Physician
Memorial Hospital INC.
Memorial Hospital INC. was paid $12.43M by Medicaid between Jan 2018 and Dec 2024, across 146 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoMEMORIAL HOSPITAL INC.
MANCHESTER, KY 40962
MANCHESTER, KY 40962
33aNPI1255471827assigned 02/06/2007
33bProvider typeFamily Medicine Physician
28Total paid$12.43M
24GClaims813,832
24DCodes billed146
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#4 of 352
Median peer was paid$90K
This provider vs. median139×
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 | 47,905 | $1.43M | |
| 2019 | 68,317 | $1.71M | |
| 2020 | 105,045 | $1.94M | |
| 2021 | 194,267 | $1.91M | |
| 2022 | 197,204 | $1.68M | |
| 2023 | 105,274 | $1.91M | |
| 2024incomplete | 95,820 | $1.85M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 153,384 | 130,310 | $5.22M |
| 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 | 30% | 84,540 | 71,574 | $3.74M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.2% | 5,329 | 3,554 | $396K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.9% | 6,646 | 5,473 | $356K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 5,100 | 4,759 | $312K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.3% | 4,448 | 4,187 | $291K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.9% | 16,225 | 11,885 | $239K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 10,773 | 10,250 | $168K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.0% | 3,339 | 2,841 | $130K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 8,303 | 7,782 | $108K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 1,568 | 1,456 | $103K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,152 | 3,664 | $103K |
134 more codes
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,292 | $100K |
| 99441 | <1% | 2,866 | $92K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,584 | $89K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 983 | $83K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,757 | $82K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 7,359 | $81K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 7,001 | $77K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,227 | $65K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 2,997 | $47K |
| 99442 | <1% | 919 | $44K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 479 | $41K |
| 99307 | <1% | 1,297 | $37K | |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 3,280 | $37K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,770 | $35K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 605 | $27K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 299 | $25K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 273 | $21K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,019 | $15K |
| 90670 | <1% | 2,719 | $14K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 189 | $14K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 1,955 | $13K |
| 93000 | <1% | 998 | $13K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 402 | $13K |
| 90474 | <1% | 1,376 | $12K | |
| 90674 | <1% | 632 | $12K | |
| 81025 | <1% | 2,293 | $11K | |
| 99318 | <1% | 108 | $9K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 108 | $9K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 113 | $8K |
| 99381 | <1% | 152 | $8K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 96 | $7K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 103 | $7K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 276 | $7K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 56 | $6K |
| 90671 | <1% | 51 | $5K | |
| 90461 | <1% | 379 | $5K | |
| 99443 | <1% | 453 | $5K | |
| 90723 | <1% | 1,961 | $5K | |
| 87428 | <1% | 67 | $4K | |
| 90680 | <1% | 1,830 | $4K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 2,096 | $4K |
| 90686 | <1% | 528 | $3K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 105 | $3K |
| 90633 | <1% | 2,045 | $3K | |
| 87807 | <1% | 203 | $3K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 18 | $3K |
| 71045 | Radiologic examination, chest; single view | <1% | 358 | $2K |
| 99173 | <1% | 298 | $2K | |
| 90632 | <1% | 67 | $2K | |
| 90836 | <1% | 49 | $2K | |
| 81002 | <1% | 6,009 | $2K | |
| 0001A | <1% | 49 | $2K | |
| 96161 | <1% | 620 | $2K | |
| 59025 | Fetal non-stress test | <1% | 81 | $2K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 149 | $2K |
| 90661 | <1% | 65 | $2K | |
| 99217 | <1% | 27 | $2K | |
| 99243 | <1% | 17 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 77 | $1K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 2,208 | $1K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 734 | $1K |
| 90756 | <1% | 103 | $1K | |
| 99406 | <1% | 220 | $1K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 68 | $1K |
| 0002A | <1% | 35 | $1K | |
| 90647 | <1% | 1,974 | $1K | |
| 99219 | <1% | 41 | $1K | |
| J2360 | Injection, orphenadrine citrate, up to 60 mg | <1% | 203 | $1K |
| 99220 | <1% | 12 | $1K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 137 | $1K |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 223 | $1K |
| 72100 | <1% | 102 | $887.03 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 86 | $818.33 |
| 73562 | <1% | 112 | $816.20 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 27 | $742.08 |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 30 | $693.47 |
| 90715 | <1% | 141 | $668.34 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 15 | $655.93 |
| 0071A | <1% | 17 | $650.00 | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 14 | $598.92 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 63 | $585.53 |
| 81003 | <1% | 2,894 | $571.13 | |
| 90651 | <1% | 115 | $562.86 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 43 | $473.14 |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 13 | $466.04 |
| 74022 | <1% | 28 | $377.12 | |
| 72040 | <1% | 41 | $358.60 | |
| 90734 | <1% | 186 | $301.80 | |
| 93016 | <1% | 12 | $295.56 | |
| 90697 | <1% | 493 | $283.91 | |
| 73130 | <1% | 40 | $267.22 | |
| 73030 | <1% | 33 | $247.52 | |
| 93018 | <1% | 12 | $239.04 | |
| 73610 | <1% | 31 | $215.42 | |
| 73630 | <1% | 26 | $193.14 | |
| 82962 | <1% | 98 | $185.47 | |
| 81001 | <1% | 129 | $185.26 | |
| 99188 | <1% | 12 | $176.25 | |
| 90473 | <1% | 30 | $152.22 | |
| 72072 | <1% | 17 | $122.57 | |
| 90681 | <1% | 82 | $111.92 | |
| 73080 | <1% | 15 | $111.47 | |
| 74018 | <1% | 16 | $109.61 | |
| 96127 | <1% | 36 | $107.87 | |
| 90688 | <1% | 23 | $98.46 | |
| 98970 | <1% | 21 | $37.00 | |
| 3074F | <1% | 55,477 | $0.10 | |
| 3078F | <1% | 55,122 | $0.10 | |
| 3079F | 0% | 34,997 | $0.00 | |
| 3075F | 0% | 21,055 | $0.00 | |
| 1036F | 0% | 50,023 | $0.00 | |
| 3080F | 0% | 8,796 | $0.00 | |
| 1125F | 0% | 13,659 | $0.00 | |
| 3008F | 0% | 41,409 | $0.00 | |
| 1170F | 0% | 1,040 | $0.00 | |
| 1101F | 0% | 1,202 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 15 | $0.00 |
| 99024 | 0% | 397 | $0.00 | |
| 3044F | 0% | 272 | $0.00 | |
| 1035F | 0% | 206 | $0.00 | |
| 90716 | 0% | 50 | $0.00 | |
| 90656 | 0% | 66 | $0.00 | |
| 90696 | 0% | 56 | $0.00 | |
| 1126F | 0% | 104 | $0.00 | |
| 3077F | 0% | 22,802 | $0.00 | |
| 3725F | 0% | 18,212 | $0.00 | |
| 1159F | 0% | 44,622 | $0.00 | |
| 1160F | 0% | 52,589 | $0.00 | |
| 1100F | 0% | 119 | $0.00 | |
| 1090F | 0% | 4,002 | $0.00 | |
| 3288F | 0% | 1,401 | $0.00 | |
| 90707 | 0% | 51 | $0.00 | |
| 90710 | 0% | 72 | $0.00 | |
| 90700 | 0% | 13 | $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 officialJACOB, SISSEL (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Memorial Hospital, INC. | Manchester, KY | $2.68M |
| Memorial Hospital, INC. | Beverly, KY | $480K |
| Memorial Hospital, INC. | Oneida, KY | $399K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.