Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Marietta › NPI 1215936927
Physician

Marietta Memorial Hospital

Marietta Memorial Hospital was paid $102.25M by Medicaid between Jan 2018 and Dec 2024, across 616 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 17% of everything it billed.

33Billing provider infoMARIETTA MEMORIAL HOSPITAL
MARIETTA, OH 45750
33aNPI1215936927assigned 07/15/2005
28Total paid$102.25M
24GClaims2,714,515
24DCodes billed616
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Ohio

Rank by total paid#1 of 368
Median peer was paid$13K
This provider vs. median7,931×

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$1.0M$2.0M$3.0M2018201920202021202220232024
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
2018265,316$12.78M
2019238,931$9.97M
2020248,353$12.89M
2021302,981$10.09M
2022404,671$13.77M
2023717,511$24.27M
2024incomplete536,752$18.48M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 278,497 192,506 $17.78M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 14% 70,898 58,563 $14.01M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 9.0% 128,824 94,154 $9.23M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 6.6% 63,105 55,440 $6.77M
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 6.1% 148,354 127,743 $6.24M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 5.3% 54,299 49,067 $5.44M
96361 Intravenous infusion, hydration; each additional hour 2.4% 14,566 9,935 $2.44M
74177 Computed tomography, abdomen and pelvis; with contrast material 2.3% 10,793 9,060 $2.40M
80053 Comprehensive metabolic panel 1.2% 86,823 73,750 $1.25M
70450 Computed tomography, head or brain; without contrast material 1.0% 6,101 5,265 $1.04M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 9,983 5,952 $1.02M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 13,824 7,262 $979K
604 more codes
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 12,842 $972K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 9,521 $898K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 10,334 $709K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 3,071 $698K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 3,755 $676K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 91,559 $657K
71046 Radiologic examination, chest; 2 views <1% 29,369 $643K
76830 Ultrasound, transvaginal <1% 5,705 $508K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 4,429 $505K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 25,925 $500K
64483 <1% 1,383 $490K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 4,585 $462K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 4,510 $448K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 4,842 $436K
G0378 Hospital observation service, per hour <1% 6,726 $434K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 4,690 $431K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 4,992 $430K
36415 Collection of venous blood by venipuncture <1% 126,823 $428K
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 <1% 2,827 $427K
71275 Computed tomographic angiography, chest, with contrast material <1% 2,140 $425K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 5,407 $408K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 3,161 $407K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 1,045 $402K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 10,184 $394K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 1,220 $376K
20610 <1% 2,351 $373K
20553 <1% 4,220 $373K
84443 Thyroid stimulating hormone (TSH) <1% 24,086 $348K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,489 $325K
80048 Basic metabolic panel (calcium, ionized) <1% 25,256 $307K
96375 Therapeutic injection; each additional sequential IV push <1% 17,647 $305K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 7,340 $304K
95886 <1% 2,951 $304K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 2,387 $298K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 13,727 $294K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 1,000 $271K
81001 <1% 41,320 $261K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 5,342 $255K
72131 <1% 2,488 $252K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 7,839 $250K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 313 $241K
98929 <1% 11,024 $239K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 26,701 $235K
27096 <1% 812 $234K
59025 Fetal non-stress test <1% 1,602 $232K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 16,899 $229K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 2,116 $226K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 21,862 $219K
72125 Computed tomography, cervical spine; without contrast material <1% 2,706 $218K
80061 Lipid panel <1% 17,967 $210K
85027 <1% 27,207 $206K
87086 Culture, bacterial; quantitative colony count, urine <1% 15,521 $194K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 8,485 $189K
78815 Positron emission tomography (PET) for limited area imaging <1% 380 $178K
90837 Psychotherapy session, about an hour <1% 1,992 $178K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 5,226 $177K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 6,052 $175K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,090 $173K
J3490 Unclassified drugs <1% 8,126 $171K
96376 <1% 5,908 $165K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 11,056 $164K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 2,134 $164K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 7,819 $163K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 9,383 $161K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 460 $160K
83036 Hemoglobin; glycosylated (A1C) <1% 17,703 $155K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 719 $154K
97161 <1% 2,712 $147K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 3,583 $142K
84439 <1% 9,150 $142K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 7,787 $141K
70496 <1% 552 $140K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,433 $131K
83690 <1% 15,396 $131K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,467 $128K
84484 <1% 16,473 $126K
90792 Psychiatric diagnostic evaluation with medical services <1% 1,160 $124K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 210 $122K
82962 <1% 20,169 $121K
72141 <1% 602 $120K
95811 <1% 290 $120K
73630 <1% 4,347 $118K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,328 $117K
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 <1% 662 $110K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 218 $108K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 3,815 $107K
71045 Radiologic examination, chest; single view <1% 7,335 $104K
64493 <1% 270 $104K
99204 Doctor's office visit, new patient (more involved) <1% 1,940 $102K
81025 <1% 7,956 $98K
82607 <1% 6,540 $98K
74018 <1% 2,534 $98K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 2,775 $95K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 8,323 $90K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 3,476 $90K
93971 <1% 1,219 $88K
J2704 Injection, propofol, 10 mg <1% 12,053 $87K
J1170 Injection, hydromorphone, up to 4 mg <1% 4,752 $87K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,526 $87K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,380 $87K
83735 <1% 12,717 $86K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 7,565 $85K
J2270 Injection, morphine sulfate, up to 10 mg <1% 7,677 $84K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 3,542 $83K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,981 $80K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,598 $79K
73610 <1% 2,805 $79K
93017 <1% 1,044 $78K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,917 $78K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,530 $77K
87077 <1% 5,942 $76K
84702 <1% 3,566 $76K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 2,619 $75K
85610 <1% 9,893 $75K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,326 $73K
71250 <1% 1,065 $73K
73030 <1% 2,986 $72K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 5,031 $72K
86850 <1% 2,576 $71K
73130 <1% 2,375 $70K
92551 <1% 3,264 $70K
87631 <1% 311 $69K
92557 <1% 785 $68K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 472 $68K
J1644 Injection, heparin sodium, per 1000 units <1% 2,494 $67K
92567 <1% 2,635 $65K
86140 <1% 6,035 $64K
76536 <1% 740 $63K
J0897 Injection, denosumab, 1 mg <1% 101 $63K
73564 <1% 1,977 $62K
99308 Subsequent nursing facility care, per day, straightforward <1% 5,336 $61K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 710 $61K
87186 <1% 5,407 $60K
99223 Prolong inpt eval add15 m <1% 1,198 $59K
80076 <1% 4,705 $57K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 81 $56K
70551 Magnetic resonance imaging, brain; without contrast material <1% 401 $56K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 3,109 $56K
86900 <1% 2,877 $56K
64490 <1% 158 $55K
83880 <1% 4,975 $55K
72110 <1% 1,851 $54K
64615 <1% 232 $51K
A9585 Injection, gadobutrol, 0.1 ml <1% 2,127 $51K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 1,657 $48K
73110 <1% 1,671 $48K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 8,835 $47K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 291 $47K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 318 $47K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 4,593 $46K
85379 <1% 3,135 $46K
70491 <1% 198 $45K
83550 <1% 6,140 $45K
83540 <1% 6,420 $44K
88342 <1% 2,589 $44K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 7,320 $44K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 1,039 $44K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 290 $44K
87040 <1% 3,919 $43K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 4,757 $43K
85730 <1% 4,970 $43K
76641 <1% 309 $43K
84703 <1% 4,184 $43K
99203 Doctor's office visit, new patient (routine) <1% 1,222 $42K
82553 <1% 2,345 $42K
99406 <1% 4,253 $42K
82550 <1% 3,659 $41K
11721 <1% 3,801 $41K
85007 <1% 5,980 $41K
87070 <1% 2,400 $41K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 6,620 $41K
90648 <1% 4,201 $40K
17110 <1% 312 $39K
99215 Doctor's office visit, returning patient (complex) <1% 885 $38K
71271 <1% 228 $38K
72128 <1% 874 $37K
97165 <1% 855 $36K
86780 <1% 2,983 $36K
83605 <1% 5,546 $35K
85652 <1% 6,093 $35K
73221 <1% 225 $35K
96367 <1% 1,939 $35K
86901 <1% 2,870 $34K
86703 <1% 2,225 $34K
94726 <1% 1,342 $33K
94010 <1% 1,040 $33K
90670 <1% 4,240 $33K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 2,812 $33K
87480 <1% 2,365 $32K
82565 <1% 2,955 $32K
99232 Hospital visit by a doctor, follow-up day <1% 1,823 $32K
76642 <1% 263 $31K
74178 <1% 164 $30K
74420 <1% 367 $30K
87660 <1% 2,282 $29K
87510 <1% 2,344 $29K
80074 <1% 1,545 $28K
70486 <1% 422 $28K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 2,834 $27K
90686 <1% 3,481 $26K
73562 <1% 1,319 $26K
94729 <1% 1,324 $26K
72050 <1% 888 $25K
36591 <1% 1,132 $24K
82728 <1% 2,207 $24K
88341 <1% 574 $24K
00731 <1% 817 $24K
12001 <1% 161 $23K
84100 <1% 3,837 $23K
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 862 $23K
73502 <1% 1,299 $22K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 371 $22K
J1756 Injection, iron sucrose, 1 mg <1% 1,105 $22K
72100 <1% 765 $22K
82746 <1% 1,921 $22K
88307 <1% 260 $22K
70498 <1% 566 $22K
99239 Hospital discharge day management, more than 30 minutes <1% 768 $21K
11102 <1% 52 $21K
94618 <1% 512 $20K
20550 <1% 104 $20K
81513 <1% 134 $19K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 439 $19K
88142 <1% 475 $19K
J2550 Injection, promethazine hcl, up to 50 mg <1% 601 $19K
99349 <1% 315 $19K
73560 <1% 1,115 $19K
98928 <1% 997 $19K
92587 <1% 180 $18K
83970 <1% 769 $18K
84481 <1% 1,322 $17K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 125 $17K
97012 <1% 503 $17K
83655 <1% 708 $16K
86480 <1% 514 $16K
84153 <1% 1,448 $16K
90633 <1% 1,770 $16K
84146 <1% 999 $15K
73090 <1% 531 $15K
87340 <1% 1,240 $15K
73080 <1% 795 $15K
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% 518 $14K
82977 <1% 1,739 $14K
86038 <1% 869 $14K
90723 <1% 2,767 $14K
J0690 Injection, cefazolin sodium, 500 mg <1% 1,354 $13K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 1,682 $13K
86308 <1% 817 $13K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography <1% 197 $13K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 399 $13K
93880 <1% 194 $13K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 14 $13K
96523 <1% 449 $13K
69210 <1% 467 $13K
77065 Tomosynthesis, mammo <1% 350 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,375 $13K
72072 <1% 360 $13K
88304 <1% 732 $12K
74246 <1% 100 $12K
82570 <1% 1,861 $12K
84403 <1% 867 $12K
73100 <1% 534 $12K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 35 $12K
87522 Neg quan hep c or qual rna <1% 375 $12K
82043 <1% 1,540 $12K
77336 <1% 152 $11K
73590 <1% 693 $11K
77386 <1% 84 $11K
77080 <1% 158 $11K
90680 <1% 2,204 $11K
90791 Psychiatric diagnostic evaluation <1% 92 $11K
64484 <1% 416 $10K
90715 <1% 210 $10K
82784 <1% 1,239 $10K
86762 <1% 1,058 $10K
97162 <1% 166 $10K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,442 $9K
82533 <1% 623 $9K
99152 <1% 1,018 $9K
84550 <1% 1,689 $9K
83525 <1% 500 $9K
94761 <1% 14,188 $9K
99222 Initial hospital care, per day, moderate complexity <1% 250 $9K
81003 <1% 8,144 $9K
95913 <1% 81 $8K
86803 <1% 722 $8K
86376 <1% 694 $8K
72146 <1% 26 $8K
76819 Fetal biophysical profile; without non-stress testing <1% 284 $8K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 108 $8K
76770 <1% 65 $8K
84270 <1% 708 $8K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 309 $8K
86787 <1% 846 $8K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring <1% 23 $8K
93970 <1% 85 $8K
86617 <1% 776 $8K
85014 <1% 1,323 $7K
95910 <1% 121 $7K
99173 <1% 2,041 $7K
99305 <1% 295 $7K
73140 <1% 258 $7K
C1769 Guide wire <1% 262 $7K
J2060 Injection, lorazepam, 2 mg <1% 997 $7K
82950 <1% 843 $7K
72040 <1% 237 $7K
51798 <1% 687 $6K
62321 <1% 13 $6K
90658 <1% 1,093 $6K
86364 <1% 430 $6K
87641 <1% 282 $6K
J7030 Infusion, normal saline solution , 1000 cc <1% 12,653 $6K
87653 <1% 863 $6K
52000 <1% 14 $6K
99307 <1% 1,070 $6K
71101 <1% 271 $6K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 434 $6K
36592 <1% 965 $6K
83001 <1% 487 $6K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 973 $6K
87075 <1% 1,038 $6K
82652 <1% 416 $6K
76000 <1% 74 $6K
99442 <1% 259 $5K
90688 <1% 1,114 $5K
87400 <1% 116 $5K
95909 <1% 104 $5K
95912 <1% 91 $5K
87503 <1% 128 $5K
85018 <1% 1,323 $5K
93308 <1% 32 $5K
72158 <1% 31 $5K
92511 <1% 62 $5K
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% 70 $5K
73522 <1% 245 $5K
95816 <1% 29 $5K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 354 $5K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 738 $5K
74019 <1% 250 $5K
94664 <1% 1,135 $4K
86430 <1% 504 $4K
82247 <1% 593 $4K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 17 $4K
64635 <1% 21 $4K
96368 <1% 876 $4K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 45 $4K
82248 <1% 736 $4K
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% 1,992 $4K
83615 <1% 446 $4K
J1650 Injection, enoxaparin sodium, 10 mg <1% 1,723 $4K
82150 <1% 298 $4K
80050 General health panel <1% 128 $4K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 203 $3K
84460 <1% 718 $3K
76870 <1% 55 $3K
96127 <1% 233 $3K
83002 <1% 323 $3K
10060 <1% 20 $3K
74183 <1% 17 $3K
64450 <1% 36 $3K
86200 <1% 406 $3K
86592 <1% 203 $3K
84425 <1% 318 $3K
00813 <1% 765 $3K
82947 <1% 396 $3K
J0780 Injection, prochlorperazine, up to 10 mg <1% 111 $3K
0031A <1% 74 $3K
82525 <1% 188 $3K
93922 <1% 73 $3K
64494 <1% 128 $3K
A9270 Non-covered item or service <1% 18,881 $3K
80143 <1% 1,058 $3K
87449 <1% 230 $3K
97597 <1% 43 $3K
87081 <1% 1,530 $3K
77002 <1% 357 $3K
72170 <1% 177 $3K
00840 <1% 424 $3K
93018 <1% 282 $3K
J7120 Ringers lactate infusion, up to 1000 cc <1% 7,671 $2K
36600 <1% 162 $2K
11730 <1% 14 $2K
73060 <1% 169 $2K
84156 <1% 690 $2K
0012A <1% 64 $2K
82077 <1% 1,253 $2K
82040 <1% 440 $2K
00170 Anesthesia for intraoral procedures, including biopsy <1% 302 $2K
86317 <1% 118 $2K
94060 <1% 73 $2K
84450 <1% 360 $2K
97035 <1% 34 $2K
99205 Prolong outpt/office vis <1% 33 $2K
73565 <1% 236 $2K
73552 <1% 271 $2K
20552 <1% 17 $2K
82670 <1% 155 $2K
0011A <1% 53 $2K
11981 <1% 14 $2K
80178 <1% 113 $2K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 152 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 51 $2K
70360 <1% 48 $2K
82810 <1% 734 $2K
80179 <1% 1,014 $2K
80069 <1% 149 $2K
84145 <1% 437 $2K
87481 <1% 128 $2K
00811 <1% 160 $2K
88112 <1% 261 $2K
82803 <1% 98 $2K
77280 <1% 13 $2K
86665 <1% 148 $2K
80164 <1% 114 $1K
72052 <1% 43 $1K
83993 <1% 112 $1K
87563 <1% 144 $1K
73070 <1% 77 $1K
72114 <1% 85 $1K
84630 <1% 154 $1K
97166 <1% 45 $1K
83520 <1% 159 $1K
A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) <1% 1,664 $1K
95251 <1% 205 $1K
90716 <1% 120 $1K
12002 <1% 14 $1K
J1815 Injection, insulin, per 5 units <1% 1,631 $1K
81015 <1% 196 $1K
74220 <1% 16 $1K
J3370 Injection, vancomycin hcl, 500 mg <1% 724 $1K
77066 Tomosynthesis, mammo <1% 27 $1K
97014 <1% 25 $1K
72192 <1% 16 $1K
86645 <1% 84 $1K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 7,931 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 275 $1K
80375 <1% 73 $983.63
0001A <1% 25 $983.32
90651 <1% 130 $978.96
86644 <1% 76 $920.42
86664 <1% 78 $893.20
84132 <1% 149 $887.34
86663 <1% 78 $887.31
84112 <1% 30 $849.11
86334 <1% 68 $832.67
83013 <1% 16 $787.45
98927 <1% 52 $778.02
73120 <1% 34 $766.93
97116 <1% 46 $766.16
64636 <1% 19 $748.14
82330 <1% 73 $728.35
84134 <1% 106 $666.46
94760 <1% 3,124 $664.87
J0694 Injection, cefoxitin sodium, 1 gm <1% 70 $653.59
90619 <1% 64 $595.40
90707 <1% 117 $587.84
92523 <1% 13 $587.39
86431 <1% 112 $585.00
90700 <1% 116 $572.84
93295 <1% 19 $560.76
97535 Self-care/home management training, each 15 minutes <1% 20 $557.71
J2785 Injection, regadenoson, 0.1 mg <1% 577 $556.90
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 31 $555.34
96417 <1% 139 $549.65
73700 <1% 13 $539.42
82105 <1% 81 $491.95
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 12 $478.10
82948 <1% 496 $471.11
99336 <1% 17 $469.69
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 20 $451.60
J3475 Injection, magnesium sulfate, per 500 mg <1% 636 $446.55
V5266 Battery for use in hearing device <1% 256 $430.79
99153 Mod sedat endo service >5yrs <1% 208 $429.43
76775 <1% 12 $422.62
30801 <1% 15 $420.97
86695 <1% 27 $408.42
86235 <1% 48 $403.61
82310 <1% 52 $367.20
84466 <1% 56 $350.54
J1040 Injection, methylprednisolone acetate, 80 mg <1% 793 $347.14
87045 <1% 23 $334.03
85045 <1% 251 $333.95
87324 <1% 25 $332.42
82951 <1% 14 $325.64
82140 <1% 57 $323.34
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 26 $322.87
86812 <1% 36 $322.13
84165 <1% 68 $316.74
90696 <1% 44 $315.80
83516 <1% 27 $311.73
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml <1% 1,035 $307.51
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 436 $306.89
J0692 Injection, cefepime hydrochloride, 500 mg <1% 32 $297.80
87512 <1% 12 $289.12
84155 <1% 97 $288.43
99217 <1% 12 $287.30
86696 <1% 27 $285.95
C9113 Injection, pantoprazole sodium, per vial <1% 409 $285.50
90710 <1% 70 $284.91
Q9957 Injection, perflutren lipid microspheres, per ml <1% 186 $281.68
J3480 Injection, potassium chloride, per 2 meq <1% 796 $280.60
93297 <1% 29 $279.16
90685 <1% 75 $279.10
83010 <1% 41 $269.43
J7050 Infusion, normal saline solution, 250 cc <1% 3,689 $259.90
82952 <1% 22 $259.20
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 24 $248.86
82785 <1% 38 $245.37
A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) <1% 162 $237.14
85055 <1% 18 $234.25
00918 <1% 13 $227.00
87427 <1% 23 $213.76
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 403 $204.14
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg <1% 907 $201.55
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 439 $199.00
99348 <1% 17 $193.07
J8540 Dexamethasone, oral, 0.25 mg <1% 308 $192.52
76942 <1% 62 $188.44
J2469 Injection, palonosetron hcl, 25 mcg <1% 258 $186.32
J1453 Injection, fosaprepitant, 1 mg <1% 21 $177.98
51702 <1% 27 $174.77
99407 <1% 16 $172.34
93228 <1% 12 $170.85
J7060 5% dextrose/water (500 ml = 1 unit) <1% 1,000 $168.37
00910 <1% 34 $163.59
84480 <1% 18 $159.84
84436 <1% 14 $159.60
87205 <1% 61 $151.37
82172 <1% 13 $145.91
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 235 $132.69
86003 <1% 21 $124.38
81002 <1% 995 $121.19
00126 <1% 63 $115.75
87799 <1% 12 $115.01
90656 <1% 13 $94.90
51701 <1% 80 $89.76
G0008 Administration of influenza virus vaccine <1% 293 $84.26
82010 <1% 62 $82.14
90620 <1% 12 $73.05
76937 <1% 65 $69.77
87076 <1% 12 $68.03
82365 <1% 58 $66.79
J1010 Injection, methylprednisolone acetate, 1 mg <1% 320 $66.34
84075 <1% 21 $64.18
88300 <1% 64 $60.23
83695 <1% 12 $57.67
90734 <1% 15 $57.40
64491 <1% 68 $51.57
93296 <1% 54 $46.10
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg <1% 230 $33.42
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 42 $30.81
J2470 Injection, pantoprazole sodium, 40 mg <1% 154 $26.27
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 57 $25.90
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 143 $25.33
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard <1% 332 $19.73
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 38 $14.36
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 726 $12.75
J1630 Injection, haloperidol, up to 5 mg <1% 150 $10.95
90472 Immunization administration, each additional vaccine (list separately) <1% 12 $10.13
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 203 $9.64
A6221 Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing <1% 22 $9.15
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 126 $7.66
86738 <1% 15 $6.12
J1940 Injection, furosemide, up to 20 mg <1% 56 $5.01
A6222 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 31 $4.67
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 223 $3.58
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 294 $2.64
A6448 Light compression bandage, elastic, knitted/woven, width less than three inches, per yard <1% 13 $0.97
J1171 Injection, hydromorphone, 0.1 mg <1% 145 $0.33
Q0243 Injection, casirivimab and imdevimab, 2400 mg <1% 35 $0.24
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg <1% 23 $0.12
91307 <1% 12 $0.11
J1836 Injection, metronidazole, 10 mg <1% 74 $0.07
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 17,511 $0.00
3008F 0% 123,213 $0.00
3075F 0% 4,607 $0.00
1036F 0% 103,807 $0.00
3074F 0% 63,576 $0.00
3079F 0% 13,996 $0.00
3080F 0% 1,337 $0.00
3044F 0% 1,572 $0.00
95012 0% 27 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 842 $0.00
00790 0% 90 $0.00
3017F 0% 98 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 166 $0.00
0503F 0% 25 $0.00
3078F 0% 58,134 $0.00
3077F 0% 5,129 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 357 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 870 $0.00
G8421 Bmi not documented and no reason is given 0% 990 $0.00
83721 0% 71 $0.00
00812 0% 188 $0.00
4004F 0% 191 $0.00
99354 0% 15 $0.00
C1875 Stent, coated/covered, without delivery system 0% 32 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 78 $0.00
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 0% 15 $0.00
88302 0% 15 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 13 $0.00
88312 0% 18 $0.00
88313 0% 31 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 12 $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 officialWESTBROCK, PAUL (LEGAL AFFAIRS)
Same official

Other billing entities under WESTBROCK, PAUL

Full network →

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