Medicaid Provider Spending

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

RIVERTON MEMORIAL HOSPITAL LLC

NPI: 1245337286 · RIVERTON, WY 82501 · Rural Acute Care Hospital · NPI assigned 09/20/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TRAYLOR, JOHNETTA controls 20+ related entities in our dataset. Read more

$4.65M
Total Medicaid Paid
85,609
Total Claims
68,030
Beneficiaries
47
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTRAYLOR, JOHNETTA (DIR LICENSE AND CERTIFICATION)
NPI Enumeration Date09/20/2006

Related Entities

Other providers sharing the same authorized official: TRAYLOR, JOHNETTA

ProviderCityStateTotal Paid
LOGAN GENERAL HOSPITAL LLC LOGAN WV $43.43M
PHC-CLEVELAND LLC CLEVELAND MS $23.43M
HARTSVILLE, LLC HARTSVILLE SC $18.42M
LOGAN MEMORIAL HOSPITAL LLC RUSSELLVILLE KY $14.29M
SOUTHWESTERN MEDICAL CENTER, LLC LAWTON OK $9.40M
PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP PALESTINE TX $6.80M
WATERTOWN MEDICAL CENTER LLC WATERTOWN WI $6.31M
AMG - LIVINGSTON, LLC LIVINGSTON TN $5.52M
LOGAN GENERAL HOSPITAL LLC LOGAN WV $4.91M
ST. JOSEPH HOSPITAL LLC LEWISTON ID $4.67M
LIVINGSTON REGIONAL HOSPITAL LLC LIVINGSTON TN $4.33M
HARTSVILLE MEDICAL GROUP LLC HARTSVILLE SC $4.16M
MEXIA PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP MEXIA TX $2.19M
PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP PALESTINE TX $1.27M
TEXAS SPECIALTY PHYSICIANS PALESTINE TX $1.26M
ST JOSEPH HOSPITAL LLC LEWISTON ID $1.10M
WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN WI $244K
WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN WI $175K
AMG-LIVINGSTON LLC LIVINGSTON TN $165K
WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN WI $149K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,947 $501K
2019 7,558 $584K
2020 4,947 $366K
2021 16,706 $714K
2022 21,160 $878K
2023 18,121 $898K
2024 10,170 $712K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 18,286 16,699 $1.89M
99284 Emergency department visit for the evaluation and management, high severity 12,101 9,993 $1.63M
41899 Unlisted procedure, dentoalveolar structures 714 688 $849K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,169 2,334 $189K
96361 Intravenous infusion, hydration; each additional hour 964 668 $23K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 646 463 $16K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 188 118 $15K
71045 Radiologic examination, chest; single view 781 506 $14K
96375 Therapeutic injection; each additional sequential IV push 506 320 $7K
99282 Emergency department visit for the evaluation and management, low to moderate severity 112 111 $7K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 294 230 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 43 27 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor 41 41 $2K
71046 Radiologic examination, chest; 2 views 55 54 $1K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 630 489 $1K
70450 Computed tomography, head or brain; without contrast material 28 24 $1K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 859 591 $1K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 23 14 $1K
80053 Comprehensive metabolic panel 14,190 10,748 $806.98
85025 Blood count; complete (CBC), automated, and automated differential WBC count 17,048 12,898 $581.61
36415 Collection of venous blood by venipuncture 89 86 $185.41
86140 315 17 $12.70
85379 330 29 $9.00
81001 2,902 2,406 $6.32
87400 234 160 $0.00
J7030 Infusion, normal saline solution , 1000 cc 691 540 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,066 898 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 488 450 $0.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 660 434 $0.00
87420 87 83 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,185 552 $0.00
85610 157 121 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 14 13 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 171 160 $0.00
83735 1,606 1,158 $0.00
82150 123 83 $0.00
80048 Basic metabolic panel (calcium, ionized) 227 162 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 427 407 $0.00
83690 2,539 1,896 $0.00
J2704 Injection, propofol, 10 mg 577 553 $0.00
85730 124 94 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 99 94 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 373 350 $0.00
84703 30 24 $0.00
84484 312 154 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 76 64 $0.00
87430 29 26 $0.00