Medicaid Provider Spending

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

MONTGOMERY REGIONAL HOSPITAL INC

NPI: 1275570376 · BLACKSBURG, VA 24060 · General Acute Care Hospital · NPI assigned 05/31/2006

$17.14M
Total Medicaid Paid
464,301
Total Claims
377,128
Beneficiaries
200
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTANTON, RACHAEL (CFO)
NPI Enumeration Date05/31/2006

Related Entities

Other providers sharing the same authorized official: STANTON, RACHAEL

ProviderCityStateTotal Paid
PULASKI COMMUNITY HOSPITAL INC PULASKI VA $14.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 48,547 $1.22M
2019 73,166 $1.85M
2020 54,883 $1.86M
2021 65,229 $2.11M
2022 76,567 $2.94M
2023 82,516 $3.77M
2024 63,393 $3.40M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 26,530 22,873 $4.41M
99284 Emergency department visit for the evaluation and management, high severity 21,655 17,920 $3.40M
99282 Emergency department visit for the evaluation and management, low to moderate severity 6,770 6,179 $1.10M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,651 4,795 $879K
74177 Computed tomography, abdomen and pelvis; with contrast material 4,476 3,941 $785K
96361 Intravenous infusion, hydration; each additional hour 3,271 2,855 $746K
70450 Computed tomography, head or brain; without contrast material 3,519 3,029 $576K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,234 1,078 $501K
42820 Tonsillectomy and adenoidectomy; younger than age 12 223 208 $421K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,429 1,295 $412K
G0378 Hospital observation service, per hour 5,042 2,622 $408K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,940 1,781 $331K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 278 253 $294K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,791 4,072 $182K
71275 Computed tomographic angiography, chest, with contrast material 785 711 $178K
74176 Computed tomography, abdomen and pelvis; without contrast material 925 831 $170K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 283 243 $135K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,418 1,290 $127K
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 5,129 4,612 $126K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,775 1,622 $113K
80053 Comprehensive metabolic panel 31,755 25,013 $110K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 733 675 $99K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4,751 4,297 $95K
G0383 Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 336 270 $63K
J2405 Injection, ondansetron hydrochloride, per 1 mg 10,197 7,965 $61K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 16,439 13,289 $59K
J1170 Injection, hydromorphone, up to 4 mg 2,647 1,861 $59K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,612 1,968 $59K
J3010 Injection, fentanyl citrate, 0.1 mg 2,549 2,052 $59K
J2704 Injection, propofol, 10 mg 1,807 1,427 $59K
J2250 Injection, midazolam hydrochloride, per 1 mg 603 489 $59K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,775 1,330 $55K
71046 Radiologic examination, chest; 2 views 5,632 4,780 $50K
77063 Screening digital breast tomosynthesis, bilateral 1,069 1,019 $46K
85027 37,963 28,226 $44K
45380 Colonoscopy, flexible; with biopsy, single or multiple 77 71 $41K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 196 185 $41K
72125 Computed tomography, cervical spine; without contrast material 1,037 897 $39K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12,617 9,919 $34K
93971 374 336 $29K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 168 152 $28K
87400 8,362 7,198 $28K
76830 Ultrasound, transvaginal 323 303 $26K
74018 1,307 1,161 $26K
80048 Basic metabolic panel (calcium, ionized) 5,214 3,842 $23K
96375 Therapeutic injection; each additional sequential IV push 7,514 6,141 $22K
42830 12 12 $22K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 28 26 $20K
12001 108 105 $20K
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 1,469 1,156 $19K
93246 331 319 $18K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 479 181 $18K
71045 Radiologic examination, chest; single view 8,158 6,872 $17K
87040 3,632 2,773 $17K
77067 Screening mammography, bilateral, including computer-aided detection 1,106 1,052 $17K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,742 3,208 $16K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 222 198 $16K
76641 129 117 $14K
36415 Collection of venous blood by venipuncture 7,954 6,544 $14K
84443 Thyroid stimulating hormone (TSH) 4,284 3,729 $13K
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 76 64 $13K
81025 5,328 4,793 $12K
72110 1,316 1,150 $12K
76536 111 106 $11K
97163 163 134 $11K
97535 Self-care/home management training, each 15 minutes 498 194 $11K
90715 542 492 $9K
87420 1,766 1,650 $9K
73030 822 752 $9K
10060 64 52 $8K
93017 82 79 $8K
73564 1,140 1,030 $8K
84484 7,669 5,532 $8K
73610 1,115 1,035 $8K
73630 1,038 949 $7K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 876 800 $7K
76857 241 227 $6K
87086 Culture, bacterial; quantitative colony count, urine 3,428 2,958 $6K
85610 5,296 4,274 $6K
J7030 Infusion, normal saline solution , 1000 cc 12,731 9,936 $5K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 14 14 $5K
83036 Hemoglobin; glycosylated (A1C) 1,644 1,459 $5K
85379 1,431 1,271 $5K
83735 6,416 4,537 $5K
81001 12,138 10,225 $4K
73130 600 547 $4K
80061 Lipid panel 1,122 998 $4K
83690 8,271 6,875 $4K
83605 3,887 3,082 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4,772 4,393 $4K
83880 972 747 $4K
80143 1,122 993 $4K
84703 6,747 5,838 $4K
76000 140 130 $4K
12011 12 12 $3K
96376 1,117 958 $3K
86140 947 781 $3K
87070 4,398 3,993 $3K
73110 534 503 $3K
87186 1,918 1,667 $3K
70491 12 12 $2K
82947 2,857 1,892 $2K
84439 296 269 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material 40 29 $2K
80179 1,069 947 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 8,985 6,926 $2K
80047 899 696 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 457 365 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 781 690 $2K
87077 1,600 1,384 $2K
85651 1,225 1,013 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 69 26 $1K
71271 17 14 $1K
85730 2,778 2,223 $1K
82565 773 711 $1K
81003 6,923 5,930 $1K
82077 2,018 1,753 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 862 787 $1K
70486 14 13 $1K
97167 16 12 $1K
84702 1,011 835 $1K
86850 679 588 $993.62
86900 1,303 1,106 $950.56
82803 697 563 $822.28
87205 698 595 $674.39
J1650 Injection, enoxaparin sodium, 10 mg 757 418 $664.14
86901 1,306 1,106 $536.78
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,750 3,473 $513.06
82728 46 45 $417.06
J2270 Injection, morphine sulfate, up to 10 mg 2,679 1,906 $389.84
72100 12 12 $379.22
S0020 Injection, bupivicaine hydrochloride, 30 ml 148 130 $358.30
82607 54 51 $357.25
87147 598 549 $319.08
97530 Therapeutic activities, direct patient contact, each 15 minutes 28 13 $316.95
86617 35 29 $296.35
73502 26 25 $286.87
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 8,322 5,915 $278.85
72050 14 13 $277.70
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 44 41 $272.96
83540 71 70 $239.92
80076 61 54 $209.42
J0696 Injection, ceftriaxone sodium, per 250 mg 3,933 3,221 $202.73
83520 25 25 $184.71
87210 603 539 $171.13
87899 82 57 $169.51
85018 56 49 $165.07
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 22 19 $152.95
83550 28 27 $131.59
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,121 940 $114.57
86618 41 38 $104.71
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 1,180 1,081 $99.93
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,360 1,144 $99.18
J1815 Injection, insulin, per 5 units 408 217 $98.17
86038 14 13 $86.02
82962 252 129 $85.64
73090 12 12 $74.33
82570 30 25 $66.19
C1769 Guide wire 73 61 $53.61
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 745 576 $52.39
A9270 Non-covered item or service 3,626 1,091 $51.00
82784 13 12 $50.54
86308 88 88 $45.68
J2550 Injection, promethazine hcl, up to 50 mg 625 385 $38.14
J2060 Injection, lorazepam, 2 mg 463 387 $33.17
73080 13 13 $28.84
82274 44 38 $27.31
82248 18 12 $20.40
83498 12 12 $13.84
J2765 Injection, metoclopramide hcl, up to 10 mg 237 211 $12.49
A6257 Transparent film, sterile, 16 sq. in. or less, each dressing 218 190 $10.00
J8540 Dexamethasone, oral, 0.25 mg 14 13 $7.17
J3475 Injection, magnesium sulfate, per 500 mg 127 112 $5.47
82330 226 157 $4.91
J3490 Unclassified drugs 1,882 1,545 $4.50
J0780 Injection, prochlorperazine, up to 10 mg 95 91 $3.96
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 255 218 $3.42
J0690 Injection, cefazolin sodium, 500 mg 226 167 $3.41
J1644 Injection, heparin sodium, per 1000 units 20 13 $2.30
J3535 Drug administered through a metered dose inhaler 40 37 $2.00
C9113 Injection, pantoprazole sodium, per vial 15 13 $1.38
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 12 12 $0.69
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 59 54 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 56 53 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 101 89 $0.00
J1171 Injection, hydromorphone, 0.1 mg 49 36 $0.00
S4991 Nicotine patches, non-legend 19 12 $0.00
73140 12 12 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 43 26 $0.00
J3370 Injection, vancomycin hcl, 500 mg 21 12 $0.00
S0028 Injection, famotidine, 20 mg 39 37 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 59 47 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 109 98 $0.00
J7050 Infusion, normal saline solution, 250 cc 1,681 1,450 $0.00
82150 13 13 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 273 248 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 78 62 $0.00
A9698 Non-radioactive contrast imaging material, not otherwise classified, per study 27 27 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 14 14 $0.00
87807 25 21 $0.00