6,840 5,212 $82K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 13,177 9,379 $72K
J3490 Unclassified drugs 2,807 1,386 $67K
88305 Level IV - Surgical pathology, gross and microscopic examination 401 344 $61K
80053 Comprehensive metabolic panel 9,994 6,887 $58K
99282 Emergency department visit for the evaluation and management, low to moderate severity 950 864 $49K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 38 38 $34K
74177 Computed tomography, abdomen and pelvis; with contrast material 31 27 $26K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 837 748 $21K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 103 89 $17K
36415 Collection of venous blood by venipuncture 10,136 7,618 $15K
83735 2,986 1,437 $14K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 96 93 $12K
0202U Oncology (prostate), multianalyte, gene expression profiling 190 175 $12K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 248 126 $11K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 434 251 $9K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 74 58 $9K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 341 310 $9K
82728 925 798 $8K
36591 515 250 $7K
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 65 64 $5K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 49 41 $5K
96375 Therapeutic injection; each additional sequential IV push 104 87 $5K
87086 Culture, bacterial; quantitative colony count, urine 517 455 $5K
83550 900 775 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 247 200 $5K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 17 17 $5K
J2704 Injection, propofol, 10 mg 432 283 $5K
71045 Radiologic examination, chest; single view 147 136 $4K
J7120 Ringers lactate infusion, up to 1000 cc 261 216 $4K
83540 900 775 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 125 108 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 125 108 $3K
88342 55 55 $3K
J3010 Injection, fentanyl citrate, 0.1 mg 301 249 $2K
81001 691 634 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 64 54 $2K
70450 Computed tomography, head or brain; without contrast material 12 12 $2K
96361 Intravenous infusion, hydration; each additional hour 82 69 $2K
80048 Basic metabolic panel (calcium, ionized) 406 276 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 29 27 $2K
86140 291 270 $2K
J0690 Injection, cefazolin sodium, 500 mg 175 64 $2K
84484 167 142 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 12 12 $1K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 67 52 $1K
83690 170 154 $1K
87634 13 12 $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 29 24 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 13 12 $1K
80076 222 168 $989.01
J8499 Prescription drug, oral, non chemotherapeutic, nos 150 106 $964.99
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 15 12 $938.94
85652 295 269 $906.09
J2405 Injection, ondansetron hydrochloride, per 1 mg 171 142 $788.37
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 29 29 $725.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 118 105 $712.13
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 14 12 $667.54
87486 17 17 $592.91
87581 17 17 $592.91
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 17 17 $592.91
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 24 24 $491.87
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 31 27 $482.70
J1885 Injection, ketorolac tromethamine, per 15 mg 54 38 $429.37
J7030 Infusion, normal saline solution , 1000 cc 43 40 $429.04
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 366 336 $424.11
71046 Radiologic examination, chest; 2 views 12 12 $390.01
86850 38 25 $346.30
83605 26 24 $294.58
88142 16 13 $277.64
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 14 $274.54
87641 23 13 $255.56
84703 26 24 $239.49
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 1,928 787 $223.81
82947 49 38 $172.17
85379 13 13 $131.89
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 98 95 $123.41
85610 48 25 $118.27
J1040 Injection, methylprednisolone acetate, 80 mg 12 12 $111.24
85730 26 13 $73.62
86592 13 13 $63.72
86901 38 25 $60.25
86900 38 25 $60.25
J1580 Injection, garamycin, gentamicin, up to 80 mg 17 14 $57.87
J2003 Injection, lidocaine hydrochloride, 1 mg 14 13 $45.04
J1650 Injection, enoxaparin sodium, 10 mg 17 12 $39.92
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 144 126 $20.46
A9270 Non-covered item or service 29 13 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $0.00