Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Knox Community Hospital

Knox Community Hospital was paid $29.19M by Medicaid between Jan 2018 and Dec 2024, across 338 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 17% of everything it billed.

33Billing provider infoKNOX COMMUNITY HOSPITAL
MOUNT VERNON, OH 43050
33aNPI1295761963assigned 06/24/2006
28Total paid$29.19M
24GClaims749,389
24DCodes billed338
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Ohio

Rank by total paid#39 of 101
Median peer was paid$22.32M
This provider vs. median1.3×

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
201894,030$2.77M
201987,273$2.90M
202070,643$3.66M
202182,724$3.98M
202282,658$3.59M
2023201,415$6.88M
2024incomplete130,646$5.41M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 62,737 56,131 $5.08M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 17% 64,330 57,198 $4.86M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 9.5% 22,712 20,962 $2.76M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 8.0% 20,044 18,755 $2.33M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 4.9% 46,404 40,451 $1.42M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 4.3% 10,150 8,906 $1.25M
31231 2.5% 3,890 3,473 $738K
74177 Computed tomography, abdomen and pelvis; with contrast material 2.0% 1,992 1,709 $593K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2.0% 7,256 2,666 $582K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.8% 8,759 2,264 $522K
70450 Computed tomography, head or brain; without contrast material 1.6% 2,251 2,010 $475K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1.6% 5,117 4,374 $464K
326 more codes
95810 Polysomnography; sleep staging with 4 or more additional parameters 1.6% 1,118 $461K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1.5% 3,463 $449K
20610 1.4% 2,748 $408K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1.2% 2,997 $347K
80053 Comprehensive metabolic panel 1.1% 34,535 $335K
95811 <1% 607 $270K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 936 $269K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 3,064 $262K
99215 Doctor's office visit, returning patient (complex) <1% 2,086 $232K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 549 $216K
95117 <1% 7,968 $194K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 901 $169K
71275 Computed tomographic angiography, chest, with contrast material <1% 547 $163K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 2,679 $152K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,559 $126K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 3,271 $125K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 3,569 $112K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 437 $111K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 18,788 $106K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 888 $105K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 34,895 $102K
51798 <1% 3,832 $101K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 822 $99K
80048 Basic metabolic panel (calcium, ionized) <1% 6,539 $98K
59025 Fetal non-stress test <1% 548 $97K
36415 Collection of venous blood by venipuncture <1% 56,220 $94K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,236 $84K
84443 Thyroid stimulating hormone (TSH) <1% 6,373 $79K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 294 $75K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 612 $69K
83036 Hemoglobin; glycosylated (A1C) <1% 5,426 $68K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 7,003 $62K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 190 $62K
G0378 Hospital observation service, per hour <1% 963 $62K
87086 Culture, bacterial; quantitative colony count, urine <1% 6,536 $60K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 496 $59K
97535 Self-care/home management training, each 15 minutes <1% 1,623 $56K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 491 $54K
80061 Lipid panel <1% 3,212 $50K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 2,890 $50K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 2,101 $47K
86900 <1% 1,839 $46K
31575 <1% 237 $44K
97161 <1% 830 $41K
70486 <1% 374 $40K
84439 <1% 2,446 $39K
59430 <1% 499 $38K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 387 $37K
31237 <1% 86 $37K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 8,118 $36K
83970 <1% 1,140 $35K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 293 $35K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 403 $33K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 12,089 $33K
84484 <1% 8,085 $33K
85027 <1% 5,558 $32K
76801 <1% 384 $30K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,628 $30K
88142 <1% 1,933 $30K
82607 <1% 1,549 $28K
71046 Radiologic examination, chest; 2 views <1% 2,806 $27K
76536 <1% 258 $26K
76830 Ultrasound, transvaginal <1% 237 $26K
87806 <1% 699 $26K
77067 Screening mammography, bilateral, including computer-aided detection <1% 759 $26K
86850 <1% 1,772 $25K
76642 <1% 189 $24K
73564 <1% 1,923 $24K
71045 Radiologic examination, chest; single view <1% 7,868 $22K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 1,299 $21K
52000 <1% 33 $21K
97165 <1% 361 $20K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 630 $20K
80320 <1% 1,620 $20K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,324 $20K
99223 Prolong inpt eval add15 m <1% 405 $19K
81001 <1% 15,360 $19K
99232 Hospital visit by a doctor, follow-up day <1% 1,055 $19K
83735 <1% 9,259 $18K
92557 <1% 407 $17K
93017 <1% 246 $17K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 702 $16K
84481 <1% 1,023 $16K
86803 <1% 825 $16K
83655 <1% 676 $16K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 106 $15K
76770 <1% 119 $15K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 823 $14K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 111 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,578 $13K
0002A <1% 355 $13K
77063 Screening digital breast tomosynthesis, bilateral <1% 321 $13K
86901 <1% 1,721 $12K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 68 $12K
0001A <1% 376 $12K
99406 <1% 940 $12K
82728 <1% 899 $12K
71250 <1% 144 $12K
97162 <1% 298 $11K
73630 <1% 1,087 $11K
90715 <1% 603 $11K
72125 Computed tomography, cervical spine; without contrast material <1% 446 $11K
85610 <1% 5,229 $11K
74018 <1% 601 $11K
73030 <1% 851 $11K
93971 <1% 157 $10K
90686 <1% 1,120 $10K
84100 <1% 1,634 $10K
86140 <1% 769 $9K
84153 <1% 546 $9K
99239 Hospital discharge day management, more than 30 minutes <1% 379 $9K
83550 <1% 866 $9K
84450 <1% 1,021 $9K
92567 <1% 560 $9K
73130 <1% 858 $9K
94060 <1% 177 $8K
96127 <1% 147 $8K
87340 <1% 530 $8K
94729 <1% 157 $8K
97113 <1% 177 $8K
70496 <1% 30 $8K
69210 <1% 562 $8K
80076 <1% 521 $8K
84702 <1% 1,099 $8K
93225 <1% 106 $8K
83540 <1% 952 $8K
72100 <1% 230 $7K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 236 $7K
73610 <1% 938 $7K
73110 <1% 662 $7K
97116 <1% 262 $7K
93922 <1% 88 $7K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 18 $7K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,537 $6K
95886 <1% 84 $6K
86592 <1% 395 $6K
82570 <1% 732 $6K
83605 <1% 1,697 $6K
73502 <1% 425 $6K
92587 <1% 252 $6K
84460 <1% 1,037 $5K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 725 $5K
84156 <1% 659 $5K
87077 <1% 1,696 $5K
87186 <1% 1,696 $5K
87070 <1% 1,002 $5K
93970 <1% 29 $5K
96376 <1% 1,305 $5K
83690 <1% 8,868 $5K
84403 <1% 330 $4K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 300 $4K
82043 <1% 694 $4K
86762 <1% 309 $4K
84402 <1% 222 $4K
99204 Doctor's office visit, new patient (more involved) <1% 117 $4K
73560 <1% 490 $4K
86038 <1% 280 $4K
93226 <1% 109 $4K
82565 <1% 635 $4K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 105 $4K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 131 $4K
85007 <1% 1,427 $4K
82948 <1% 1,980 $4K
82950 <1% 300 $4K
51741 <1% 835 $4K
94726 <1% 130 $4K
86787 <1% 292 $4K
81025 <1% 2,077 $3K
85652 <1% 780 $3K
84703 <1% 2,684 $3K
87522 Neg quan hep c or qual rna <1% 98 $3K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 4,341 $3K
81003 <1% 5,307 $3K
73620 <1% 530 $3K
11720 <1% 175 $3K
93296 <1% 263 $3K
85014 <1% 542 $3K
72110 <1% 172 $3K
70498 <1% 50 $3K
86200 <1% 79 $3K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 13 $3K
87631 <1% 69 $3K
99238 Hospital discharge day management, 30 minutes or less <1% 102 $2K
93299 <1% 101 $2K
C9290 Injection, bupivacaine liposome, 1 mg <1% 14 $2K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 20 $2K
87081 <1% 309 $2K
73221 <1% 12 $2K
96375 Therapeutic injection; each additional sequential IV push <1% 2,151 $2K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 224 $2K
J1170 Injection, hydromorphone, up to 4 mg <1% 2,682 $2K
86003 <1% 176 $2K
12001 <1% 16 $2K
82040 <1% 190 $2K
85018 <1% 555 $2K
85730 <1% 3,989 $2K
84550 <1% 360 $2K
85379 <1% 916 $2K
99217 <1% 75 $2K
80329 <1% 219 $2K
84436 <1% 1,211 $2K
83880 <1% 798 $1K
82746 <1% 150 $1K
99220 <1% 34 $1K
76827 <1% 111 $1K
76937 <1% 63 $1K
0004A <1% 36 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 3,327 $1K
72131 <1% 29 $1K
72072 <1% 54 $1K
J7030 Infusion, normal saline solution , 1000 cc <1% 7,756 $1K
90656 <1% 155 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 55 $1K
88304 <1% 218 $1K
73590 <1% 79 $1K
82550 <1% 365 $1K
97802 <1% 13 $1K
88341 <1% 19 $973.38
J7120 Ringers lactate infusion, up to 1000 cc <1% 4,152 $944.93
80349 <1% 44 $931.59
80361 <1% 27 $915.34
87040 <1% 770 $909.09
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,009 $879.23
82652 <1% 52 $810.76
84146 <1% 39 $809.31
86376 <1% 47 $799.69
83615 <1% 184 $781.03
86705 <1% 47 $745.90
95909 <1% 12 $720.73
73140 <1% 61 $666.87
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 1,209 $646.03
93976 <1% 19 $644.03
86709 <1% 46 $625.94
83001 <1% 40 $611.04
82670 <1% 37 $605.02
77066 Tomosynthesis, mammo <1% 26 $585.07
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,472 $554.59
J1650 Injection, enoxaparin sodium, 10 mg <1% 652 $536.55
99152 <1% 51 $506.85
Q3014 Telehealth originating site facility fee <1% 75 $489.97
86431 <1% 40 $488.42
82140 <1% 127 $474.64
91035 <1% 122 $446.35
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 141 $439.74
80358 <1% 27 $433.22
83883 <1% 15 $401.40
J1644 Injection, heparin sodium, per 1000 units <1% 1,018 $395.06
83516 <1% 14 $377.80
80324 <1% 27 $356.23
80346 <1% 27 $356.22
80345 <1% 27 $356.22
87481 <1% 12 $332.00
82951 <1% 12 $328.32
80306 <1% 325 $321.23
69209 <1% 32 $319.49
00731 <1% 133 $317.69
86703 <1% 37 $304.43
86618 <1% 29 $302.61
72052 <1% 12 $295.49
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 3,186 $287.10
J3475 Injection, magnesium sulfate, per 500 mg <1% 92 $270.59
86800 <1% 16 $260.38
82784 <1% 14 $246.24
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 652 $233.76
80353 <1% 27 $216.60
73080 <1% 14 $204.34
86706 <1% 16 $200.05
J2060 Injection, lorazepam, 2 mg <1% 624 $185.71
82248 <1% 30 $182.91
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 7,311 $172.09
71101 <1% 25 $170.19
84207 <1% 13 $168.50
11721 <1% 14 $166.97
J0690 Injection, cefazolin sodium, 500 mg <1% 1,177 $160.70
99490 Ccm add 20min <1% 403 $159.23
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 2,464 $156.96
J3370 Injection, vancomycin hcl, 500 mg <1% 204 $148.10
73070 <1% 13 $145.95
J1030 Injection, methylprednisolone acetate, 40 mg <1% 362 $140.42
72040 <1% 14 $131.94
84425 <1% 12 $131.53
80366 <1% 29 $116.41
G0008 Administration of influenza virus vaccine <1% 132 $111.46
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,107 $99.94
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 639 $93.46
87147 <1% 34 $91.71
82150 <1% 76 $88.51
J2704 Injection, propofol, 10 mg <1% 4,168 $72.76
J7050 Infusion, normal saline solution, 250 cc <1% 1,550 $65.93
J3010 Injection, fentanyl citrate, 0.1 mg <1% 4,117 $63.17
85055 <1% 19 $62.86
82800 <1% 67 $53.92
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 34 $37.82
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 168 $29.36
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 82 $26.92
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg <1% 56 $25.99
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 4,108 $23.08
J1171 Injection, hydromorphone, 0.1 mg <1% 65 $22.92
C9113 Injection, pantoprazole sodium, per vial <1% 22 $18.60
J3480 Injection, potassium chloride, per 2 meq <1% 55 $16.05
87075 <1% 16 $15.36
J1040 Injection, methylprednisolone acetate, 80 mg <1% 48 $14.87
90670 <1% 77 $10.98
G0444 Annual depression screening, 5 to 15 minutes <1% 366 $9.84
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 15 $8.84
91300 <1% 800 $7.57
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 63 $6.60
J1940 Injection, furosemide, up to 20 mg <1% 59 $4.08
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 56 $2.56
94760 <1% 1,856 $1.19
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 169 $0.31
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 80 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 76 $0.00
87400 0% 14 $0.00
00170 Anesthesia for intraoral procedures, including biopsy 0% 13 $0.00
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 0% 203 $0.00
80143 0% 15 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 0% 331 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 17 $0.00
00840 0% 19 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 108 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 0% 130 $0.00
73090 0% 15 $0.00
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 0% 24 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 12 $0.00
00160 0% 13 $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 officialO'BRIEN, DANIELLE (CFO)
Same official

Other billing entities under O'BRIEN, DANIELLE

Full network →
ProviderLocationPaid
Knox Community HospitalMount Vernon, OH$5.70M
Knox Community HospitalMount Vernon, OH$113K
Knox Community HospitalMount Vernon, OH$31K
Knox Community HospitalMount Vernon, OH$5K

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