Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Galion › NPI 1215907522
Physician

Galion Community Hospital

Galion Community Hospital was paid $25.15M by Medicaid between Jan 2018 and Dec 2024, across 301 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 37% of everything it billed.

33Billing provider infoGALION COMMUNITY HOSPITAL
GALION, OH 44833
33aNPI1215907522assigned 01/26/2006
28Total paid$25.15M
24GClaims521,232
24DCodes billed301
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Ohio

Rank by total paid#4 of 739
Median peer was paid$30K
This provider vs. median848×

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
201837,419$1.57M
201944,218$2.06M
202041,260$2.41M
202147,543$2.88M
202253,492$3.42M
2023167,819$6.31M
2024incomplete129,481$6.50M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 37% 114,637 97,605 $9.38M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 9.8% 21,935 20,171 $2.46M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 5.5% 11,494 10,178 $1.37M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.7% 15,540 13,686 $1.18M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.6% 10,739 9,803 $912K
95810 Polysomnography; sleep staging with 4 or more additional parameters 3.6% 1,457 1,388 $911K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.2% 6,729 5,852 $804K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.6% 8,964 2,308 $654K
80305 2.0% 13,035 9,993 $501K
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 1.9% 5,993 5,538 $467K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.8% 2,193 1,016 $441K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1.6% 5,094 1,809 $408K
289 more codes
97530 Therapeutic activities, direct patient contact, each 15 minutes 1.5% 4,197 $376K
96361 Intravenous infusion, hydration; each additional hour 1.4% 1,116 $362K
95811 1.4% 654 $358K
95886 1.4% 1,610 $350K
70450 Computed tomography, head or brain; without contrast material 1.0% 969 $252K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 870 $241K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 712 $198K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 1,691 $192K
64493 <1% 305 $180K
80053 Comprehensive metabolic panel <1% 14,431 $140K
59025 Fetal non-stress test <1% 1,019 $139K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 605 $130K
20610 <1% 1,074 $119K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 5,040 $105K
G0378 Hospital observation service, per hour <1% 1,970 $99K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 3,420 $93K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 3,590 $90K
97803 <1% 891 $78K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 26,531 $68K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 3,442 $61K
36415 Collection of venous blood by venipuncture <1% 23,134 $54K
62323 <1% 101 $53K
84443 Thyroid stimulating hormone (TSH) <1% 3,770 $51K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 1,217 $50K
92526 <1% 732 $47K
86850 <1% 1,618 $45K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 192 $45K
97162 <1% 751 $44K
87070 <1% 3,942 $44K
87086 Culture, bacterial; quantitative colony count, urine <1% 5,492 $43K
80061 Lipid panel <1% 3,999 $40K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 970 $39K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 96 $39K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 441 $39K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,177 $38K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 427 $38K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 200 $36K
64635 <1% 65 $36K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 1,794 $35K
27096 <1% 124 $34K
71250 <1% 426 $32K
97016 <1% 835 $31K
97760 <1% 334 $31K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 3,203 $30K
73630 <1% 1,847 $30K
97014 <1% 1,045 $29K
83036 Hemoglobin; glycosylated (A1C) <1% 3,466 $28K
97161 <1% 443 $28K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 5,666 $28K
76830 Ultrasound, transvaginal <1% 333 $27K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 6,569 $27K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,306 $25K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 1,758 $25K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 263 $24K
90686 <1% 1,539 $23K
86900 <1% 1,568 $23K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 4,606 $22K
80048 Basic metabolic panel (calcium, ionized) <1% 2,216 $21K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 5,059 $21K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 213 $19K
86140 <1% 1,931 $19K
77063 Screening digital breast tomosynthesis, bilateral <1% 343 $19K
82607 <1% 1,119 $18K
71275 Computed tomographic angiography, chest, with contrast material <1% 101 $16K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 802 $16K
71046 Radiologic examination, chest; 2 views <1% 1,019 $16K
84439 <1% 933 $15K
86901 <1% 1,568 $14K
87081 <1% 625 $13K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 2,374 $13K
64721 <1% 15 $12K
J3490 Unclassified drugs <1% 1,405 $12K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 99 $12K
80069 <1% 1,342 $11K
97166 <1% 109 $11K
20611 <1% 38 $11K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 430 $10K
81002 <1% 525 $9K
82728 <1% 564 $9K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 163 $9K
94664 <1% 525 $8K
73610 <1% 624 $8K
94060 <1% 99 $8K
83735 <1% 3,552 $8K
83540 <1% 1,066 $8K
72110 <1% 468 $8K
81025 <1% 2,272 $8K
81003 <1% 1,552 $7K
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% 592 $7K
80076 <1% 1,331 $7K
90715 <1% 489 $7K
82570 <1% 895 $7K
85027 <1% 980 $6K
71045 Radiologic examination, chest; single view <1% 3,599 $6K
73110 <1% 539 $6K
86592 <1% 916 $6K
90670 <1% 455 $6K
77067 Screening mammography, bilateral, including computer-aided detection <1% 341 $6K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 567 $6K
87186 <1% 1,667 $6K
84484 <1% 3,504 $6K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 150 $6K
76536 <1% 51 $6K
81001 <1% 6,175 $5K
86803 <1% 648 $5K
87077 <1% 778 $5K
82565 <1% 3,800 $5K
87088 <1% 1,228 $5K
87340 <1% 550 $5K
73030 <1% 455 $5K
84153 <1% 400 $5K
85610 <1% 1,738 $5K
94762 <1% 71 $5K
84702 <1% 429 $5K
76770 <1% 29 $4K
90633 <1% 242 $4K
73130 <1% 457 $4K
97802 <1% 49 $4K
87150 <1% 672 $4K
82043 <1% 621 $4K
99215 Doctor's office visit, returning patient (complex) <1% 44 $4K
82746 <1% 689 $4K
73564 <1% 442 $4K
64636 <1% 65 $4K
92250 <1% 78 $3K
93971 <1% 46 $3K
83550 <1% 607 $3K
86701 <1% 304 $3K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 973 $3K
74018 <1% 201 $3K
80051 <1% 3,551 $3K
86038 <1% 162 $3K
97750 <1% 48 $3K
86704 <1% 210 $3K
86706 <1% 265 $3K
97116 <1% 97 $3K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 3,945 $3K
83970 <1% 87 $3K
96376 <1% 1,052 $3K
95911 <1% 13 $3K
96375 Therapeutic injection; each additional sequential IV push <1% 3,535 $3K
97535 Self-care/home management training, each 15 minutes <1% 104 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,126 $2K
85652 <1% 1,161 $2K
73502 <1% 184 $2K
95885 <1% 12 $2K
92567 <1% 74 $2K
84550 <1% 430 $2K
94727 <1% 57 $2K
96367 <1% 53 $2K
84450 <1% 408 $2K
86708 <1% 179 $2K
87205 <1% 693 $2K
73140 <1% 189 $2K
84156 <1% 523 $2K
84460 <1% 434 $2K
20550 <1% 21 $2K
84703 <1% 290 $2K
85730 <1% 888 $2K
97163 <1% 12 $2K
76801 <1% 29 $2K
82550 <1% 408 $2K
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% 176 $2K
84300 <1% 436 $2K
94729 <1% 41 $2K
84403 <1% 100 $2K
85018 <1% 89 $2K
95910 <1% 37 $1K
82784 <1% 125 $1K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 753 $1K
83880 <1% 625 $1K
82948 <1% 1,855 $1K
84520 <1% 3,577 $1K
94618 <1% 26 $1K
82947 <1% 3,545 $1K
73080 <1% 101 $1K
83690 <1% 2,654 $1K
72050 <1% 59 $1K
90472 Immunization administration, each additional vaccine (list separately) <1% 1,220 $1K
95251 <1% 1,010 $1K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 106 $1K
86787 <1% 220 $1K
93017 <1% 12 $943.38
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 105 $932.78
83605 <1% 1,229 $927.37
72125 Computed tomography, cervical spine; without contrast material <1% 74 $897.62
80344 <1% 170 $877.37
90656 <1% 74 $844.86
85045 <1% 252 $827.81
84425 <1% 97 $804.02
64494 <1% 268 $781.59
73562 <1% 61 $761.82
84145 <1% 194 $738.91
90674 <1% 36 $737.23
82950 <1% 189 $709.07
86431 <1% 30 $690.86
82803 <1% 421 $657.23
87449 <1% 170 $639.05
90681 <1% 132 $570.10
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,248 $567.99
86430 <1% 34 $553.80
90698 <1% 41 $511.05
87522 Neg quan hep c or qual rna <1% 13 $507.06
92551 <1% 13 $464.90
92557 <1% 14 $454.18
86762 <1% 176 $402.85
90734 <1% 63 $401.98
86160 <1% 26 $391.54
85378 <1% 699 $383.22
82270 <1% 34 $371.06
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,260 $365.55
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 150 $351.52
90710 <1% 100 $330.02
80349 <1% 75 $309.06
J1010 Injection, methylprednisolone acetate, 1 mg <1% 165 $298.22
84100 <1% 107 $277.94
J7030 Infusion, normal saline solution , 1000 cc <1% 3,255 $270.67
83516 <1% 21 $234.29
J7120 Ringers lactate infusion, up to 1000 cc <1% 985 $232.99
82310 <1% 61 $206.07
74022 <1% 42 $198.97
87040 <1% 483 $194.89
72070 <1% 18 $192.24
82105 <1% 16 $190.22
84590 <1% 44 $186.03
90648 <1% 48 $177.46
G0009 Administration of pneumococcal vaccine <1% 25 $176.56
J1170 Injection, hydromorphone, up to 4 mg <1% 1,018 $168.93
83655 <1% 12 $164.57
90677 <1% 12 $153.27
84436 <1% 13 $135.35
82150 <1% 182 $109.56
J2270 Injection, morphine sulfate, up to 10 mg <1% 603 $106.97
84481 <1% 12 $103.34
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 2,656 $97.48
90700 <1% 13 $91.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 312 $88.73
J1650 Injection, enoxaparin sodium, 10 mg <1% 178 $87.07
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 952 $84.10
90685 <1% 15 $79.08
84238 <1% 13 $77.16
J2704 Injection, propofol, 10 mg <1% 2,011 $76.20
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% 1,136 $57.81
J3475 Injection, magnesium sulfate, per 500 mg <1% 285 $52.65
90697 <1% 16 $50.75
85651 <1% 26 $50.57
84446 <1% 14 $46.24
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 3,667 $41.99
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,509 $40.40
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 155 $29.26
80081 <1% 13 $29.16
90474 <1% 125 $27.60
82010 <1% 19 $27.02
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 508 $23.61
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 154 $22.01
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 28 $21.01
C9113 Injection, pantoprazole sodium, per vial <1% 38 $16.60
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 196 $15.81
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 367 $10.75
J0780 Injection, prochlorperazine, up to 10 mg <1% 208 $10.38
J1956 Injection, levofloxacin, 250 mg <1% 47 $8.73
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 439 $7.63
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 192 $7.25
J2471 Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg <1% 17 $7.10
J8540 Dexamethasone, oral, 0.25 mg <1% 88 $6.46
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,175 $6.32
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 777 $5.80
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg <1% 465 $4.84
J1171 Injection, hydromorphone, 0.1 mg <1% 57 $4.84
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 181 $4.59
J1644 Injection, heparin sodium, per 1000 units <1% 117 $3.91
J7050 Infusion, normal saline solution, 250 cc <1% 240 $2.02
J3480 Injection, potassium chloride, per 2 meq <1% 19 $1.47
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 198 $1.29
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 15 $0.87
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 22 $0.00
94761 0% 98 $0.00
J1920 Injection, labetalol hydrochloride, 5 mg 0% 20 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 0% 93 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 124 $0.00
J2060 Injection, lorazepam, 2 mg 0% 34 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 72 $0.00
J1940 Injection, furosemide, up to 20 mg 0% 20 $0.00
92015 Determination of refractive state 0% 18 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 21 $0.00
00170 Anesthesia for intraoral procedures, including biopsy 0% 38 $0.00
87210 0% 12 $0.00
90461 0% 15 $0.00
01810 0% 13 $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 officialDRAIME, DONALD (CFO)
Parent organizationGALION COMMUNITY HOSPITAL
Same official

Other billing entities under DRAIME, DONALD

Full network →
ProviderLocationPaid
Avita Ontario HospitalOntario, OH$19.73M
Galion Community HospitalGalion, OH$80K

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