Medicaid Provider Spending

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

ROPER ST. FRANCIS MOUNT PLEASANT HOSPITAL

NPI: 1255645644 · MT PLEASANT, SC 29466 · General Acute Care Hospital · NPI assigned 07/28/2010

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

Authorized official RALSTON, KIMBERLY controls 20+ related entities in our dataset. Read more

$2.47M
Total Medicaid Paid
63,797
Total Claims
56,551
Beneficiaries
69
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRALSTON, KIMBERLY (VP REIMBURSEMENT)
NPI Enumeration Date07/28/2010

Related Entities

Other providers sharing the same authorized official: RALSTON, KIMBERLY

ProviderCityStateTotal Paid
BON SECOURS ST. MARY'S HOSPITAL OF RICHMOND LLC RICHMOND VA $83.03M
MARYVIEW HOSPITAL LLC PORTSMOUTH VA $75.03M
BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC RICHMOND VA $57.21M
BON SECOURS ST FRANCIS MEDICAL CENTER LLC MIDLOTHIAN VA $44.86M
MERCY HEALTH YOUNGSTOWN LLC WARREN OH $43.63M
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC MECHANICSVILLE VA $42.02M
MERCY HEALTH YOUNGSTOWN LLC YOUNGSTOWN OH $36.60M
MERCY HEALTH - FAIRFIELD HOSPITAL LLC FAIRFIELD OH $25.17M
MARY IMMACULATE HOSPITAL LLC NEWPORT NEWS VA $24.51M
ST FRANCIS HOSPITAL INC GREENVILLE SC $17.81M
NWO INTEGRATED LABORATORIES MERCY LLC TOLEDO OH $13.47M
HOSPICE OF THE VALLEY, INC. GIRARD OH $13.33M
MERCY HEALTH - TIFFIN HOSPITAL LLC TIFFIN OH $12.99M
MERCY HEALTH - DEFIANCE HOSPITAL LLC DEFIANCE OH $11.90M
BON SECOURS DEPAUL MEDICAL CENTER LLC NORFOLK VA $11.59M
COMMUNITY MERCY HEALTH PARTNERS URBANA OH $8.81M
MERCY HEALTH-ALLEN HOSPITAL LLC OBERLIN OH $8.61M
CHESAPEAKE HOSPITAL LLC KILMARNOCK VA $6.00M
MARYVIEW HOSPITAL, LLC SUFFOLK VA $3.48M
ROPER ST FRANCIS ANCILLARY SERVICES LADSON SC $3.33M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,658 $217K
2019 8,813 $200K
2020 6,412 $176K
2021 7,758 $249K
2022 9,735 $583K
2023 12,137 $610K
2024 11,284 $431K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 7,064 6,553 $469K
80048 Basic metabolic panel (calcium, ionized) 3,760 3,273 $250K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,180 1,075 $195K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,724 2,463 $193K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,371 1,313 $180K
81025 2,715 2,527 $179K
80053 Comprehensive metabolic panel 2,823 2,508 $160K
81003 2,853 2,679 $143K
36415 Collection of venous blood by venipuncture 952 853 $83K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,508 1,260 $82K
74177 Computed tomography, abdomen and pelvis; with contrast material 907 854 $80K
99284 Emergency department visit for the evaluation and management, high severity 4,695 4,289 $73K
87086 Culture, bacterial; quantitative colony count, urine 554 508 $39K
81001 1,398 1,270 $33K
70450 Computed tomography, head or brain; without contrast material 521 485 $26K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 333 318 $25K
71046 Radiologic examination, chest; 2 views 674 629 $24K
J7050 Infusion, normal saline solution, 250 cc 68 54 $23K
96361 Intravenous infusion, hydration; each additional hour 1,144 1,005 $23K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,325 2,103 $20K
71045 Radiologic examination, chest; single view 1,550 1,403 $20K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 65 62 $19K
J3490 Unclassified drugs 137 105 $16K
J7120 Ringers lactate infusion, up to 1000 cc 163 156 $15K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 735 353 $15K
84484 1,650 1,300 $11K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 44 40 $10K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 90 83 $9K
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 45 45 $7K
85027 1,710 1,485 $6K
87430 42 36 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 193 186 $5K
77067 Screening mammography, bilateral, including computer-aided detection 75 75 $4K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 14 14 $4K
77063 Screening digital breast tomosynthesis, bilateral 58 58 $4K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 882 773 $3K
96375 Therapeutic injection; each additional sequential IV push 1,578 1,380 $3K
87428 14 14 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,547 3,920 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,765 2,433 $2K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 47 40 $1K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 31 13 $926.75
A9270 Non-covered item or service 914 688 $706.93
76642 18 14 $608.81
71275 Computed tomographic angiography, chest, with contrast material 14 14 $515.18
59025 Fetal non-stress test 12 12 $458.97
88305 Level IV - Surgical pathology, gross and microscopic examination 34 30 $428.39
80076 583 549 $158.89
80061 Lipid panel 57 54 $58.63
84443 Thyroid stimulating hormone (TSH) 221 202 $49.04
83605 395 337 $20.40
J2405 Injection, ondansetron hydrochloride, per 1 mg 899 731 $9.96
87040 30 26 $9.10
83690 1,505 1,375 $5.75
85610 48 38 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 104 85 $0.00
J2704 Injection, propofol, 10 mg 556 307 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 154 146 $0.00
83880 75 69 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 430 373 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 16 12 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 229 216 $0.00
83735 572 474 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 743 643 $0.00
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 16 16 $0.00
85379 52 43 $0.00
J1170 Injection, hydromorphone, up to 4 mg 16 13 $0.00
J0690 Injection, cefazolin sodium, 500 mg 45 40 $0.00
83036 Hemoglobin; glycosylated (A1C) 55 51 $0.00