Medicaid Provider Spending

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

BRODSTONE MEMORIAL HOSPITAL

NPI: 1306842604 · SUPERIOR, NE 68978 · Critical Access Hospital · NPI assigned 06/22/2005

$621K
Total Medicaid Paid
17,154
Total Claims
14,825
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialVYZOUREK, TREG (CEO)
NPI Enumeration Date06/22/2005

Related Entities

Other providers sharing the same authorized official: VYZOUREK, TREG

ProviderCityStateTotal Paid
BRODSTONE MEMORIAL HOSPITAL SUPERIOR NE $791K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,412 $82K
2019 3,180 $125K
2020 2,292 $80K
2021 3,185 $114K
2022 3,654 $139K
2023 1,814 $62K
2024 617 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 662 548 $116K
80053 Comprehensive metabolic panel 2,219 2,003 $105K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,544 2,207 $82K
36415 Collection of venous blood by venipuncture 4,056 3,371 $44K
84443 Thyroid stimulating hormone (TSH) 981 960 $33K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 521 142 $27K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 350 338 $25K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 210 185 $24K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 921 753 $22K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 772 712 $20K
81001 926 825 $19K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 557 488 $18K
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 113 113 $15K
80061 Lipid panel 343 339 $13K
80048 Basic metabolic panel (calcium, ionized) 350 312 $9K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 109 106 $7K
81003 344 338 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 399 385 $7K
83036 Hemoglobin; glycosylated (A1C) 255 249 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 61 50 $4K
86140 99 87 $3K
99282 Emergency department visit for the evaluation and management, low to moderate severity 19 14 $3K
71046 Radiologic examination, chest; 2 views 16 14 $2K
87631 17 13 $2K
Q3014 Telehealth originating site facility fee 69 62 $2K
87430 40 39 $2K
87634 21 20 $1K
85027 72 71 $1K
87581 17 13 $853.10
87486 17 13 $808.40
J3490 Unclassified drugs 42 28 $683.26
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 17 13 $599.72
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 15 14 $533.26