Hospital
The Medical Center INC
The Medical Center INC was paid $1.18M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99283, emergency room visit (moderate) — 40% of everything it billed.
33Billing provider infoTHE MEDICAL CENTER INC
COLUMBUS, GA 31901
COLUMBUS, GA 31901
33aNPI1255401519assigned 11/08/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$1.18M
24GClaims39,083
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Georgia
Rank by total paid#10 of 34
Median peer was paid$23K
This provider vs. median51×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,382 | $156K | |
| 2019 | 4,939 | $83K | |
| 2020 | 2,219 | $33K | |
| 2021 | 4,718 | $142K | |
| 2022 | 6,129 | $196K | |
| 2023 | 8,325 | $316K | |
| 2024incomplete | 6,371 | $250K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 40% | 14,731 | 12,455 | $476K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 31% | 10,867 | 9,250 | $360K |
| 76818 | 6.2% | 1,991 | 647 | $73K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 4.6% | 1,513 | 1,423 | $55K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 3.1% | 1,387 | 837 | $37K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.3% | 119 | 105 | $27K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.0% | 580 | 297 | $24K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.7% | 2,933 | 2,591 | $20K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.6% | 696 | 667 | $18K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.5% | 278 | 184 | $18K |
| 76819 | Fetal biophysical profile; without non-stress testing | 1.5% | 584 | 304 | $17K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 1.4% | 274 | 241 | $16K |
26 more codes
| 80053 | Comprehensive metabolic panel | <1% | 967 | $9K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 342 | $8K |
| 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 | <1% | 77 | $4K |
| 76801 | <1% | 104 | $2K | |
| 99245 | <1% | 24 | $2K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 268 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 235 | $1K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 38 | $1K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 47 | $1K |
| 59025 | Fetal non-stress test | <1% | 191 | $836.16 |
| 87081 | <1% | 93 | $788.58 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 51 | $526.73 |
| 81001 | <1% | 127 | $427.80 | |
| 83655 | <1% | 16 | $218.66 | |
| 81003 | <1% | 86 | $218.26 | |
| 84484 | <1% | 13 | $89.84 | |
| 81025 | <1% | 38 | $66.42 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 31 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 135 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 32 | $0.00 |
| 1036F | 0% | 31 | $0.00 | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 0% | 17 | $0.00 |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | 0% | 63 | $0.00 |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 0% | 31 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 38 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 35 | $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 officialCROSS, ROBERT (VP, GOVERNMENT REIMBURSEMENT)
| Provider | Location | Paid |
|---|---|---|
| University Health Services,inc | Augusta, GA | $2.31M |
| Piedmont Hospital, INC | Atlanta, GA | $542K |
| Eastside Medical Center, LLC | Snellville, GA | $2K |
| Piedmont Henry Hospital, INC. | Stockbridge, GA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.