Medicaid Provider Spending

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

DICKENSON COMMUNITY HOSPITAL, INC.

NPI: 1285685727 · CLINTWOOD, VA 24228 · Critical Access Hospital · NPI assigned 05/12/2006

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

Authorized official HILTON, SHANE controls 20+ related entities in our dataset. Read more

$6.94M
Total Medicaid Paid
142,384
Total Claims
120,107
Beneficiaries
101
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHILTON, SHANE (EVP/CFO)
NPI Enumeration Date05/12/2006

Related Entities

Other providers sharing the same authorized official: HILTON, SHANE

ProviderCityStateTotal Paid
JOHNSTON MEMORIAL HOSPITAL, INC ABINGDON VA $35.91M
WELLMONT HEALTH SYSTEM BIG STONE GAP VA $33.71M
MOUNTAIN STATES HEALTH ALLIANCE JOHNSON CITY TN $31.31M
WELLMONT MEDICAL ASSOCIATES INC KINGSPORT TN $27.84M
WELLMONT HEALTH SYSTEM BRISTOL TN $27.35M
TAKOMA REGIONAL HOSPITAL INC GREENEVILLE TN $20.22M
WELLMONT HEALTH SYSTEM KINGSPORT TN $17.64M
MOUNTAIN STATES HEALTH ALLIANCE KINGSPORT TN $15.47M
SMYTH COUNTY COMMUNITY HOSPITAL MARION VA $15.33M
MOUNTAIN STATES HEALTH ALLIANCE LEBANON VA $11.37M
MOUNTAIN STATES HEALTH ALLIANCE PENNINGTON GAP VA $8.28M
MOUNTAIN STATES HEALTH ALLIANCE JOHNSON CITY TN $8.14M
MOUNTAIN STATES HEALTH ALLIANCE ELIZABETHTON TN $7.25M
WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL INC ROGERSVILLE TN $5.11M
EAST TENNESSEE HEALTHCARE HOLDINGS INC GRAY TN $3.30M
MOUNTAIN STATES HEALTH ALLIANCE MOUNTAIN CITY TN $3.03M
WELLMONT HEALTH SYSTEM SNEEDVILLE TN $1.90M
MOUNTAIN STATES HEALTH ALLIANCE ERWIN TN $1.48M
WILSON PHARMACY INC JOHNSON CITY TN $1.26M
MOUNTAIN STATES HEALTH ALLIANCE NORTON VA $376K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,051 $384K
2019 22,437 $662K
2020 18,098 $862K
2021 20,177 $1.06M
2022 22,334 $1.28M
2023 25,256 $1.63M
2024 16,031 $1.06M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 8,992 7,915 $2.09M
99283 Emergency department visit for the evaluation and management, moderate severity 6,847 6,086 $1.16M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,280 3,709 $890K
96361 Intravenous infusion, hydration; each additional hour 2,073 1,758 $872K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3,399 3,100 $282K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,451 1,319 $225K
70450 Computed tomography, head or brain; without contrast material 826 758 $223K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,206 1,108 $206K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,519 1,341 $175K
74176 Computed tomography, abdomen and pelvis; without contrast material 449 415 $121K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,284 1,128 $104K
74177 Computed tomography, abdomen and pelvis; with contrast material 276 252 $76K
80053 Comprehensive metabolic panel 11,047 9,136 $66K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 607 547 $46K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 258 233 $40K
71046 Radiologic examination, chest; 2 views 2,943 2,657 $39K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 107 79 $35K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 750 611 $35K
36415 Collection of venous blood by venipuncture 7,052 5,847 $30K
84443 Thyroid stimulating hormone (TSH) 3,290 2,989 $23K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 896 835 $19K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 195 164 $17K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 11,744 9,424 $16K
80061 Lipid panel 2,316 2,152 $14K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,810 3,701 $12K
80048 Basic metabolic panel (calcium, ionized) 2,382 2,045 $12K
83036 Hemoglobin; glycosylated (A1C) 1,844 1,721 $10K
87040 1,421 709 $9K
72100 299 285 $8K
83880 748 652 $7K
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 490 426 $7K
84484 3,962 2,693 $5K
85027 1,259 1,125 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,495 3,069 $5K
81001 4,720 4,093 $4K
84439 577 537 $4K
82607 641 591 $4K
87077 1,585 1,442 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,005 1,377 $3K
73562 117 99 $3K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,110 3,553 $3K
71045 Radiologic examination, chest; single view 2,212 1,886 $2K
J3490 Unclassified drugs 704 563 $2K
87086 Culture, bacterial; quantitative colony count, urine 866 749 $2K
83605 2,313 1,710 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,861 1,702 $2K
74018 85 82 $2K
80306 720 632 $2K
81003 2,313 2,095 $2K
80329 84 37 $2K
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 117 109 $2K
J0561 Injection, penicillin g benzathine, 100,000 units 28 26 $1K
87088 782 689 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,501 2,221 $1K
73610 77 68 $873.86
96375 Therapeutic injection; each additional sequential IV push 2,682 2,236 $850.74
81025 1,671 1,502 $840.83
85610 912 664 $832.62
73630 29 27 $783.04
83735 1,217 1,040 $703.98
85379 288 256 $641.39
80320 176 153 $564.41
80143 128 110 $548.08
99406 14 13 $517.82
83690 1,755 1,542 $513.52
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 30 26 $451.94
90715 14 12 $448.41
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 20 20 $413.94
J2360 Injection, orphenadrine citrate, up to 60 mg 67 60 $380.48
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,924 1,610 $366.78
80179 130 110 $325.63
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,217 1,140 $323.41
87186 519 460 $280.26
80076 127 121 $277.16
96376 366 270 $234.60
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 28 24 $220.96
J0696 Injection, ceftriaxone sodium, per 250 mg 1,109 971 $161.88
82140 57 50 $141.86
87081 661 599 $101.78
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 742 670 $99.44
94761 417 326 $76.34
J1100 Injection, dexamethasone sodium phosphate, 1 mg 545 501 $74.97
J7030 Infusion, normal saline solution , 1000 cc 483 396 $58.36
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 15 12 $51.31
82150 29 25 $37.38
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 391 341 $30.64
85730 106 93 $27.28
82043 12 12 $21.90
87070 15 13 $21.00
82248 17 15 $20.82
82570 12 12 $17.17
84100 77 63 $12.43
87205 15 13 $10.48
87807 99 95 $8.19
J1170 Injection, hydromorphone, up to 4 mg 193 128 $6.54
J2270 Injection, morphine sulfate, up to 10 mg 30 24 $3.33
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 14 12 $0.43
82803 15 12 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 51 48 $0.00
J7510 Prednisolone oral, per 5 mg 13 13 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 17 17 $0.00