Medicaid Provider Spending

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

JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY

NPI: 1295735991 · HOLLIS, OK 73550 · Critical Access Hospital · NPI assigned 07/26/2005

$290K
Total Medicaid Paid
6,077
Total Claims
5,695
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialHARTGRAVES, STEVE (PRESIDENT/CEO)
NPI Enumeration Date07/26/2005

Related Entities

Other providers sharing the same authorized official: HARTGRAVES, STEVE

ProviderCityStateTotal Paid
JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY ALTUS OK $9.01M
JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY ALTUS OK $4.19M
JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY ALTUS OK $2.97M
JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY ALTUS OK $2.90M
JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY MANGUM OK $621K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,384 $73K
2019 668 $40K
2020 408 $30K
2021 1,411 $89K
2022 1,088 $32K
2023 806 $18K
2024 312 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 828 766 $120K
99284 Emergency department visit for the evaluation and management, high severity 318 302 $77K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 142 132 $33K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 396 341 $23K
80053 Comprehensive metabolic panel 1,438 1,351 $15K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,271 1,197 $8K
36415 Collection of venous blood by venipuncture 811 746 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 67 63 $1K
84443 Thyroid stimulating hormone (TSH) 97 97 $1K
99282 Emergency department visit for the evaluation and management, low to moderate severity 13 13 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 43 43 $820.67
80061 Lipid panel 61 61 $720.33
83735 119 117 $696.00
82607 55 55 $686.17
71045 Radiologic examination, chest; single view 54 51 $665.79
83036 Hemoglobin; glycosylated (A1C) 75 75 $643.47
84550 133 131 $525.72
84439 51 51 $354.96
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 24 24 $331.20
87070 40 40 $313.04
71046 Radiologic examination, chest; 2 views 14 12 $286.64
87430 15 15 $224.25
82746 12 12 $156.96