Medicaid Provider Spending

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

BAPTIST MEMORIAL HOSPITAL-TIPTON

NPI: 1316901937 · COVINGTON, TN 38019 · General Acute Care Hospital · NPI assigned 04/12/2006

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

Authorized official DUCKETT, GREGORY controls 20+ related entities in our dataset. Read more

$13.88M
Total Medicaid Paid
523,646
Total Claims
382,279
Beneficiaries
113
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDUCKETT, GREGORY (SR VP/ CLO)
Parent OrganizationBAPTIST MEMORIAL HEALTH CARE CORP.
NPI Enumeration Date04/12/2006

Related Entities

Other providers sharing the same authorized official: DUCKETT, GREGORY

ProviderCityStateTotal Paid
BAPTIST MEMORIAL HOSPITAL - GOLDEN TRIANGLE INC. COLUMBUS MS $56.02M
BAPTIST MEMORIAL HOSPITAL MEMPHIS TN $51.45M
MISSISSIPPI BAPTIST MEDICAL CENTER, INC. JACKSON MS $42.05M
BAPTIST MEMORIAL HOSPITAL-DESOTO, INC, SOUTHAVEN MS $41.70M
BAPTIST MEMORIAL HOSPITAL NORTH MISSISSIPPI, INC OXFORD MS $38.92M
BAPTIST MEMORIAL MEDICAL GROUP INC MEMPHIS TN $35.67M
BAPTIST MEMORIAL HOSPITAL UNION COUNTY, INC. NEW ALBANY MS $32.79M
ANDERSON REGIONAL MEDICAL CENTER MERIDIAN MS $32.50M
BAPTIST MEMORIAL HOSPITAL-JONESBORO INC JONESBORO AR $17.05M
NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. JONESBORO AR $12.83M
BAPTIST MEDICAL CENTER - YAZOO, INC YAZOO CITY MS $11.60M
BAPTIST MEMORIAL HOSPITAL- UNION CITY INC UNION CITY TN $9.08M
BAPTIST MEDICAL CENTER-LEAKE INC CARTHAGE MS $8.26M
MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC. JACKSON MS $7.52M
BAPTIST MEMORIAL HOSPITAL-BOONEVILLE, INC. BOONEVILLE MS $7.14M
ANDERSON REGIONAL MEDICAL CENTER MERIDIAN MS $4.16M
BAPTIST MINOR MEDICAL CENTERS INC MEMPHIS TN $3.02M
ANDERSON PHYSICIAN ALLIANCE, INC. MERIDIAN MS $2.73M
BAPTIST MEMORIAL HOSPITAL-HUNTINGDON HUNTINGDON TN $2.49M
BAPTIST MEDICAL CENTER-LEAKE, INC. CARTHAGE MS $2.23M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 46,937 $2.04M
2019 52,567 $1.62M
2020 73,984 $1.60M
2021 100,080 $2.25M
2022 98,292 $2.38M
2023 93,840 $2.30M
2024 57,946 $1.68M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 22,444 19,299 $3.47M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 13,257 10,730 $2.69M
99283 Emergency department visit for the evaluation and management, moderate severity 22,216 20,073 $2.41M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 6,300 3,007 $511K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 11,645 9,534 $459K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,865 5,355 $369K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 67,702 44,812 $360K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 16,077 11,541 $325K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,629 9,898 $277K
80053 Comprehensive metabolic panel 62,041 41,707 $232K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 5,188 4,460 $180K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,174 3,774 $180K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 23,251 10,713 $178K
96375 Therapeutic injection; each additional sequential IV push 9,193 6,872 $173K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3,241 3,031 $163K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 2,276 2,080 $145K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,067 880 $125K
G0378 Hospital observation service, per hour 1,188 469 $113K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 9,507 8,407 $110K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 11,451 8,620 $107K
84484 7,936 4,607 $106K
71045 Radiologic examination, chest; single view 9,041 7,415 $105K
36415 Collection of venous blood by venipuncture 57,667 40,673 $92K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,400 2,245 $85K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,449 401 $73K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,658 1,288 $71K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,049 1,759 $69K
96361 Intravenous infusion, hydration; each additional hour 2,965 2,360 $67K
J1439 Injection, ferric carboxymaltose, 1 mg 46 26 $62K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 11,542 7,655 $54K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 315 295 $52K
70450 Computed tomography, head or brain; without contrast material 888 709 $50K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,157 3,849 $48K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,126 2,328 $37K
71046 Radiologic examination, chest; 2 views 1,734 1,587 $34K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 1,521 1,411 $32K
99215 Prolong outpt/office vis 889 622 $27K
83735 6,151 4,509 $27K
81025 6,422 5,805 $26K
81003 22,638 18,910 $21K
83690 2,814 2,316 $16K
82728 5,391 3,645 $15K
87807 1,272 1,238 $13K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 8,843 6,233 $12K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 198 178 $11K
74176 Computed tomography, abdomen and pelvis; without contrast material 156 127 $11K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 145 127 $11K
83550 5,142 3,456 $10K
83540 5,149 3,456 $7K
70551 Magnetic resonance imaging, brain; without contrast material 26 25 $7K
83605 808 598 $5K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 476 394 $4K
82607 2,352 1,601 $4K
83880 312 250 $3K
80048 Basic metabolic panel (calcium, ionized) 794 657 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,867 2,311 $3K
82746 2,356 1,616 $3K
87086 Culture, bacterial; quantitative colony count, urine 324 260 $3K
96367 130 73 $2K
85027 494 422 $2K
87040 201 105 $2K
83615 3,098 1,893 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 30 24 $2K
96417 35 24 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,328 987 $1K
84703 155 134 $1K
84443 Thyroid stimulating hormone (TSH) 120 88 $1K
85379 106 92 $962.71
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 841 527 $955.16
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 107 93 $819.85
0031A 19 19 $704.00
96376 72 27 $678.55
84100 1,136 682 $666.96
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 24 14 $600.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 33 31 $575.07
84702 16 14 $372.19
82150 66 52 $297.44
J2270 Injection, morphine sulfate, up to 10 mg 606 454 $256.17
84132 19 13 $224.98
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 45 36 $185.04
36416 106 72 $140.00
82378 110 68 $115.93
86300 160 76 $112.02
99442 17 12 $106.91
85652 72 51 $95.66
J1170 Injection, hydromorphone, up to 4 mg 134 117 $91.39
80061 Lipid panel 28 28 $90.23
J1200 Injection, diphenhydramine hcl, up to 50 mg 210 126 $85.86
J2550 Injection, promethazine hcl, up to 50 mg 102 93 $85.05
73610 13 12 $82.77
87210 19 12 $71.29
J0780 Injection, prochlorperazine, up to 10 mg 30 24 $60.91
86140 71 50 $59.56
81001 44 40 $52.00
85610 34 29 $41.73
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,427 1,973 $21.42
J7050 Infusion, normal saline solution, 250 cc 145 64 $20.14
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 25 13 $2.16
J1885 Injection, ketorolac tromethamine, per 15 mg 5,525 4,536 $1.85
91303 19 19 $0.03
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 777 672 $0.02
J2360 Injection, orphenadrine citrate, up to 60 mg 17 12 $0.00
A9270 Non-covered item or service 3,455 2,436 $0.00
84238 100 68 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 274 221 $0.00
J2704 Injection, propofol, 10 mg 96 77 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 85 66 $0.00
J8540 Dexamethasone, oral, 0.25 mg 22 13 $0.00
J7030 Infusion, normal saline solution , 1000 cc 3,217 2,643 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 823 595 $0.00
85045 44 25 $0.00
84439 17 13 $0.00
J7510 Prednisolone oral, per 5 mg 16 15 $0.00