Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Jackson › NPI 1265528939
Hospital

W.A. Foote Memorial Hospital, INC.

W.A. Foote Memorial Hospital, INC. was paid $39.86M by Medicaid between Jan 2018 and Jul 2024, across 408 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 21% of everything it billed.

33Billing provider infoW.A. FOOTE MEMORIAL HOSPITAL, INC.
JACKSON, MI 49201
33aNPI1265528939assigned 10/04/2006
28Total paid$39.86M
24GClaims1,150,407
24DCodes billed408
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers

Next to other General Acute Care Hospital providers in Michigan

Rank by total paid#31 of 86
Median peer was paid$21.55M
This provider vs. median1.8×

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

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
2018205,479$6.99M
2019211,332$6.60M
2020156,638$4.87M
2021175,987$6.45M
2022191,427$6.92M
2023150,936$5.68M
2024incomplete58,608$2.35M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 21% 192,188 148,540 $8.18M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 15% 34,836 31,261 $6.06M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 12% 34,220 31,782 $4.92M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 9.2% 24,991 22,665 $3.65M
G0378 Hospital observation service, per hour 8.9% 4,034 3,843 $3.55M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2.1% 23,701 20,569 $845K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.9% 5,312 5,186 $751K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.3% 26,979 9,196 $528K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.2% 7,877 5,007 $479K
20610 1.1% 3,398 2,603 $450K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1.1% 2,871 1,642 $435K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 5,678 5,508 $331K
396 more codes
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 3,037 $323K
71046 Radiologic examination, chest; 2 views <1% 17,308 $304K
96361 Intravenous infusion, hydration; each additional hour <1% 20,528 $285K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 7,851 $259K
77067 Screening mammography, bilateral, including computer-aided detection <1% 5,312 $256K
96375 Therapeutic injection; each additional sequential IV push <1% 17,913 $234K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 5,967 $227K
97161 <1% 4,911 $225K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,080 $209K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 3,327 $200K
70450 Computed tomography, head or brain; without contrast material <1% 5,174 $196K
59025 Fetal non-stress test <1% 2,328 $183K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,923 $178K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 886 $178K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 8,330 $171K
76830 Ultrasound, transvaginal <1% 3,838 $166K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 2,571 $161K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 4,351 $160K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 2,680 $159K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 2,689 $158K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 2,590 $154K
62323 <1% 552 $154K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 4,249 $151K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 621 $146K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 7,074 $141K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 3,706 $138K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 9,964 $136K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography <1% 577 $134K
90837 Psychotherapy session, about an hour <1% 2,222 $131K
93975 <1% 2,120 $122K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,869 $111K
90670 <1% 2,056 $110K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 394 $106K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 21,848 $105K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 2,313 $104K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 2,031 $100K
76801 <1% 2,388 $100K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 848 $97K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,064 $96K
90677 <1% 411 $94K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 4,018 $88K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 193 $87K
97165 <1% 1,931 $79K
90791 Psychiatric diagnostic evaluation <1% 3,958 $73K
Q3014 Telehealth originating site facility fee <1% 4,646 $73K
93971 <1% 1,761 $68K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 225 $67K
77063 Screening digital breast tomosynthesis, bilateral <1% 5,266 $65K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 164 $63K
90686 <1% 4,887 $63K
76536 <1% 1,202 $62K
80061 Lipid panel <1% 3,540 $61K
76770 <1% 1,486 $57K
90651 <1% 724 $57K
96367 <1% 1,931 $57K
95811 <1% 110 $53K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 4,947 $52K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 3,430 $52K
76819 Fetal biophysical profile; without non-stress testing <1% 1,278 $51K
76642 <1% 1,493 $51K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 4,753 $50K
G0008 Administration of influenza virus vaccine <1% 5,298 $48K
90682 <1% 882 $47K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,111 $45K
73564 <1% 2,480 $43K
72110 <1% 1,891 $40K
73630 <1% 6,026 $39K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 955 $36K
86900 <1% 4,173 $36K
93970 <1% 394 $36K
72141 <1% 276 $34K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 4,643 $33K
72100 <1% 1,594 $32K
74018 <1% 2,150 $31K
72050 <1% 981 $31K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 210 $31K
93017 <1% 640 $30K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 3,340 $30K
73610 <1% 4,404 $26K
71250 <1% 557 $26K
73130 <1% 4,887 $25K
90750 <1% 174 $25K
90472 Immunization administration, each additional vaccine (list separately) <1% 2,089 $25K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 24,976 $24K
64483 <1% 68 $24K
73030 <1% 3,416 $24K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 3,692 $22K
73110 <1% 3,271 $21K
90834 Psychotherapy session, about 45 minutes <1% 395 $20K
73221 <1% 171 $20K
80053 Comprehensive metabolic panel <1% 27,030 $20K
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% 905 $20K
71271 <1% 339 $20K
73502 <1% 2,279 $19K
97760 <1% 516 $18K
84443 Thyroid stimulating hormone (TSH) <1% 7,907 $18K
76882 <1% 435 $17K
73140 <1% 2,282 $17K
71045 Radiologic examination, chest; single view <1% 1,491 $17K
90732 <1% 184 $16K
10060 <1% 492 $15K
73562 <1% 1,265 $14K
70496 <1% 380 $14K
73100 <1% 1,710 $14K
94726 <1% 101 $13K
73560 <1% 3,714 $13K
73080 <1% 1,978 $12K
70486 <1% 647 $12K
77066 Tomosynthesis, mammo <1% 209 $12K
91320 <1% 93 $11K
90734 <1% 487 $11K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,724 $11K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 46,811 $11K
G0009 Administration of pneumococcal vaccine <1% 1,234 $11K
17110 <1% 814 $11K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 79 $10K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 7,940 $10K
0001A <1% 266 $10K
92551 <1% 1,481 $10K
20611 <1% 67 $10K
0124A <1% 264 $10K
72072 <1% 512 $9K
90792 Psychiatric diagnostic evaluation with medical services <1% 265 $9K
90716 <1% 380 $9K
0054A <1% 253 $9K
72125 Computed tomography, cervical spine; without contrast material <1% 2,167 $8K
0002A <1% 222 $8K
11100 <1% 61 $8K
83036 Hemoglobin; glycosylated (A1C) <1% 3,223 $7K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 18 $7K
99406 <1% 466 $7K
84702 <1% 7,554 $7K
64450 <1% 55 $6K
51798 <1% 1,845 $6K
73590 <1% 1,296 $6K
86780 <1% 920 $6K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision <1% 551 $6K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision <1% 415 $6K
80048 Basic metabolic panel (calcium, ionized) <1% 25,772 $6K
97162 <1% 171 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 516 $5K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 467 $5K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 571 $5K
77080 <1% 91 $5K
0004A <1% 143 $5K
85027 <1% 7,988 $5K
90480 <1% 128 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 4,878 $4K
64615 <1% 36 $4K
87086 Culture, bacterial; quantitative colony count, urine <1% 5,656 $4K
73090 <1% 1,036 $4K
87081 <1% 5,217 $4K
76818 <1% 73 $4K
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose <1% 44 $4K
87631 <1% 1,456 $4K
62321 <1% 13 $4K
74022 <1% 446 $4K
29125 <1% 789 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 2,702 $3K
29085 <1% 49 $3K
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose <1% 70 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 5,126 $3K
73020 <1% 308 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,351 $3K
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 <1% 230 $3K
80074 <1% 195 $3K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens <1% 631 $3K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring <1% 16 $3K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 9,687 $3K
90620 <1% 29 $3K
77065 Tomosynthesis, mammo <1% 71 $3K
64400 <1% 29 $3K
25600 <1% 27 $3K
93880 <1% 27 $3K
36415 Collection of venous blood by venipuncture <1% 3,267 $3K
99495 <1% 55 $2K
70551 Magnetic resonance imaging, brain; without contrast material <1% 27 $2K
71101 <1% 267 $2K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring <1% 13 $2K
87511 <1% 129 $2K
87481 <1% 129 $2K
93229 <1% 13 $2K
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% 4,772 $2K
84439 <1% 1,090 $2K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 125 $2K
72040 <1% 197 $2K
97022 <1% 307 $2K
85610 <1% 6,505 $2K
95909 <1% 14 $2K
82607 <1% 430 $2K
99383 <1% 27 $2K
86803 <1% 443 $2K
87186 <1% 1,935 $2K
73600 <1% 877 $2K
82728 <1% 446 $2K
87077 <1% 1,761 $2K
20600 <1% 14 $2K
70498 <1% 334 $2K
29075 <1% 14 $2K
72131 <1% 75 $2K
95908 <1% 12 $2K
20553 <1% 13 $2K
81001 <1% 20,252 $1K
97535 Self-care/home management training, each 15 minutes <1% 221 $1K
70470 <1% 14 $1K
83735 <1% 8,939 $1K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 109 $1K
97116 <1% 416 $1K
93225 <1% 25 $1K
20550 <1% 14 $1K
87653 <1% 72 $1K
31575 <1% 12 $1K
98927 <1% 485 $1K
82570 <1% 813 $1K
93922 <1% 38 $1K
83550 <1% 396 $1K
69210 <1% 188 $1K
87070 <1% 1,091 $1K
83880 <1% 1,471 $1K
97014 <1% 121 $1K
11721 <1% 133 $982.86
0051A <1% 28 $975.78
83540 <1% 478 $974.49
86140 <1% 2,005 $942.13
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) <1% 135 $935.74
99384 <1% 13 $918.45
87340 <1% 405 $913.85
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 26 $894.36
0052A <1% 23 $863.19
90658 <1% 49 $832.84
31231 <1% 12 $799.50
97035 <1% 164 $761.25
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 12 $723.60
99386 <1% 12 $721.49
70491 <1% 12 $717.47
81025 <1% 12,741 $660.81
82248 <1% 8,771 $654.70
82043 <1% 344 $612.30
S0077 Injection, clindamycin phosphate, 300 mg <1% 239 $600.85
90744 <1% 67 $575.08
12001 <1% 540 $562.95
G0451 Development testing, with interpretation and report, per standardized instrument form <1% 30 $537.60
73700 <1% 12 $524.34
83690 <1% 12,522 $498.05
86592 <1% 198 $482.40
81003 <1% 3,612 $473.90
85652 <1% 1,306 $473.66
87634 <1% 884 $471.08
87088 <1% 456 $460.18
82947 <1% 224 $456.31
90662 <1% 47 $421.44
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 16 $381.76
96161 <1% 58 $371.81
36591 <1% 12 $323.95
86850 <1% 4,175 $318.61
11055 <1% 12 $313.02
87205 <1% 925 $303.66
82274 <1% 256 $303.66
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 3,987 $296.87
84146 <1% 32 $292.77
73552 <1% 77 $285.95
87420 <1% 1,241 $285.77
85730 <1% 4,874 $277.49
72080 <1% 12 $272.30
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 26 $262.08
84100 <1% 2,334 $247.03
82746 <1% 60 $223.63
82962 <1% 7,463 $220.66
73620 <1% 256 $210.14
11056 <1% 12 $201.52
82550 <1% 755 $200.16
G0010 Administration of hepatitis b vaccine <1% 12 $193.56
72170 <1% 53 $190.40
85007 <1% 1,267 $166.63
83020 <1% 68 $157.23
85379 <1% 2,351 $151.05
94010 <1% 87 $138.98
80076 <1% 54 $113.13
73060 <1% 25 $111.32
86039 <1% 36 $89.21
69209 <1% 14 $79.36
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 172 $66.73
87040 <1% 1,561 $60.17
76870 <1% 280 $56.38
84484 <1% 13,569 $52.65
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous <1% 53 $50.35
86308 <1% 172 $45.47
80164 <1% 38 $40.79
84550 <1% 67 $39.18
90715 <1% 1,345 $38.28
85018 <1% 41 $28.32
87808 <1% 44 $19.52
86901 <1% 4,178 $16.28
81002 <1% 16 $13.88
87147 <1% 27 $13.01
82077 <1% 3,139 $10.10
82010 <1% 202 $9.25
82565 <1% 14 $9.00
82140 <1% 13 $8.21
83605 <1% 2,196 $6.71
83615 <1% 47 $6.50
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg <1% 95 $5.58
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 6,701 $0.80
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 8,622 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 0% 1,451 $0.00
99153 Mod sedat endo service >5yrs 0% 314 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 0% 1,798 $0.00
90723 0% 1,382 $0.00
J2704 Injection, propofol, 10 mg 0% 1,380 $0.00
88304 0% 265 $0.00
C1889 Implantable/insertable device, not otherwise classified 0% 139 $0.00
95886 0% 880 $0.00
96376 0% 4,154 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 0% 185 $0.00
96368 0% 44 $0.00
C1769 Guide wire 0% 837 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 999 $0.00
A9585 Injection, gadobutrol, 0.1 ml 0% 947 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 604 $0.00
99417 Prolong home eval add 15m 0% 41 $0.00
J3490 Unclassified drugs 0% 2,543 $0.00
94200 0% 40 $0.00
91305 0% 363 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 826 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 2,164 $0.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 0% 189 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 0% 98 $0.00
90698 0% 105 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 26 $0.00
90647 0% 25 $0.00
90680 0% 65 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 0% 12 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 0% 1,449 $0.00
C1753 Catheter, intravascular ultrasound 0% 13 $0.00
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 0% 13 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 49 $0.00
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 0% 39 $0.00
88307 0% 12 $0.00
J1817 Insulin for administration through dme (i.e., insulin pump) per 50 units 0% 48 $0.00
74420 0% 13 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 14 $0.00
90696 0% 25 $0.00
Q0222 Injection, bebtelovimab, 175 mg 0% 16 $0.00
12002 0% 29 $0.00
90681 0% 685 $0.00
90633 0% 1,041 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 0% 4,954 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 14,325 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 1,381 $0.00
87210 0% 479 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 0% 773 $0.00
94729 0% 128 $0.00
12011 0% 75 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 0% 2,537 $0.00
90685 0% 189 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 0% 468 $0.00
90648 0% 1,421 $0.00
C1765 Adhesion barrier 0% 321 $0.00
99152 0% 1,330 $0.00
82805 0% 1,998 $0.00
80179 0% 805 $0.00
90700 0% 708 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 840 $0.00
80143 0% 856 $0.00
C1758 Catheter, ureteral 0% 1,253 $0.00
90710 0% 122 $0.00
84145 0% 319 $0.00
90461 0% 2,419 $0.00
82075 0% 239 $0.00
90707 0% 400 $0.00
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 0% 26 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 287 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 0% 376 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 163 $0.00
A4606 Oxygen probe for use with oximeter device, replacement 0% 12 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 0% 630 $0.00
91300 0% 642 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 101 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 0% 213 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 0% 33 $0.00
90713 0% 76 $0.00
91312 0% 246 $0.00
76937 0% 57 $0.00
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 0% 26 $0.00
C1729 Catheter, drainage 0% 49 $0.00
Q0244 Injection, casirivimab and imdevimab, 1200 mg 0% 78 $0.00
G0168 Wound closure utilizing tissue adhesive(s) only 0% 34 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 74 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 49 $0.00
92504 0% 26 $0.00
J1756 Injection, iron sucrose, 1 mg 0% 314 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 93 $0.00
94150 0% 39 $0.00
C1760 Closure device, vascular (implantable/insertable) 0% 25 $0.00
93226 0% 13 $0.00
76000 0% 14 $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 officialWICKENS, JEANNE (SR VP FINANCE/CFO)
Parent organizationW.A. FOOTE MEMORIAL HOSPITAL, INC.
Same official

Other billing entities under WICKENS, JEANNE

Full network →
ProviderLocationPaid
W.A. Foote Memorial Hospital, INC.Jackson, MI$4.90M
Parkview Hospital INC.Fort Wayne, IN$2.64M
Parkview Wabash Hospital, INC.Wabash, IN$1.20M
Parkview Hospital, INC.Fort Wayne, IN$108K
Healthlink, INC.Jackson, MI$18K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.