Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › HI › LIHUE › WILCOX MEMORIAL HOSPITAL

WILCOX MEMORIAL HOSPITAL

NPI: 1225113442 · LIHUE, HI 96766 · Medicare Defined Swing Bed Hospital Unit · NPI assigned 10/26/2006

$28.06M
Total Medicaid Paid
388,441
Total Claims
313,186
Beneficiaries
191
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCLARK, KATHY (PRESIDENT AND CHIEF EXEC. OFFICER)
NPI Enumeration Date10/26/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 39,236 $4.40M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 15,854 14,522 $7.31M
99284 Emergency department visit for the evaluation and management, high severity 12,154 10,906 $6.18M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 7,584 6,649 $5.41M
G0378 Hospital observation service, per hour 3,717 2,483 $1.85M
74177 Computed tomography, abdomen and pelvis; with contrast material 2,610 2,437 $1.68M
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,048 3,820 $1.46M
74176 Computed tomography, abdomen and pelvis; without contrast material 1,428 1,336 $757K
L8699 Prosthetic implant, not otherwise specified 460 432 $405K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,865 1,785 $361K
77067 Screening mammography, bilateral, including computer-aided detection 3,490 3,425 $355K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 8,476 3,412 $280K
99281 Emergency department visit for the evaluation and management, self-limited or minor 625 566 $191K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 6,605 2,764 $152K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,094 1,047 $100K
73110 2,519 1,915 $89K
70450 Computed tomography, head or brain; without contrast material 3,538 3,246 $86K
96361 Intravenous infusion, hydration; each additional hour 3,954 3,311 $84K
73130 2,400 2,113 $73K
71046 Radiologic examination, chest; 2 views 4,966 4,670 $73K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 115 113 $70K
96367 1,699 1,166 $63K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,834 2,437 $60K
73564 1,659 1,571 $59K
73630 2,322 2,118 $56K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,327 766 $49K
A4649 Surgical supply; miscellaneous 26,375 20,429 $49K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 139 135 $48K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,037 972 $48K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,846 1,175 $47K
73610 1,939 1,667 $44K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 113 111 $40K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,871 7,788 $38K
73030 1,838 1,694 $35K
73080 981 772 $28K
72100 783 762 $28K
73140 1,118 887 $27K
70551 Magnetic resonance imaging, brain; without contrast material 124 120 $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 1,701 1,550 $25K
73502 1,142 1,014 $25K
97162 641 588 $24K
97161 390 384 $21K
76700 Ultrasound, abdominal, real time with image documentation; complete 249 247 $18K
73562 655 637 $16K
97166 310 288 $16K
76705 Ultrasound, abdominal, real time with image documentation; limited 405 376 $15K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,904 6,093 $13K
86850 1,251 1,117 $13K
96375 Therapeutic injection; each additional sequential IV push 6,902 5,767 $13K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 28 27 $12K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 14 14 $12K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,686 3,893 $10K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,912 1,829 $8K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 27 25 $7K
72125 Computed tomography, cervical spine; without contrast material 271 258 $6K
73221 13 13 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,240 1,179 $6K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 65 63 $5K
A4215 Needle, sterile, any size, each 10,179 8,450 $5K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 18 18 $5K
76642 183 174 $5K
93017 71 69 $5K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 473 414 $4K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,824 1,725 $4K
80053 Comprehensive metabolic panel 12,793 10,692 $4K
76801 86 79 $3K
73590 123 110 $3K
G0379 Direct admission of patient for hospital observation care 412 333 $3K
92558 37 37 $3K
73090 119 90 $2K
J3490 Unclassified drugs 12,026 3,650 $2K
74018 147 138 $2K
76536 26 24 $2K
97530 Therapeutic activities, direct patient contact, each 15 minutes 132 64 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 19,867 15,560 $2K
71045 Radiologic examination, chest; single view 4,694 4,222 $2K
87086 Culture, bacterial; quantitative colony count, urine 1,845 1,705 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,105 1,944 $2K
A9270 Non-covered item or service 2,229 903 $1K
80048 Basic metabolic panel (calcium, ionized) 6,849 5,679 $912.98
93971 32 30 $865.07
J0131 Injection, acetaminophen, not otherwise specified,10 mg 4,134 3,566 $843.68
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,852 3,644 $831.54
70486 14 13 $789.13
84484 4,806 3,989 $719.12
87186 887 839 $665.96
76770 15 12 $633.06
83880 1,474 1,266 $632.20
0450 Emergency room services 14 12 $530.58
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,965 1,982 $497.26
72170 12 12 $476.13
84703 4,304 3,911 $470.87
83690 4,184 3,707 $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 85 73 $312.87
76830 Ultrasound, transvaginal 816 775 $305.66
83735 2,371 1,974 $278.27
81001 8,318 7,546 $272.60
87634 741 710 $249.56
83605 2,322 1,996 $246.74
72040 12 12 $233.21
J1885 Injection, ketorolac tromethamine, per 15 mg 5,884 4,711 $225.79
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,390 3,983 $225.60
85379 554 527 $208.24
87040 2,003 1,825 $202.21
85610 3,740 3,247 $186.73
73560 17 15 $186.72
73552 12 12 $182.53
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,514 1,106 $180.96
J2405 Injection, ondansetron hydrochloride, per 1 mg 7,679 6,230 $174.03
73660 15 14 $161.31
85730 2,102 1,878 $140.39
J2704 Injection, propofol, 10 mg 5,364 4,589 $130.81
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 105 104 $128.66
J1100 Injection, dexamethasone sodium phosphate, 1 mg 5,848 4,886 $122.05
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 674 555 $117.05
96376 2,876 1,759 $99.35
36415 Collection of venous blood by venipuncture 10,967 8,194 $98.72
84443 Thyroid stimulating hormone (TSH) 1,090 1,009 $94.61
87077 1,426 1,122 $94.45
J2270 Injection, morphine sulfate, up to 10 mg 2,375 1,781 $72.18
87420 417 410 $56.72
A4217 Sterile water/saline, 500 ml 1,781 1,648 $55.00
J1170 Injection, hydromorphone, up to 4 mg 1,971 1,460 $48.70
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 238 233 $47.67
J3010 Injection, fentanyl citrate, 0.1 mg 5,031 3,991 $44.24
90715 38 37 $41.22
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 31 24 $38.51
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 168 164 $35.00
A9585 Injection, gadobutrol, 0.1 ml 436 409 $33.00
J2060 Injection, lorazepam, 2 mg 739 575 $32.06
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 31 24 $31.17
A4467 Belt, strap, sleeve, garment, or covering, any type 1,112 1,009 $29.56
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,870 1,467 $26.90
87081 130 126 $23.96
87070 495 450 $22.38
J0690 Injection, cefazolin sodium, 500 mg 1,558 1,332 $20.79
J0696 Injection, ceftriaxone sodium, per 250 mg 538 402 $20.59
86901 1,486 1,313 $17.53
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 84 75 $17.10
80076 124 123 $15.30
86900 1,473 1,300 $15.19
J3475 Injection, magnesium sulfate, per 500 mg 493 377 $12.97
J2765 Injection, metoclopramide hcl, up to 10 mg 1,186 1,048 $9.82
J2250 Injection, midazolam hydrochloride, per 1 mg 3,531 3,228 $9.06
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 167 165 $8.92
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 87 73 $8.66
J7030 Infusion, normal saline solution , 1000 cc 115 88 $7.20
86140 398 373 $5.08
87205 255 231 $4.41
84100 13 12 $3.37
85651 119 116 $1.90
A6453 Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard 262 245 $0.60
A4620 Variable concentration mask 1,337 1,268 $0.56
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 1,146 1,052 $0.50
J7120 Ringers lactate infusion, up to 1000 cc 1,116 1,032 $0.00
A4550 Surgical trays 820 732 $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 497 437 $0.00
87075 57 50 $0.00
J8499 Prescription drug, oral, non chemotherapeutic, nos 204 41 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 206 167 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 135 51 $0.00
88312 16 16 $0.00
A6258 Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 68 63 $0.00
J1171 Injection, hydromorphone, 0.1 mg 33 30 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 37 31 $0.00
A4565 Slings 49 42 $0.00
J3370 Injection, vancomycin hcl, 500 mg 188 46 $0.00
J1644 Injection, heparin sodium, per 1000 units 25 12 $0.00
84702 18 16 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 46 43 $0.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 369 340 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 199 105 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 1,688 967 $0.00
J7050 Infusion, normal saline solution, 250 cc 1,074 570 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 274 261 $0.00
C9290 Injection, bupivacaine liposome, 1 mg 14 12 $0.00
77063 Screening digital breast tomosynthesis, bilateral 1,853 1,822 $0.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 55 55 $0.00
J1940 Injection, furosemide, up to 20 mg 26 12 $0.00
J1790 Injection, droperidol, up to 5 mg 81 76 $0.00
V2632 Posterior chamber intraocular lens 26 25 $0.00
80320 299 261 $0.00
74022 13 12 $0.00
A6257 Transparent film, sterile, 16 sq. in. or less, each dressing 138 106 $0.00
A4580 Cast supplies (e.g., plaster) 12 12 $0.00
88304 43 37 $0.00
J3411 Injection, thiamine hcl, 100 mg 26 24 $0.00
96415 96 76 $0.00
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 15 15 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 168 116 $0.00
82550 16 14 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 37 31 $0.00