Medicaid Provider Spending

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

PINEVILLE COMMUNITY HEALTH CENTER INC

NPI: 1285292219 · PINEVILLE, KY 40977 · General Acute Care Hospital · NPI assigned 06/04/2019

$3.65M
Total Medicaid Paid
127,404
Total Claims
84,994
Beneficiaries
99
Codes Billed
2019-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRICHTER, SHERYL (PRESIDENT/CEO)
NPI Enumeration Date06/04/2019

Related Entities

Other providers sharing the same authorized official: RICHTER, SHERYL

ProviderCityStateTotal Paid
PINEVILLE COMMUNITY HEALTH CENTER INC PINEVILLE KY $7.49M
PINEVILLE COMMUNITY HOSPITAL ASSOCIATION, INC. PINEVILLE KY $59K
PINEVILLE COMMUNITY HEALTH CENTER INC PINEVILLE KY $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 5,725 $80K
2020 27,963 $421K
2021 33,232 $600K
2022 23,599 $625K
2023 18,458 $727K
2024 18,427 $1.20M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 7,754 5,738 $897K
99284 Emergency department visit for the evaluation and management, high severity 4,195 2,738 $640K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,770 1,008 $354K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,399 854 $215K
G0378 Hospital observation service, per hour 544 374 $150K
70450 Computed tomography, head or brain; without contrast material 738 484 $115K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,835 2,649 $110K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,312 1,076 $109K
71046 Radiologic examination, chest; 2 views 5,395 3,210 $98K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 3,869 3,020 $96K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,836 1,116 $93K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 847 320 $71K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,878 2,220 $67K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,659 1,769 $61K
36415 Collection of venous blood by venipuncture 20,755 9,852 $56K
80053 Comprehensive metabolic panel 9,206 6,598 $51K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 10,640 7,688 $43K
86328 1,550 1,290 $40K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,304 983 $39K
71045 Radiologic examination, chest; single view 1,218 725 $34K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,586 402 $32K
84443 Thyroid stimulating hormone (TSH) 2,946 2,430 $24K
76700 Ultrasound, abdominal, real time with image documentation; complete 336 272 $23K
80061 Lipid panel 2,568 2,051 $17K
84484 2,750 1,689 $17K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,106 912 $16K
96375 Therapeutic injection; each additional sequential IV push 817 642 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,665 1,478 $15K
80048 Basic metabolic panel (calcium, ionized) 2,550 1,791 $13K
87430 1,177 1,067 $12K
72100 379 287 $11K
82607 1,015 851 $8K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 203 165 $6K
84439 1,235 1,003 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 173 143 $5K
94664 391 261 $5K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 305 283 $5K
84703 1,009 854 $4K
83690 1,211 973 $4K
86769 161 151 $4K
81001 2,437 1,976 $4K
76536 74 60 $4K
73562 185 129 $4K
77067 Screening mammography, bilateral, including computer-aided detection 66 56 $4K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,361 1,759 $3K
83735 1,008 813 $3K
83036 Hemoglobin; glycosylated (A1C) 706 593 $3K
83550 742 629 $3K
82550 746 585 $3K
74177 Computed tomography, abdomen and pelvis; with contrast material 15 12 $3K
83540 783 659 $3K
73610 65 50 $2K
73030 132 91 $2K
83605 325 239 $2K
73630 82 65 $2K
72040 114 81 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 538 372 $2K
87086 Culture, bacterial; quantitative colony count, urine 510 400 $2K
73130 67 53 $2K
74018 48 42 $2K
87420 192 178 $2K
87040 227 122 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,790 1,220 $1K
84436 335 252 $1K
84550 406 322 $1K
85610 229 176 $954.52
81003 794 687 $883.10
85379 193 154 $850.50
74022 22 13 $762.99
72070 35 29 $679.89
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 15 12 $638.16
J2704 Injection, propofol, 10 mg 314 206 $628.11
82150 189 149 $604.21
82948 232 54 $550.62
0012A 44 40 $506.53
99281 Emergency department visit for the evaluation and management, self-limited or minor 19 15 $497.26
J7120 Ringers lactate infusion, up to 1000 cc 255 153 $479.95
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 344 176 $438.50
85652 351 279 $424.09
73502 21 12 $380.45
83880 24 16 $353.36
72110 15 12 $337.09
80320 16 12 $335.15
0011A 41 37 $296.18
85730 91 78 $257.93
J2270 Injection, morphine sulfate, up to 10 mg 210 110 $231.84
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 55 28 $125.61
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 23 15 $110.57
84153 20 12 $104.22
82728 15 14 $99.63
J1956 Injection, levofloxacin, 250 mg 29 12 $99.55
87186 38 27 $95.15
J3010 Injection, fentanyl citrate, 0.1 mg 171 79 $94.35
J0690 Injection, cefazolin sodium, 500 mg 78 55 $64.02
J1170 Injection, hydromorphone, up to 4 mg 25 12 $48.68
J2250 Injection, midazolam hydrochloride, per 1 mg 165 80 $40.29
87205 21 18 $40.13
J7050 Infusion, normal saline solution, 250 cc 34 13 $32.98
81015 35 34 $7.32