Medicaid Provider Spending

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

DARDANELLE COMMUNITY HOSPITAL LLC

NPI: 1235344409 · DARDANELLE, AR 72834 · Critical Access Hospital · NPI assigned 05/11/2007

$369K
Total Medicaid Paid
15,364
Total Claims
9,369
Beneficiaries
42
Codes Billed
2018-01
First Month
2019-05
Last Month

Provider Details

Authorized OfficialWEAR, SONDRA (CFO)
NPI Enumeration Date05/11/2007

Related Entities

Other providers sharing the same authorized official: WEAR, SONDRA

ProviderCityStateTotal Paid
DARDANELLE COMMUNITY HOSPITAL LLC DARDANELLE AR $62K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,111 $284K
2019 3,253 $85K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90853 Group psychotherapy (other than of a multiple-family group) 3,100 461 $232K
80053 Comprehensive metabolic panel 1,753 1,290 $46K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,911 1,340 $10K
80048 Basic metabolic panel (calcium, ionized) 423 298 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 353 303 $7K
36415 Collection of venous blood by venipuncture 793 537 $7K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 216 167 $6K
94760 535 353 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 509 369 $4K
71046 Radiologic examination, chest; 2 views 280 202 $4K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 615 395 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 262 171 $4K
81001 1,002 733 $4K
80061 Lipid panel 399 315 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 494 411 $3K
87070 260 191 $3K
84443 Thyroid stimulating hormone (TSH) 475 378 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 176 138 $3K
87086 Culture, bacterial; quantitative colony count, urine 180 139 $2K
87430 161 135 $2K
71020 102 81 $1K
99283 Emergency department visit for the evaluation and management, moderate severity 88 72 $1K
86710 54 50 $943.32
83690 126 97 $937.27
70450 Computed tomography, head or brain; without contrast material 23 13 $889.80
83036 Hemoglobin; glycosylated (A1C) 117 91 $810.38
84484 205 117 $772.75
71045 Radiologic examination, chest; single view 157 94 $742.20
80050 General health panel 16 12 $535.37
82550 55 46 $492.04
82150 54 43 $414.76
87088 54 40 $310.40
87186 100 58 $293.04
82553 37 31 $288.36
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 29 26 $270.27
85610 24 16 $199.23
84436 15 14 $160.00
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 109 77 $140.80
82044 22 14 $21.68
94762 51 26 $4.00
99284 Emergency department visit for the evaluation and management, high severity 15 13 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 14 12 $0.00