Medicaid Provider Spending

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

JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC.

NPI: 1215914254 · BARTLESVILLE, OK 74006 · General Acute Care Hospital · NPI assigned 12/30/2005

$6.79M
Total Medicaid Paid
79,106
Total Claims
75,301
Beneficiaries
66
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMOORE, MICHAEL (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date12/30/2005

Related Entities

Other providers sharing the same authorized official: MOORE, MICHAEL

ProviderCityStateTotal Paid
KISMET SUX LLC SERGEANT BLUFF IA $827K
KISMET RDK, LLC RED OAK IA $419K
CENTERVILLEABINGTON CS CENTERVILLE IN $173K
OCEANA DENTAL CENTER PLLC OCEANA WV $52K
LANTIS ENTERPRISES, INC BILLINGS MT $44K
MICHAEL D MOORE OD PS INC OLYMPIA WA $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,534 $1.15M
2019 11,015 $872K
2020 5,778 $537K
2021 8,633 $806K
2022 12,419 $1.16M
2023 16,923 $1.57M
2024 7,804 $709K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 13,629 13,473 $2.10M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,986 3,906 $1.28M
99284 Emergency department visit for the evaluation and management, high severity 5,721 5,642 $1.27M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,671 6,532 $778K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,636 3,616 $351K
80053 Comprehensive metabolic panel 8,889 8,642 $154K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 832 343 $146K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 496 493 $142K
45380 Colonoscopy, flexible; with biopsy, single or multiple 191 190 $106K
96375 Therapeutic injection; each additional sequential IV push 2,810 2,679 $69K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 10,531 10,237 $69K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 133 93 $63K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,210 1,594 $44K
88305 Level IV - Surgical pathology, gross and microscopic examination 547 541 $40K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 725 721 $34K
42820 Tonsillectomy and adenoidectomy; younger than age 12 12 12 $26K
71046 Radiologic examination, chest; 2 views 1,131 1,128 $18K
43248 38 38 $14K
D9999 Unspecified adjunctive procedure, by report 12 12 $11K
71045 Radiologic examination, chest; single view 910 890 $9K
83735 1,266 1,231 $8K
70450 Computed tomography, head or brain; without contrast material 153 150 $7K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,102 1,085 $6K
C1889 Implantable/insertable device, not otherwise classified 14 13 $6K
84100 1,164 1,131 $5K
74177 Computed tomography, abdomen and pelvis; with contrast material 24 24 $4K
81001 1,423 1,400 $4K
81025 531 526 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 272 269 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 68 67 $3K
36415 Collection of venous blood by venipuncture 1,043 1,009 $3K
87807 224 219 $3K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 27 27 $3K
96361 Intravenous infusion, hydration; each additional hour 67 64 $2K
81003 731 728 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material 17 17 $1K
84484 128 115 $1K
87081 204 201 $1K
83605 122 118 $1K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 13 13 $1K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 12 12 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor 15 15 $894.06
J3010 Injection, fentanyl citrate, 0.1 mg 814 761 $694.27
83690 109 106 $605.80
82550 102 91 $573.84
80305 52 50 $554.43
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,056 988 $366.48
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 12 12 $142.60
J7120 Ringers lactate infusion, up to 1000 cc 842 819 $131.11
80048 Basic metabolic panel (calcium, ionized) 13 13 $85.89
G0463 Hospital outpatient clinic visit for assessment and management of a patient 17 12 $32.87
J1100 Injection, dexamethasone sodium phosphate, 1 mg 440 424 $27.66
J1885 Injection, ketorolac tromethamine, per 15 mg 245 242 $10.02
J2270 Injection, morphine sulfate, up to 10 mg 27 25 $9.59
J7030 Infusion, normal saline solution , 1000 cc 1,944 1,877 $7.39
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 13 12 $6.96
J1580 Injection, garamycin, gentamicin, up to 80 mg 146 134 $5.06
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 415 395 $4.47
J7042 5% dextrose/normal saline (500 ml = 1 unit) 13 12 $2.24
J1940 Injection, furosemide, up to 20 mg 40 39 $0.60
J1200 Injection, diphenhydramine hcl, up to 50 mg 13 12 $0.59
J2250 Injection, midazolam hydrochloride, per 1 mg 13 12 $0.45
J0696 Injection, ceftriaxone sodium, per 250 mg 13 13 $0.00
J0690 Injection, cefazolin sodium, 500 mg 12 12 $0.00
J3490 Unclassified drugs 12 12 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 13 12 $0.00