Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Chicot Memorial Medical Center

Chicot Memorial Medical Center was paid $1.55M by Medicaid between Jan 2018 and Dec 2024, across 78 billing codes. Its largest line is 80053, Comprehensive metabolic panel — 15% of everything it billed.

33Billing provider infoCHICOT MEMORIAL MEDICAL CENTER
LAKE VILLAGE, AR 71653
33aNPI1235453192assigned 03/22/2010
33bProvider typeCritical Access Hospital
28Total paid$1.55M
24GClaims94,978
24DCodes billed78
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Critical Access Hospital providers in Arkansas

Rank by total paid#9 of 34
Median peer was paid$773K
This provider vs. median2.0×

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$20K$40K$60K2018201920202021202220232024
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
201815,981$215K
201917,715$357K
202013,244$266K
202111,520$190K
202214,103$201K
202314,471$205K
2024incomplete7,944$111K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
80053 Comprehensive metabolic panel 15% 9,233 5,749 $234K
70450 Computed tomography, head or brain; without contrast material 8.9% 1,340 965 $138K
A0425 Ground mileage, per statute mile 8.4% 2,775 1,477 $129K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6.6% 3,632 558 $102K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 5.8% 1,041 833 $90K
84484 4.3% 4,052 2,265 $67K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4.1% 11,320 7,008 $63K
83880 3.6% 2,255 1,476 $56K
71045 Radiologic examination, chest; single view 2.8% 4,163 2,873 $43K
90853 Group psychotherapy (other than of a multiple-family group) 2.7% 191 24 $41K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2.5% 5,690 3,624 $39K
77067 Screening mammography, bilateral, including computer-aided detection 2.4% 797 769 $38K
66 more codes
87040 2.4% 2,877 $37K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2.3% 687 $35K
36415 Collection of venous blood by venipuncture 2.2% 12,950 $35K
80048 Basic metabolic panel (calcium, ionized) 2.2% 1,714 $33K
A0427 Emergency ambulance ride, advanced life support 1.7% 315 $26K
99284 Emergency room visit (serious) 1.5% 841 $24K
99285 Emergency room visit (most serious) 1.5% 1,351 $23K
83605 1.3% 1,787 $21K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.2% 1,325 $19K
87086 Culture, bacterial; quantitative colony count, urine 1.2% 1,811 $19K
A0429 Emergency ambulance ride, basic life support 1.2% 366 $19K
99283 Emergency room visit (moderate) 1.2% 455 $19K
82962 1.2% 2,145 $18K
82553 1.1% 836 $17K
83735 <1% 1,526 $14K
86710 <1% 729 $14K
82550 <1% 1,061 $13K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 300 $12K
81001 <1% 3,061 $10K
87634 <1% 108 $8K
71046 Radiologic examination, chest; 2 views <1% 582 $8K
85610 <1% 1,433 $7K
84443 Thyroid stimulating hormone (TSH) <1% 652 $6K
83690 <1% 492 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,543 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 137 $5K
87430 <1% 420 $5K
87077 <1% 419 $5K
85730 <1% 646 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 143 $4K
81000 <1% 1,445 $4K
94664 <1% 242 $3K
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) <1% 23 $3K
84703 <1% 328 $3K
94760 <1% 513 $3K
87186 <1% 418 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 192 $2K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 22 $2K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 38 $2K
36600 <1% 41 $2K
82805 <1% 43 $1K
86756 <1% 90 $1K
74018 <1% 16 $852.33
80061 Lipid panel <1% 66 $762.32
96361 Intravenous infusion, hydration; each additional hour <1% 196 $744.87
0001A <1% 68 $718.45
85379 <1% 86 $650.85
0002A <1% 51 $650.00
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 52 $611.40
82150 <1% 51 $601.49
83036 Hemoglobin; glycosylated (A1C) <1% 123 $579.32
82728 <1% 18 $463.22
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 169 $234.05
73560 <1% 14 $212.02
96375 Therapeutic injection; each additional sequential IV push <1% 21 $192.77
J7030 Infusion, normal saline solution , 1000 cc <1% 610 $157.50
84439 <1% 16 $145.90
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 41 $60.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 18 $47.38
82607 <1% 15 $43.04
J7050 Infusion, normal saline solution, 250 cc <1% 571 $33.65
93041 <1% 25 $30.00
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 40 $22.50
J2270 Injection, morphine sulfate, up to 10 mg 0% 27 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 0% 40 $0.00
G0378 Hospital observation service, per hour 0% 48 $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 officialVAUGHN, SUSAN (CFO)
Same official

Other billing entities under VAUGHN, SUSAN

Full network →
ProviderLocationPaid
Chicot Memorial Medical CenterLake Village, AR$370K
Chicot Memorial Medical CenterLake Village, AR$179K
Chicot Memorial Medical CenterLake Village, AR$4K

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