Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › CINCINNATI › MERCY HEALTH - ANDERSON HOSPITAL LLC

MERCY HEALTH - ANDERSON HOSPITAL LLC

NPI: 1235239211 · CINCINNATI, OH 45255 · General Acute Care Hospital · NPI assigned 09/22/2006

$11.07M
Total Medicaid Paid
351,665
Total Claims
272,402
Beneficiaries
215
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, KENNETH (PRESIDENT MERCY HEALTH ANDERSON)
NPI Enumeration Date09/22/2006

Related Entities

Other providers sharing the same authorized official: JAMES, KENNETH

ProviderCityStateTotal Paid
TRADE MASTERS INC YOUNGSTOWN OH $327K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 39,365 $1.34M
2019 29,172 $1.02M
2020 20,937 $756K
2021 14,159 $621K
2022 16,960 $649K
2023 136,466 $3.87M
2024 94,606 $2.81M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 19,250 17,900 $2.13M
99284 Emergency department visit for the evaluation and management, high severity 17,807 15,855 $2.10M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 9,928 8,311 $1.28M
96361 Intravenous infusion, hydration; each additional hour 4,659 3,626 $951K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,769 2,310 $675K
70450 Computed tomography, head or brain; without contrast material 1,877 1,559 $371K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,599 2,009 $290K
G0378 Hospital observation service, per hour 4,239 1,591 $278K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,531 2,377 $229K
80053 Comprehensive metabolic panel 30,851 26,733 $203K
74176 Computed tomography, abdomen and pelvis; without contrast material 785 632 $188K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,755 1,137 $170K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,669 1,238 $169K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,052 564 $169K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,574 1,069 $150K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,004 838 $147K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 748 653 $138K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 331 272 $116K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 240 206 $85K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,152 624 $80K
76705 Ultrasound, abdominal, real time with image documentation; limited 716 618 $60K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 448 392 $58K
70496 265 215 $50K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 2,707 2,245 $48K
71046 Radiologic examination, chest; 2 views 5,515 4,975 $43K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,348 801 $41K
84484 11,003 6,817 $37K
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 377 371 $34K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,585 728 $32K
77067 Screening mammography, bilateral, including computer-aided detection 732 674 $32K
97161 999 837 $30K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 199 163 $30K
94060 250 232 $27K
71250 327 287 $26K
93017 369 326 $26K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 33,076 27,737 $25K
93971 310 276 $22K
80048 Basic metabolic panel (calcium, ionized) 3,921 2,592 $22K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12,444 10,178 $22K
80061 Lipid panel 1,577 1,317 $21K
86900 1,080 856 $18K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 34 26 $16K
76830 Ultrasound, transvaginal 325 257 $15K
72100 411 368 $15K
94726 287 265 $15K
84443 Thyroid stimulating hormone (TSH) 1,085 955 $14K
94729 294 271 $14K
70551 Magnetic resonance imaging, brain; without contrast material 108 83 $13K
97116 696 371 $13K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,064 857 $12K
71045 Radiologic examination, chest; single view 5,020 4,178 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,804 2,299 $11K
36415 Collection of venous blood by venipuncture 8,883 6,088 $11K
95810 Polysomnography; sleep staging with 4 or more additional parameters 12 12 $10K
76801 133 112 $10K
83036 Hemoglobin; glycosylated (A1C) 1,220 1,034 $9K
96375 Therapeutic injection; each additional sequential IV push 7,714 6,178 $9K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 11,796 10,107 $9K
71271 58 56 $9K
93458 21 13 $9K
97162 451 378 $8K
72125 Computed tomography, cervical spine; without contrast material 556 463 $8K
86850 810 637 $7K
77063 Screening digital breast tomosynthesis, bilateral 723 665 $7K
73630 494 444 $7K
73030 438 382 $7K
73560 424 370 $6K
83880 1,844 1,493 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 275 254 $5K
73610 466 398 $5K
73130 301 258 $5K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 85 83 $5K
85027 1,970 1,400 $4K
97535 Self-care/home management training, each 15 minutes 272 189 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 144 122 $4K
45380 Colonoscopy, flexible; with biopsy, single or multiple 17 12 $4K
97166 202 164 $4K
85610 2,035 1,497 $4K
74018 152 129 $4K
88307 35 24 $4K
83735 3,249 2,234 $4K
76642 31 25 $4K
70498 273 220 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 51 33 $3K
84702 1,014 765 $3K
81001 8,428 7,189 $3K
84703 8,063 6,951 $3K
82607 206 179 $3K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 14 12 $3K
87086 Culture, bacterial; quantitative colony count, urine 1,306 1,047 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 12 12 $3K
96376 1,478 820 $3K
82570 435 349 $3K
80076 413 304 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 569 478 $3K
73110 187 172 $2K
82565 381 312 $2K
86140 442 343 $2K
90715 141 120 $2K
73502 180 162 $2K
83690 6,216 5,148 $2K
76819 Fetal biophysical profile; without non-stress testing 45 25 $2K
83605 2,308 1,583 $2K
86701 65 54 $2K
84439 126 110 $2K
81003 4,022 3,481 $2K
86803 103 90 $2K
83550 178 157 $2K
J3490 Unclassified drugs 75 39 $2K
80069 151 114 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 568 479 $2K
96367 100 70 $2K
86901 1,078 855 $1K
97165 28 27 $1K
82077 693 574 $1K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,865 1,029 $1K
83540 195 172 $1K
87390 63 53 $1K
00731 236 190 $1K
97014 29 12 $1K
85652 354 291 $1K
97016 30 12 $992.74
73562 49 39 $952.97
86702 63 53 $952.25
85730 338 262 $860.99
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 15 13 $795.58
82746 117 102 $790.90
87081 520 420 $760.74
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 79 66 $747.22
J1650 Injection, enoxaparin sodium, 10 mg 1,721 635 $743.69
93880 12 12 $704.85
85379 1,097 923 $669.25
J1885 Injection, ketorolac tromethamine, per 15 mg 5,689 4,411 $651.77
J2270 Injection, morphine sulfate, up to 10 mg 1,812 1,178 $572.06
82803 941 736 $565.43
87186 468 341 $462.05
87040 872 386 $422.64
87077 503 351 $416.16
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,256 623 $415.23
87210 349 289 $374.24
82728 37 30 $373.23
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 612 508 $357.12
C1769 Guide wire 563 408 $355.21
J1170 Injection, hydromorphone, up to 4 mg 1,737 969 $315.05
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 142 121 $262.79
J7030 Infusion, normal saline solution , 1000 cc 1,580 1,282 $254.68
82550 128 98 $225.80
84156 101 87 $217.21
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,686 4,737 $216.39
94761 295 146 $214.13
J2405 Injection, ondansetron hydrochloride, per 1 mg 8,142 5,958 $197.93
99152 61 58 $197.76
73590 19 16 $192.74
84550 81 68 $192.18
J2704 Injection, propofol, 10 mg 4,905 2,501 $190.73
94150 13 12 $164.28
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 483 354 $156.07
84100 58 27 $102.18
87807 130 106 $98.50
94664 15 12 $96.14
72040 15 12 $94.24
J0780 Injection, prochlorperazine, up to 10 mg 413 306 $85.47
J3010 Injection, fentanyl citrate, 0.1 mg 2,452 1,843 $83.06
J1644 Injection, heparin sodium, per 1000 units 949 402 $75.22
J2785 Injection, regadenoson, 0.1 mg 146 123 $74.56
J0696 Injection, ceftriaxone sodium, per 250 mg 791 494 $70.58
J3475 Injection, magnesium sulfate, per 500 mg 455 332 $70.50
J2060 Injection, lorazepam, 2 mg 407 278 $66.23
J7120 Ringers lactate infusion, up to 1000 cc 496 363 $64.95
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 144 132 $64.33
J2765 Injection, metoclopramide hcl, up to 10 mg 612 456 $62.02
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 400 294 $59.43
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,081 838 $49.45
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 262 207 $47.48
80143 58 52 $46.33
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,292 1,633 $43.69
84145 149 114 $42.28
J0690 Injection, cefazolin sodium, 500 mg 1,070 687 $40.18
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 283 213 $39.47
85014 22 15 $38.98
J2470 Injection, pantoprazole sodium, 40 mg 31 14 $26.80
J3370 Injection, vancomycin hcl, 500 mg 322 176 $25.68
85018 17 12 $23.36
J2250 Injection, midazolam hydrochloride, per 1 mg 1,877 1,387 $22.47
84132 15 13 $18.60
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 391 333 $16.36
87088 17 12 $15.65
J2919 Injection, methylprednisolone sodium succinate, 5 mg 58 44 $14.59
82270 16 12 $12.71
83615 15 12 $12.69
J1596 Injection, glycopyrrolate, 0.1 mg 94 70 $12.30
J2360 Injection, orphenadrine citrate, up to 60 mg 71 54 $6.97
J1790 Injection, droperidol, up to 5 mg 99 77 $5.28
J0687 Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg 59 46 $4.37
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 678 530 $4.00
J7050 Infusion, normal saline solution, 250 cc 136 87 $2.73
J0330 Injection, succinylcholine chloride, up to 20 mg 101 64 $2.02
J8540 Dexamethasone, oral, 0.25 mg 13 13 $1.82
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 70 56 $0.60
J3480 Injection, potassium chloride, per 2 meq 69 55 $0.53
C9399 Unclassified drugs or biologicals 79 64 $0.00
94760 142 129 $0.00
88304 355 248 $0.00
88342 55 39 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 26 22 $0.00
J2305 Injection, nitroglycerin, 5 mg 17 12 $0.00
51798 22 12 $0.00
J1171 Injection, hydromorphone, 0.1 mg 120 75 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 209 156 $0.00
80179 15 14 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 61 31 $0.00
01810 28 26 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 42 26 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 13 12 $0.00
00812 18 12 $0.00