Wilcox Memorial Hospital

Wilcox Memorial Hospital was paid $28.06M by Medicaid between Jan 2018 and Dec 2024, across 191 billing codes. Its largest line is 99283, emergency room visit (moderate) — 26% of everything it billed.

Box 24A · Dates of service

Paid by month

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

Year	Claims	Paid
2018	66,721	$4.25M
2019	66,832	$4.08M
2020	44,922	$2.74M
2021	58,884	$3.77M
2022	61,635	$4.43M
2023	50,211	$4.39M
2024incomplete	39,236	$4.40M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	26%	15,854	14,522	$7.31M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	22%	12,154	10,906	$6.18M
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	19%	7,584	6,649	$5.41M
G0378	Hospital observation service, per hour	6.6%	3,717	2,483	$1.85M
74177	Computed tomography, abdomen and pelvis; with contrast material	6.0%	2,610	2,437	$1.68M
99282	Emergency department visit for the evaluation and management, low to moderate severity	5.2%	4,048	3,820	$1.46M
74176	Computed tomography, abdomen and pelvis; without contrast material	2.7%	1,428	1,336	$757K
L8699	Prosthetic implant, not otherwise specified	1.4%	460	432	$405K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	1.3%	1,865	1,785	$361K
77067	Screening mammography, bilateral, including computer-aided detection	1.3%	3,490	3,425	$355K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	8,476	3,412	$280K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	625	566	$191K

179 more codes

97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	6,605	$152K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	1,094	$100K
73110		<1%	2,519	$89K
70450	Computed tomography, head or brain; without contrast material	<1%	3,538	$86K
96361	Intravenous infusion, hydration; each additional hour	<1%	3,954	$84K
73130		<1%	2,400	$73K
71046	Radiologic examination, chest; 2 views	<1%	4,966	$73K
70553	Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences	<1%	115	$70K
96367		<1%	1,699	$63K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	2,834	$60K
73564		<1%	1,659	$59K
73630		<1%	2,322	$56K
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour	<1%	1,327	$49K
A4649	Surgical supply; miscellaneous	<1%	26,375	$49K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	139	$48K
71260	Computed tomography, thorax, diagnostic; with contrast material	<1%	1,037	$48K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	<1%	1,846	$47K
73610		<1%	1,939	$44K
73721	Magnetic resonance imaging, any joint of lower extremity; without contrast material	<1%	113	$40K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	8,871	$38K
73030		<1%	1,838	$35K
73080		<1%	981	$28K
72100		<1%	783	$28K
73140		<1%	1,118	$27K
70551	Magnetic resonance imaging, brain; without contrast material	<1%	124	$25K
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	1,701	$25K
73502		<1%	1,142	$25K
97162		<1%	641	$24K
97161		<1%	390	$21K
76700	Ultrasound, abdominal, real time with image documentation; complete	<1%	249	$18K
73562		<1%	655	$16K
97166		<1%	310	$16K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	405	$15K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	6,904	$13K
86850		<1%	1,251	$13K
96375	Therapeutic injection; each additional sequential IV push	<1%	6,902	$13K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	<1%	28	$12K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	<1%	14	$12K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	4,686	$10K
0241U	Neonatal screening for hereditary disorders, genomic sequence analysis panel	<1%	1,912	$8K
72148	Magnetic resonance imaging, lumbar spine; without contrast material	<1%	27	$7K
72125	Computed tomography, cervical spine; without contrast material	<1%	271	$6K
73221		<1%	13	$6K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	1,240	$6K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	65	$5K
A4215	Needle, sterile, any size, each	<1%	10,179	$5K
M0243	Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring	<1%	18	$5K
76642		<1%	183	$5K
93017		<1%	71	$5K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	<1%	473	$4K
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	1,824	$4K
80053	Comprehensive metabolic panel	<1%	12,793	$4K
76801		<1%	86	$3K
73590		<1%	123	$3K
G0379	Direct admission of patient for hospital observation care	<1%	412	$3K
92558		<1%	37	$3K
73090		<1%	119	$2K
J3490	Unclassified drugs	<1%	12,026	$2K
74018		<1%	147	$2K
76536		<1%	26	$2K
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	132	$2K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	19,867	$2K
71045	Radiologic examination, chest; single view	<1%	4,694	$2K
87086	Culture, bacterial; quantitative colony count, urine	<1%	1,845	$2K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	2,105	$2K
A9270	Non-covered item or service	<1%	2,229	$1K
80048	Basic metabolic panel (calcium, ionized)	<1%	6,849	$912.98
93971		<1%	32	$865.07
J0131	Injection, acetaminophen, not otherwise specified,10 mg	<1%	4,134	$843.68
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	4,852	$831.54
70486		<1%	14	$789.13
84484		<1%	4,806	$719.12
87186		<1%	887	$665.96
76770		<1%	15	$633.06
83880		<1%	1,474	$632.20
0450	Emergency room services	<1%	14	$530.58
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	3,965	$497.26
72170		<1%	12	$476.13
84703		<1%	4,304	$470.87
83690		<1%	4,184	$441.08
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%	85	$312.87
76830	Ultrasound, transvaginal	<1%	816	$305.66
83735		<1%	2,371	$278.27
81001		<1%	8,318	$272.60
87634		<1%	741	$249.56
83605		<1%	2,322	$246.74
72040		<1%	12	$233.21
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	5,884	$225.79
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	4,390	$225.60
85379		<1%	554	$208.24
87040		<1%	2,003	$202.21
85610		<1%	3,740	$186.73
73560		<1%	17	$186.72
73552		<1%	12	$182.53
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	1,514	$180.96
J2405	Injection, ondansetron hydrochloride, per 1 mg	<1%	7,679	$174.03
73660		<1%	15	$161.31
85730		<1%	2,102	$140.39
J2704	Injection, propofol, 10 mg	<1%	5,364	$130.81
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	105	$128.66
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	5,848	$122.05
J0137	Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg	<1%	674	$117.05
96376		<1%	2,876	$99.35
36415	Collection of venous blood by venipuncture	<1%	10,967	$98.72
84443	Thyroid stimulating hormone (TSH)	<1%	1,090	$94.61
87077		<1%	1,426	$94.45
J2270	Injection, morphine sulfate, up to 10 mg	<1%	2,375	$72.18
87420		<1%	417	$56.72
A4217	Sterile water/saline, 500 ml	<1%	1,781	$55.00
J1170	Injection, hydromorphone, up to 4 mg	<1%	1,971	$48.70
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	238	$47.67
J3010	Injection, fentanyl citrate, 0.1 mg	<1%	5,031	$44.24
90715		<1%	38	$41.22
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	31	$38.51
E0114	Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips	<1%	168	$35.00
A9585	Injection, gadobutrol, 0.1 ml	<1%	436	$33.00
J2060	Injection, lorazepam, 2 mg	<1%	739	$32.06
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	31	$31.17
A4467	Belt, strap, sleeve, garment, or covering, any type	<1%	1,112	$29.56
J1200	Injection, diphenhydramine hcl, up to 50 mg	<1%	1,870	$26.90
87081		<1%	130	$23.96
87070		<1%	495	$22.38
J0690	Injection, cefazolin sodium, 500 mg	<1%	1,558	$20.79
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	538	$20.59
86901		<1%	1,486	$17.53
Q9963	High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml	<1%	84	$17.10
80076		<1%	124	$15.30
86900		<1%	1,473	$15.19
J3475	Injection, magnesium sulfate, per 500 mg	<1%	493	$12.97
J2765	Injection, metoclopramide hcl, up to 10 mg	<1%	1,186	$9.82
J2250	Injection, midazolam hydrochloride, per 1 mg	<1%	3,531	$9.06
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	167	$8.92
J0136	Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg	<1%	87	$8.66
J7030	Infusion, normal saline solution , 1000 cc	<1%	115	$7.20
86140		<1%	398	$5.08
87205		<1%	255	$4.41
84100		<1%	13	$3.37
85651		<1%	119	$1.90
A6453	Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard	<1%	262	$0.60
A4620	Variable concentration mask	<1%	1,337	$0.56
A6402	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	<1%	1,146	$0.50
J7120	Ringers lactate infusion, up to 1000 cc	0%	1,116	$0.00
A4550	Surgical trays	0%	820	$0.00
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	0%	497	$0.00
87075		0%	57	$0.00
J8499	Prescription drug, oral, non chemotherapeutic, nos	0%	204	$0.00
J0171	Injection, adrenalin, epinephrine, 0.1 mg	0%	206	$0.00
J1650	Injection, enoxaparin sodium, 10 mg	0%	135	$0.00
88312		0%	16	$0.00
A6258	Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing	0%	68	$0.00
J1171	Injection, hydromorphone, 0.1 mg	0%	33	$0.00
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	0%	37	$0.00
A4565	Slings	0%	49	$0.00
J3370	Injection, vancomycin hcl, 500 mg	0%	188	$0.00
J1644	Injection, heparin sodium, per 1000 units	0%	25	$0.00
84702		0%	18	$0.00
J0330	Injection, succinylcholine chloride, up to 20 mg	0%	46	$0.00
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	0%	369	$0.00
J2795	Injection, ropivacaine hydrochloride, 1 mg	0%	199	$0.00
J1642	Injection, heparin sodium, (heparin lock flush), per 10 units	0%	1,688	$0.00
J7050	Infusion, normal saline solution, 250 cc	0%	1,074	$0.00
A9579	Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml	0%	274	$0.00
C9290	Injection, bupivacaine liposome, 1 mg	0%	14	$0.00
77063	Screening digital breast tomosynthesis, bilateral	0%	1,853	$0.00
Q9969	Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose	0%	55	$0.00
J1940	Injection, furosemide, up to 20 mg	0%	26	$0.00
J1790	Injection, droperidol, up to 5 mg	0%	81	$0.00
V2632	Posterior chamber intraocular lens	0%	26	$0.00
80320		0%	299	$0.00
74022		0%	13	$0.00
A6257	Transparent film, sterile, 16 sq. in. or less, each dressing	0%	138	$0.00
A4580	Cast supplies (e.g., plaster)	0%	12	$0.00
88304		0%	43	$0.00
J3411	Injection, thiamine hcl, 100 mg	0%	26	$0.00
96415		0%	96	$0.00
A6449	Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard	0%	15	$0.00
J2003	Injection, lidocaine hydrochloride, 1 mg	0%	168	$0.00
82550		0%	16	$0.00
J7512	Prednisone, immediate release or delayed release, oral, 1 mg	0%	37	$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 officialCLARK, KATHY (PRESIDENT AND CHIEF EXEC. OFFICER)