Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Miamisburg › NPI 1316966518
Hospital

Kettering Medical Center

Kettering Medical Center was paid $20.00M by Medicaid between Jan 2018 and Dec 2024, across 256 billing codes. Its largest line is 99283, emergency room visit (moderate) — 18% of everything it billed.

33Billing provider infoKETTERING MEDICAL CENTER
MIAMISBURG, OH 45342
33aNPI1316966518assigned 07/19/2006
28Total paid$20.00M
24GClaims465,851
24DCodes billed256
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Psychiatric Hospital Unit providers in Ohio

Rank by total paid#5 of 6
Median peer was paid$22.82M
This provider vs. median0.9×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official KO, TIMOTHY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
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
201835,247$1.54M
201925,517$1.27M
202015,993$1.09M
202123,169$1.36M
202237,309$1.85M
2023186,020$7.77M
2024incomplete142,596$5.12M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 18% 32,079 29,545 $3.67M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 14% 20,912 18,917 $2.73M
96361 Intravenous infusion, hydration; each additional hour 13% 9,530 6,521 $2.69M
29581 6.5% 13,116 3,442 $1.30M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 4.2% 6,798 5,688 $846K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 3.7% 9,851 7,816 $732K
70450 Computed tomography, head or brain; without contrast material 3.6% 3,084 2,597 $720K
74177 Computed tomography, abdomen and pelvis; with contrast material 3.2% 2,646 2,240 $632K
74176 Computed tomography, abdomen and pelvis; without contrast material 2.7% 2,130 1,787 $549K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2.1% 811 738 $413K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.5% 2,519 2,348 $308K
62323 1.4% 725 636 $287K
244 more codes
G0378 Hospital observation service, per hour 1.4% 4,148 $279K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.4% 1,349 $274K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography 1.3% 1,216 $256K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.2% 2,339 $249K
H2020 Therapeutic behavioral services, per diem 1.0% 1,623 $207K
71275 Computed tomographic angiography, chest, with contrast material <1% 717 $195K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,314 $189K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 2,709 $184K
80048 Basic metabolic panel (calcium, ionized) <1% 29,476 $159K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,454 $156K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,246 $152K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,210 $146K
64493 <1% 199 $141K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 220 $136K
64483 <1% 270 $121K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 6,754 $114K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 2,920 $106K
76642 <1% 824 $104K
62321 <1% 229 $103K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 670 $101K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 456 $87K
G0238 Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) <1% 525 $76K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,592 $73K
71250 <1% 646 $58K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 736 $55K
76830 Ultrasound, transvaginal <1% 660 $54K
71046 Radiologic examination, chest; 2 views <1% 3,183 $52K
80053 Comprehensive metabolic panel <1% 4,378 $50K
70496 <1% 180 $49K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 434 $43K
93971 <1% 645 $37K
72131 <1% 687 $34K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 36,560 $31K
97162 <1% 834 $31K
95811 <1% 41 $31K
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 <1% 161 $30K
20610 <1% 154 $29K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 2,266 $29K
71271 <1% 175 $27K
97161 <1% 438 $22K
77065 Tomosynthesis, mammo <1% 611 $22K
84443 Thyroid stimulating hormone (TSH) <1% 3,067 $21K
82805 <1% 969 $20K
64635 <1% 39 $20K
12001 <1% 130 $20K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,164 $19K
93356 <1% 86 $19K
93970 <1% 172 $18K
73030 <1% 920 $18K
72125 Computed tomography, cervical spine; without contrast material <1% 1,268 $18K
80061 Lipid panel <1% 1,836 $17K
71045 Radiologic examination, chest; single view <1% 7,879 $17K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,783 $17K
72100 <1% 530 $17K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 12,525 $17K
97166 <1% 527 $17K
74018 <1% 467 $16K
36415 Collection of venous blood by venipuncture <1% 11,215 $16K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 821 $16K
77066 Tomosynthesis, mammo <1% 432 $16K
82607 <1% 1,259 $16K
73630 <1% 1,098 $15K
84484 <1% 10,175 $14K
80076 <1% 8,809 $14K
73562 <1% 567 $14K
86850 <1% 719 $13K
J3490 Unclassified drugs <1% 3,820 $12K
82728 <1% 1,115 $11K
96367 <1% 493 $11K
97116 <1% 477 $11K
84439 <1% 886 $11K
83036 Hemoglobin; glycosylated (A1C) <1% 1,782 $11K
73130 <1% 787 $10K
86900 <1% 923 $10K
80069 <1% 2,056 $10K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 11,923 $10K
90791 Psychiatric diagnostic evaluation <1% 84 $9K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 271 $9K
72110 <1% 152 $9K
73610 <1% 757 $9K
73560 <1% 623 $9K
70486 <1% 303 $9K
70551 Magnetic resonance imaging, brain; without contrast material <1% 47 $8K
97535 Self-care/home management training, each 15 minutes <1% 331 $8K
64494 <1% 361 $8K
90715 <1% 545 $8K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 723 $8K
93017 <1% 97 $7K
43235 <1% 13 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 7,549 $7K
96375 Therapeutic injection; each additional sequential IV push <1% 7,818 $7K
73502 <1% 438 $7K
83540 <1% 1,150 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 545 $6K
76536 <1% 54 $6K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 25 $6K
73110 <1% 506 $5K
27096 <1% 27 $5K
83550 <1% 1,110 $5K
J0500 Injection, dicyclomine hcl, up to 20 mg <1% 369 $5K
88307 <1% 33 $5K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 21 $5K
72128 <1% 241 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 7,003 $4K
83735 <1% 3,354 $4K
85027 <1% 1,419 $4K
81001 <1% 12,198 $4K
72040 <1% 110 $4K
10060 <1% 26 $4K
J1610 Injection, glucagon hydrochloride, per 1 mg <1% 19 $4K
87086 Culture, bacterial; quantitative colony count, urine <1% 2,053 $3K
96376 <1% 1,989 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 2,852 $3K
82746 <1% 1,058 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,015 $3K
85610 <1% 2,209 $3K
87529 <1% 1,656 $2K
73590 <1% 243 $2K
81025 <1% 6,715 $2K
84425 <1% 469 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 15 $2K
84590 <1% 443 $2K
83880 <1% 1,053 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,015 $2K
88341 <1% 15 $2K
97165 <1% 34 $2K
84702 <1% 572 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 974 $1K
73080 <1% 153 $1K
94060 <1% 12 $1K
83690 <1% 7,060 $1K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 31 $1K
77002 <1% 284 $1K
71101 <1% 107 $1K
87077 <1% 1,225 $1K
86803 <1% 32 $1K
85007 <1% 694 $1K
J1650 Injection, enoxaparin sodium, 10 mg <1% 1,957 $1K
81003 <1% 1,980 $1K
94726 <1% 12 $979.16
85651 <1% 593 $976.66
73090 <1% 86 $911.25
84100 <1% 540 $882.24
85378 <1% 1,570 $870.88
86140 <1% 114 $866.55
J7999 Compounded drug, not otherwise classified <1% 361 $846.95
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,436 $842.87
70498 <1% 175 $834.86
94729 <1% 13 $811.20
83605 <1% 1,999 $803.21
72050 <1% 12 $792.45
82550 <1% 589 $740.93
29125 <1% 404 $740.33
87634 <1% 334 $732.86
87210 <1% 623 $673.27
84436 <1% 379 $668.11
92610 <1% 33 $617.45
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 232 $612.90
87186 <1% 914 $590.31
82248 <1% 214 $569.63
84145 <1% 1,068 $536.16
86901 <1% 923 $529.98
J1170 Injection, hydromorphone, up to 4 mg <1% 1,281 $516.27
J2800 Injection, methocarbamol, up to 10 ml <1% 177 $412.67
72072 <1% 12 $402.38
87040 <1% 1,712 $393.11
73140 <1% 62 $381.74
82043 <1% 69 $370.66
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 9,342 $356.81
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg <1% 358 $323.97
76870 <1% 15 $320.81
84550 <1% 54 $309.82
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 7,393 $272.48
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 3,679 $268.07
J3010 Injection, fentanyl citrate, 0.1 mg <1% 3,992 $265.59
84132 <1% 495 $253.91
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,514 $222.09
96368 <1% 12 $207.89
86141 <1% 81 $201.14
J2310 Injection, naloxone hydrochloride, per 1 mg <1% 21 $190.33
73552 <1% 17 $166.55
84153 <1% 12 $158.28
J2550 Injection, promethazine hcl, up to 50 mg <1% 939 $129.53
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 260 $111.26
72170 <1% 31 $111.02
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 356 $107.97
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% 146 $105.18
82330 <1% 69 $103.95
82570 <1% 14 $103.37
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 380 $101.51
J2704 Injection, propofol, 10 mg <1% 1,411 $91.97
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 3,512 $91.75
84703 <1% 135 $87.29
87070 <1% 226 $83.85
80320 <1% 18 $80.28
J1644 Injection, heparin sodium, per 1000 units <1% 1,144 $65.44
85730 <1% 484 $62.08
85014 <1% 19 $58.00
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,436 $57.93
82010 <1% 174 $50.33
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,241 $44.56
87205 <1% 34 $44.49
85018 <1% 19 $42.43
J1790 Injection, droperidol, up to 5 mg <1% 518 $41.49
88342 <1% 892 $39.36
J0780 Injection, prochlorperazine, up to 10 mg <1% 371 $36.94
01999 <1% 289 $36.35
J3475 Injection, magnesium sulfate, per 500 mg <1% 872 $31.90
82140 <1% 59 $31.22
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 48 $23.15
J2060 Injection, lorazepam, 2 mg <1% 384 $21.95
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 312 $12.00
J3360 Injection, diazepam, up to 5 mg <1% 33 $11.56
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 181 $9.68
J0690 Injection, cefazolin sodium, 500 mg <1% 886 $9.45
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 1,483 $9.10
J1171 Injection, hydromorphone, 0.1 mg <1% 111 $5.01
J2470 Injection, pantoprazole sodium, 40 mg <1% 118 $3.85
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 228 $3.00
J3480 Injection, potassium chloride, per 2 meq <1% 202 $2.53
J1940 Injection, furosemide, up to 20 mg <1% 36 $2.34
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,261 $1.79
Q0177 Hydroxyzine pamoate, 25 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 <1% 140 $0.37
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 369 $0.12
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 87 $0.00
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 0% 58 $0.00
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 0% 496 $0.00
00731 0% 432 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 36 $0.00
J1020 Injection, methylprednisolone acetate, 20 mg 0% 34 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 171 $0.00
64636 0% 37 $0.00
00797 0% 27 $0.00
C1776 Joint device (implantable) 0% 13 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 21 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 0% 410 $0.00
88304 0% 220 $0.00
00813 0% 28 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 79 $0.00
A4648 Tissue marker, implantable, any type, each 0% 248 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 167 $0.00
94760 0% 83 $0.00
88311 0% 16 $0.00
C1769 Guide wire 0% 19 $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 officialKO, TIMOTHY (KETTERING HEALTH CFO)
Same official

Other billing entities under KO, TIMOTHY

Full network →
ProviderLocationPaid
Dayton Osteopathic HospitalDayton, OH$111.27M
Alliance Physicians INCKettering, OH$38.76M
Kettering Medical CenterKettering, OH$37.96M
Beavercreek Medical CenterBeavercreek, OH$30.49M
The Fort Hamilton HospitalHamilton, OH$27.06M
Greene Memorial Hospital INCXenia, OH$11.31M
Kettering Medical CenterTroy, OH$10.83M
Kettering Independent Medical Group INCMiamisburg, OH$8.39M
Kettering Affiliated Health ServicesMiamisburg, OH$2.12M
Greene Memorial Hospital, INC.Jamestown, OH$1.53M
Alliance Physicians INCMoraine, OH$1.42M
Alliance Physicians INCHuber Heights, OH$1.06M
Greene Memorial Hospital INCYellow Springs, OH$843K
Alliance Physicians INCMiamisburg, OH$744K
Greene Memorial Hospital INCCedarville, OH$703K
Alliance Physicians INCXenia, OH$645K
Alliance Physicians INCSpringboro, OH$616K
Alliance Physicians INCKettering, OH$599K
Sycamore Primary Care GroupMiamisburg, OH$564K
Alliance Physicians INCBeavercreek, OH$486K

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