Medicaid Provider Spending

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

GRAFTON CITY HOSPITAL INC

NPI: 1265484893 · GRAFTON, WV 26354 · Critical Access Hospital · NPI assigned 05/16/2006

$6.45M
Total Medicaid Paid
131,172
Total Claims
103,500
Beneficiaries
97
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLILLEY, JEFFREY (ADMINISTRATOR)
NPI Enumeration Date05/16/2006

Related Entities

Other providers sharing the same authorized official: LILLEY, JEFFREY

ProviderCityStateTotal Paid
GRAFTON CITY HOSPITAL INC GRAFTON WV $4.42M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 20,503 $1.14M
2019 13,653 $772K
2020 26,794 $1.53M
2021 25,247 $1.11M
2022 18,332 $671K
2023 15,326 $657K
2024 11,317 $570K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 8,742 6,892 $905K
99284 Emergency department visit for the evaluation and management, high severity 5,608 4,451 $740K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,940 3,584 $399K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,857 1,360 $292K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,150 673 $260K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,839 794 $250K
80053 Comprehensive metabolic panel 6,512 5,257 $250K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 10,142 7,563 $247K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5,405 4,803 $226K
36415 Collection of venous blood by venipuncture 13,250 9,388 $154K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,905 2,435 $151K
80306 748 529 $144K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 1,070 698 $119K
70450 Computed tomography, head or brain; without contrast material 531 478 $117K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,062 1,498 $104K
84443 Thyroid stimulating hormone (TSH) 2,080 1,866 $103K
80076 1,976 1,709 $100K
71046 Radiologic examination, chest; 2 views 1,849 1,651 $94K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,874 1,600 $88K
94760 5,127 4,063 $86K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,384 1,964 $83K
80048 Basic metabolic panel (calcium, ionized) 3,616 2,800 $81K
90853 Group psychotherapy (other than of a multiple-family group) 1,014 339 $68K
83880 992 796 $67K
96375 Therapeutic injection; each additional sequential IV push 1,346 1,096 $66K
74176 Computed tomography, abdomen and pelvis; without contrast material 220 196 $62K
81001 2,477 2,162 $61K
80061 Lipid panel 1,044 966 $59K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 5,152 4,562 $54K
83735 3,391 2,475 $52K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 827 773 $51K
84484 2,512 1,938 $50K
82550 2,082 1,694 $44K
T1015 Clinic visit/encounter, all-inclusive 545 442 $41K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 772 464 $40K
83605 1,321 1,111 $39K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,422 1,313 $37K
84100 3,159 2,355 $36K
87634 314 294 $35K
83036 Hemoglobin; glycosylated (A1C) 1,179 1,087 $34K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,212 1,020 $29K
83690 981 817 $29K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 705 596 $27K
71045 Radiologic examination, chest; single view 822 716 $24K
82553 1,086 905 $23K
85610 1,102 823 $22K
87086 Culture, bacterial; quantitative colony count, urine 755 650 $22K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 253 236 $21K
74177 Computed tomography, abdomen and pelvis; with contrast material 45 39 $19K
81025 448 382 $19K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 382 336 $19K
82150 467 398 $17K
71250 42 42 $14K
85730 660 590 $13K
81003 418 359 $13K
87806 136 113 $12K
J1885 Injection, ketorolac tromethamine, per 15 mg 652 533 $11K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 179 156 $10K
87077 423 362 $10K
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 196 182 $10K
86705 112 91 $10K
87186 396 339 $10K
97162 98 95 $9K
86803 117 96 $9K
86707 117 94 $9K
73564 148 128 $9K
86704 114 93 $9K
73630 149 140 $9K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 14 12 $9K
86706 115 94 $9K
87350 115 93 $9K
J2405 Injection, ondansetron hydrochloride, per 1 mg 159 135 $8K
87340 115 94 $8K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 51 49 $7K
74019 47 43 $7K
96376 140 115 $7K
77067 Screening mammography, bilateral, including computer-aided detection 24 24 $6K
72110 75 74 $6K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 742 702 $5K
74022 31 28 $5K
84145 144 133 $5K
84703 73 56 $5K
87040 101 92 $4K
85379 210 192 $4K
86140 237 194 $4K
73130 55 51 $3K
73610 55 53 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 39 28 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 67 67 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 42 16 $2K
87070 45 31 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 738 598 $1K
73030 12 12 $595.18
77063 Screening digital breast tomosynthesis, bilateral 12 12 $484.30
0001A 19 17 $227.52
87081 15 15 $172.35
91300 29 20 $0.02