Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › GALION › GALION COMMUNITY HOSPITAL

GALION COMMUNITY HOSPITAL

NPI: 1215907522 · GALION, OH 44833 · Family Medicine Physician · NPI assigned 01/26/2006

$25.15M
Total Medicaid Paid
521,232
Total Claims
420,280
Beneficiaries
301
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDRAIME, DONALD (CFO)
Parent OrganizationGALION COMMUNITY HOSPITAL
NPI Enumeration Date01/26/2006

Related Entities

Other providers sharing the same authorized official: DRAIME, DONALD

ProviderCityStateTotal Paid
AVITA ONTARIO HOSPITAL ONTARIO OH $19.73M
GALION COMMUNITY HOSPITAL GALION OH $80K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 37,419 $1.57M
2019 44,218 $2.06M
2020 41,260 $2.41M
2021 47,543 $2.88M
2022 53,492 $3.42M
2023 167,819 $6.31M
2024 129,481 $6.50M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 114,637 97,605 $9.38M
99283 Emergency department visit for the evaluation and management, moderate severity 21,935 20,171 $2.46M
99284 Emergency department visit for the evaluation and management, high severity 11,494 10,178 $1.37M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,540 13,686 $1.18M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10,739 9,803 $912K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,457 1,388 $911K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 6,729 5,852 $804K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 8,964 2,308 $654K
80305 13,035 9,993 $501K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,993 5,538 $467K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,193 1,016 $441K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 5,094 1,809 $408K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,197 1,494 $376K
96361 Intravenous infusion, hydration; each additional hour 1,116 856 $362K
95811 654 606 $358K
95886 1,610 1,530 $350K
70450 Computed tomography, head or brain; without contrast material 969 800 $252K
74176 Computed tomography, abdomen and pelvis; without contrast material 870 698 $241K
74177 Computed tomography, abdomen and pelvis; with contrast material 712 571 $198K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,691 1,555 $192K
64493 305 255 $180K
80053 Comprehensive metabolic panel 14,431 12,184 $140K
59025 Fetal non-stress test 1,019 526 $139K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 605 358 $130K
20610 1,074 779 $119K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 5,040 4,425 $105K
G0378 Hospital observation service, per hour 1,970 795 $99K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,420 3,161 $93K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,590 1,062 $90K
97803 891 668 $78K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 26,531 20,915 $68K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,442 3,177 $61K
36415 Collection of venous blood by venipuncture 23,134 18,476 $54K
62323 101 92 $53K
84443 Thyroid stimulating hormone (TSH) 3,770 3,416 $51K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,217 447 $50K
92526 732 396 $47K
86850 1,618 1,429 $45K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 192 175 $45K
97162 751 680 $44K
87070 3,942 3,455 $44K
87086 Culture, bacterial; quantitative colony count, urine 5,492 4,688 $43K
80061 Lipid panel 3,999 3,723 $40K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 970 949 $39K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 96 69 $39K
J1050 Injection, medroxyprogesterone acetate, 1 mg 441 365 $39K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,177 974 $38K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 427 219 $38K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 200 167 $36K
64635 65 52 $36K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,794 1,559 $35K
27096 124 112 $34K
71250 426 383 $32K
97016 835 183 $31K
97760 334 266 $31K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 3,203 3,027 $30K
73630 1,847 1,503 $30K
97014 1,045 327 $29K
83036 Hemoglobin; glycosylated (A1C) 3,466 3,201 $28K
97161 443 378 $28K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,666 4,629 $28K
76830 Ultrasound, transvaginal 333 286 $27K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 6,569 5,759 $27K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,306 1,203 $25K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,758 1,636 $25K
96110 Developmental screening, with scoring and documentation, per standardized instrument 263 238 $24K
90686 1,539 1,243 $23K
86900 1,568 1,371 $23K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,606 3,572 $22K
80048 Basic metabolic panel (calcium, ionized) 2,216 1,705 $21K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,059 4,401 $21K
76705 Ultrasound, abdominal, real time with image documentation; limited 213 177 $19K
86140 1,931 1,416 $19K
77063 Screening digital breast tomosynthesis, bilateral 343 313 $19K
82607 1,119 1,024 $18K
71275 Computed tomographic angiography, chest, with contrast material 101 78 $16K
88305 Level IV - Surgical pathology, gross and microscopic examination 802 652 $16K
71046 Radiologic examination, chest; 2 views 1,019 900 $16K
84439 933 852 $15K
86901 1,568 1,371 $14K
87081 625 535 $13K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,374 2,114 $13K
64721 15 14 $12K
J3490 Unclassified drugs 1,405 633 $12K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 99 88 $12K
80069 1,342 832 $11K
97166 109 101 $11K
20611 38 28 $11K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 430 392 $10K
81002 525 458 $9K
82728 564 512 $9K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 163 156 $9K
94664 525 424 $8K
73610 624 513 $8K
94060 99 96 $8K
83735 3,552 2,172 $8K
83540 1,066 962 $8K
72110 468 420 $8K
81025 2,272 1,878 $8K
81003 1,552 1,303 $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 592 498 $7K
80076 1,331 1,101 $7K
90715 489 392 $7K
82570 895 788 $7K
85027 980 847 $6K
71045 Radiologic examination, chest; single view 3,599 3,010 $6K
73110 539 425 $6K
86592 916 843 $6K
90670 455 316 $6K
77067 Screening mammography, bilateral, including computer-aided detection 341 313 $6K
J1030 Injection, methylprednisolone acetate, 40 mg 567 510 $6K
87186 1,667 1,322 $6K
84484 3,504 2,617 $6K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 150 126 $6K
76536 51 46 $6K
81001 6,175 5,244 $5K
86803 648 575 $5K
87077 778 597 $5K
82565 3,800 3,264 $5K
87088 1,228 1,014 $5K
87340 550 483 $5K
73030 455 379 $5K
84153 400 363 $5K
85610 1,738 1,361 $5K
94762 71 55 $5K
84702 429 324 $5K
76770 29 26 $4K
90633 242 220 $4K
73130 457 392 $4K
97802 49 47 $4K
87150 672 522 $4K
82043 621 578 $4K
99215 Prolong outpt/office vis 44 40 $4K
82746 689 633 $4K
73564 442 386 $4K
64636 65 52 $4K
92250 78 64 $3K
93971 46 43 $3K
83550 607 555 $3K
86701 304 259 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 973 674 $3K
74018 201 158 $3K
80051 3,551 3,036 $3K
86038 162 137 $3K
97750 48 39 $3K
86704 210 182 $3K
86706 265 230 $3K
97116 97 41 $3K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,945 3,211 $3K
83970 87 79 $3K
96376 1,052 548 $3K
95911 13 12 $3K
96375 Therapeutic injection; each additional sequential IV push 3,535 2,447 $3K
97535 Self-care/home management training, each 15 minutes 104 85 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,126 1,566 $2K
85652 1,161 879 $2K
73502 184 146 $2K
95885 12 12 $2K
92567 74 66 $2K
84550 430 376 $2K
94727 57 56 $2K
96367 53 40 $2K
84450 408 337 $2K
86708 179 154 $2K
87205 693 513 $2K
73140 189 156 $2K
84156 523 442 $2K
84460 434 360 $2K
20550 21 14 $2K
84703 290 227 $2K
85730 888 716 $2K
97163 12 12 $2K
76801 29 24 $2K
82550 408 326 $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 176 169 $2K
84300 436 373 $2K
94729 41 40 $2K
84403 100 89 $2K
85018 89 75 $2K
95910 37 37 $1K
82784 125 78 $1K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 753 641 $1K
83880 625 498 $1K
82948 1,855 1,114 $1K
84520 3,577 3,062 $1K
94618 26 26 $1K
82947 3,545 3,040 $1K
73080 101 91 $1K
83690 2,654 2,117 $1K
72050 59 53 $1K
90472 Immunization administration, each additional vaccine (list separately) 1,220 1,053 $1K
95251 1,010 968 $1K
J1040 Injection, methylprednisolone acetate, 80 mg 106 95 $1K
86787 220 210 $1K
93017 12 12 $943.38
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 105 49 $932.78
83605 1,229 931 $927.37
72125 Computed tomography, cervical spine; without contrast material 74 64 $897.62
80344 170 153 $877.37
90656 74 74 $844.86
85045 252 221 $827.81
84425 97 83 $804.02
64494 268 226 $781.59
73562 61 52 $761.82
84145 194 148 $738.91
90674 36 33 $737.23
82950 189 175 $709.07
86431 30 30 $690.86
82803 421 326 $657.23
87449 170 83 $639.05
90681 132 84 $570.10
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,248 1,085 $567.99
86430 34 28 $553.80
90698 41 38 $511.05
87522 Neg quan hep c or qual rna 13 12 $507.06
92551 13 12 $464.90
92557 14 13 $454.18
86762 176 161 $402.85
90734 63 43 $401.98
86160 26 13 $391.54
85378 699 572 $383.22
82270 34 24 $371.06
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,260 1,910 $365.55
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 150 133 $351.52
90710 100 79 $330.02
80349 75 62 $309.06
J1010 Injection, methylprednisolone acetate, 1 mg 165 155 $298.22
84100 107 84 $277.94
J7030 Infusion, normal saline solution , 1000 cc 3,255 2,312 $270.67
83516 21 12 $234.29
J7120 Ringers lactate infusion, up to 1000 cc 985 570 $232.99
82310 61 56 $206.07
74022 42 29 $198.97
87040 483 284 $194.89
72070 18 13 $192.24
82105 16 14 $190.22
84590 44 40 $186.03
90648 48 40 $177.46
G0009 Administration of pneumococcal vaccine 25 25 $176.56
J1170 Injection, hydromorphone, up to 4 mg 1,018 676 $168.93
83655 12 12 $164.57
90677 12 12 $153.27
84436 13 13 $135.35
82150 182 141 $109.56
J2270 Injection, morphine sulfate, up to 10 mg 603 403 $106.97
84481 12 12 $103.34
J1885 Injection, ketorolac tromethamine, per 15 mg 2,656 1,900 $97.48
90700 13 13 $91.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 312 200 $88.73
J1650 Injection, enoxaparin sodium, 10 mg 178 97 $87.07
J0696 Injection, ceftriaxone sodium, per 250 mg 952 316 $84.10
90685 15 14 $79.08
84238 13 12 $77.16
J2704 Injection, propofol, 10 mg 2,011 1,579 $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 1,136 904 $57.81
J3475 Injection, magnesium sulfate, per 500 mg 285 174 $52.65
90697 16 13 $50.75
85651 26 25 $50.57
84446 14 13 $46.24
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,667 2,537 $41.99
J3010 Injection, fentanyl citrate, 0.1 mg 1,509 1,148 $40.40
J2919 Injection, methylprednisolone sodium succinate, 5 mg 155 108 $29.26
80081 13 13 $29.16
90474 125 75 $27.60
82010 19 12 $27.02
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 508 401 $23.61
J1580 Injection, garamycin, gentamicin, up to 80 mg 154 135 $22.01
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 28 25 $21.01
C9113 Injection, pantoprazole sodium, per vial 38 31 $16.60
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 196 127 $15.81
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 367 268 $10.75
J0780 Injection, prochlorperazine, up to 10 mg 208 156 $10.38
J1956 Injection, levofloxacin, 250 mg 47 28 $8.73
J2765 Injection, metoclopramide hcl, up to 10 mg 439 336 $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 192 137 $7.25
J2471 Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg 17 14 $7.10
J8540 Dexamethasone, oral, 0.25 mg 88 83 $6.46
J2250 Injection, midazolam hydrochloride, per 1 mg 1,175 903 $6.32
J1200 Injection, diphenhydramine hcl, up to 50 mg 777 589 $5.80
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 465 349 $4.84
J1171 Injection, hydromorphone, 0.1 mg 57 46 $4.84
J2003 Injection, lidocaine hydrochloride, 1 mg 181 149 $4.59
J1644 Injection, heparin sodium, per 1000 units 117 73 $3.91
J7050 Infusion, normal saline solution, 250 cc 240 166 $2.02
J3480 Injection, potassium chloride, per 2 meq 19 14 $1.47
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 198 125 $1.29
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 15 13 $0.87
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 22 13 $0.00
94761 98 41 $0.00
J1920 Injection, labetalol hydrochloride, 5 mg 20 16 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 93 79 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 124 104 $0.00
J2060 Injection, lorazepam, 2 mg 34 27 $0.00
J0690 Injection, cefazolin sodium, 500 mg 72 57 $0.00
J1940 Injection, furosemide, up to 20 mg 20 13 $0.00
92015 Determination of refractive state 18 12 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 21 13 $0.00
00170 Anesthesia for intraoral procedures, including biopsy 38 24 $0.00
87210 12 12 $0.00
90461 15 14 $0.00
01810 13 12 $0.00