Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › MIAMISBURG › KETTERING MEDICAL CENTER

KETTERING MEDICAL CENTER

NPI: 1316966518 · MIAMISBURG, OH 45342 · Psychiatric Hospital Unit · NPI assigned 07/19/2006

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

Authorized official KO, TIMOTHY controls 20+ related entities in our dataset. Read more

$20.00M
Total Medicaid Paid
465,851
Total Claims
369,044
Beneficiaries
256
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKO, TIMOTHY (KETTERING HEALTH CFO)
NPI Enumeration Date07/19/2006

Related Entities

Other providers sharing the same authorized official: KO, TIMOTHY

ProviderCityStateTotal Paid
DAYTON OSTEOPATHIC HOSPITAL DAYTON OH $111.27M
ALLIANCE PHYSICIANS INC KETTERING OH $38.76M
KETTERING MEDICAL CENTER KETTERING OH $37.96M
BEAVERCREEK MEDICAL CENTER BEAVERCREEK OH $30.49M
THE FORT HAMILTON HOSPITAL HAMILTON OH $27.06M
GREENE MEMORIAL HOSPITAL INC XENIA OH $11.31M
KETTERING MEDICAL CENTER TROY OH $10.83M
KETTERING INDEPENDENT MEDICAL GROUP INC MIAMISBURG OH $8.39M
KETTERING AFFILIATED HEALTH SERVICES MIAMISBURG OH $2.12M
GREENE MEMORIAL HOSPITAL, INC. JAMESTOWN OH $1.53M
ALLIANCE PHYSICIANS INC MORAINE OH $1.42M
ALLIANCE PHYSICIANS INC HUBER HEIGHTS OH $1.06M
GREENE MEMORIAL HOSPITAL INC YELLOW SPRINGS OH $843K
ALLIANCE PHYSICIANS INC MIAMISBURG OH $744K
GREENE MEMORIAL HOSPITAL INC CEDARVILLE OH $703K
ALLIANCE PHYSICIANS INC XENIA OH $645K
ALLIANCE PHYSICIANS INC SPRINGBORO OH $616K
ALLIANCE PHYSICIANS INC KETTERING OH $599K
SYCAMORE PRIMARY CARE GROUP MIAMISBURG OH $564K
ALLIANCE PHYSICIANS INC BEAVERCREEK OH $486K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 35,247 $1.54M
2019 25,517 $1.27M
2020 15,993 $1.09M
2021 23,169 $1.36M
2022 37,309 $1.85M
2023 186,020 $7.77M
2024 142,596 $5.12M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 32,079 29,545 $3.67M
99284 Emergency department visit for the evaluation and management, high severity 20,912 18,917 $2.73M
96361 Intravenous infusion, hydration; each additional hour 9,530 6,521 $2.69M
29581 13,116 3,442 $1.30M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 6,798 5,688 $846K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 9,851 7,816 $732K
70450 Computed tomography, head or brain; without contrast material 3,084 2,597 $720K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,646 2,240 $632K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,130 1,787 $549K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 811 738 $413K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,519 2,348 $308K
62323 725 636 $287K
G0378 Hospital observation service, per hour 4,148 2,264 $279K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,349 1,211 $274K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography 1,216 844 $256K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,339 1,811 $249K
H2020 Therapeutic behavioral services, per diem 1,623 301 $207K
71275 Computed tomographic angiography, chest, with contrast material 717 632 $195K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,314 733 $189K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,709 1,225 $184K
80048 Basic metabolic panel (calcium, ionized) 29,476 25,217 $159K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,454 1,199 $156K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,246 1,119 $152K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,210 860 $146K
64493 199 159 $141K
95810 Polysomnography; sleep staging with 4 or more additional parameters 220 211 $136K
64483 270 225 $121K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 6,754 5,994 $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 2,920 2,616 $106K
76642 824 768 $104K
62321 229 204 $103K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 670 605 $101K
71260 Computed tomography, thorax, diagnostic; with contrast material 456 421 $87K
G0238 Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) 525 484 $76K
77063 Screening digital breast tomosynthesis, bilateral 1,592 1,504 $73K
71250 646 579 $58K
76705 Ultrasound, abdominal, real time with image documentation; limited 736 644 $55K
76830 Ultrasound, transvaginal 660 605 $54K
71046 Radiologic examination, chest; 2 views 3,183 2,918 $52K
80053 Comprehensive metabolic panel 4,378 3,544 $50K
70496 180 158 $49K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 434 375 $43K
93971 645 585 $37K
72131 687 570 $34K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 36,560 29,413 $31K
97162 834 685 $31K
95811 41 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 161 161 $30K
20610 154 144 $29K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,266 1,765 $29K
71271 175 164 $27K
97161 438 383 $22K
77065 Tomosynthesis, mammo 611 525 $22K
84443 Thyroid stimulating hormone (TSH) 3,067 2,679 $21K
82805 969 774 $20K
64635 39 27 $20K
12001 130 120 $20K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,164 1,040 $19K
93356 86 81 $19K
93970 172 154 $18K
73030 920 797 $18K
72125 Computed tomography, cervical spine; without contrast material 1,268 1,081 $18K
80061 Lipid panel 1,836 1,679 $17K
71045 Radiologic examination, chest; single view 7,879 6,743 $17K
77067 Screening mammography, bilateral, including computer-aided detection 1,783 1,700 $17K
72100 530 486 $17K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12,525 10,453 $17K
97166 527 406 $17K
74018 467 418 $16K
36415 Collection of venous blood by venipuncture 11,215 7,345 $16K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 821 414 $16K
77066 Tomosynthesis, mammo 432 406 $16K
82607 1,259 1,096 $16K
73630 1,098 949 $15K
84484 10,175 5,703 $14K
80076 8,809 7,375 $14K
73562 567 488 $14K
86850 719 617 $13K
J3490 Unclassified drugs 3,820 2,630 $12K
82728 1,115 957 $11K
96367 493 334 $11K
97116 477 211 $11K
84439 886 785 $11K
83036 Hemoglobin; glycosylated (A1C) 1,782 1,559 $11K
73130 787 689 $10K
86900 923 760 $10K
80069 2,056 1,073 $10K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 11,923 10,148 $10K
90791 Psychiatric diagnostic evaluation 84 80 $9K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 271 232 $9K
72110 152 140 $9K
73610 757 678 $9K
73560 623 512 $9K
70486 303 269 $9K
70551 Magnetic resonance imaging, brain; without contrast material 47 38 $8K
97535 Self-care/home management training, each 15 minutes 331 151 $8K
64494 361 155 $8K
90715 545 467 $8K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 723 677 $8K
93017 97 78 $7K
43235 13 12 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,549 5,275 $7K
96375 Therapeutic injection; each additional sequential IV push 7,818 5,946 $7K
73502 438 396 $7K
83540 1,150 986 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 545 466 $6K
76536 54 47 $6K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 25 25 $6K
73110 506 454 $5K
27096 27 25 $5K
83550 1,110 961 $5K
J0500 Injection, dicyclomine hcl, up to 20 mg 369 269 $5K
88307 33 28 $5K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 21 13 $5K
72128 241 202 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 7,003 6,118 $4K
83735 3,354 2,294 $4K
85027 1,419 1,146 $4K
81001 12,198 10,505 $4K
72040 110 108 $4K
10060 26 25 $4K
J1610 Injection, glucagon hydrochloride, per 1 mg 19 12 $4K
87086 Culture, bacterial; quantitative colony count, urine 2,053 1,726 $3K
96376 1,989 1,146 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,852 2,550 $3K
82746 1,058 910 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,015 914 $3K
85610 2,209 1,753 $3K
87529 1,656 887 $2K
73590 243 208 $2K
81025 6,715 5,867 $2K
84425 469 416 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 15 14 $2K
84590 443 413 $2K
83880 1,053 845 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,015 914 $2K
88341 15 14 $2K
97165 34 28 $2K
84702 572 475 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 974 879 $1K
73080 153 134 $1K
94060 12 12 $1K
83690 7,060 5,834 $1K
0202U Oncology (prostate), multianalyte, gene expression profiling 31 27 $1K
77002 284 245 $1K
71101 107 101 $1K
87077 1,225 972 $1K
86803 32 27 $1K
85007 694 574 $1K
J1650 Injection, enoxaparin sodium, 10 mg 1,957 817 $1K
81003 1,980 1,700 $1K
94726 12 12 $979.16
85651 593 511 $976.66
73090 86 77 $911.25
84100 540 356 $882.24
85378 1,570 1,354 $870.88
86140 114 105 $866.55
J7999 Compounded drug, not otherwise classified 361 249 $846.95
88305 Level IV - Surgical pathology, gross and microscopic examination 1,436 1,123 $842.87
70498 175 156 $834.86
94729 13 13 $811.20
83605 1,999 1,338 $803.21
72050 12 12 $792.45
82550 589 466 $740.93
29125 404 368 $740.33
87634 334 302 $732.86
87210 623 565 $673.27
84436 379 346 $668.11
92610 33 28 $617.45
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 232 111 $612.90
87186 914 728 $590.31
82248 214 151 $569.63
84145 1,068 841 $536.16
86901 923 760 $529.98
J1170 Injection, hydromorphone, up to 4 mg 1,281 795 $516.27
J2800 Injection, methocarbamol, up to 10 ml 177 149 $412.67
72072 12 12 $402.38
87040 1,712 767 $393.11
73140 62 61 $381.74
82043 69 66 $370.66
J1885 Injection, ketorolac tromethamine, per 15 mg 9,342 7,474 $356.81
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 358 311 $323.97
76870 15 12 $320.81
84550 54 50 $309.82
J2405 Injection, ondansetron hydrochloride, per 1 mg 7,393 5,681 $272.48
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 3,679 3,174 $268.07
J3010 Injection, fentanyl citrate, 0.1 mg 3,992 2,908 $265.59
84132 495 359 $253.91
J2270 Injection, morphine sulfate, up to 10 mg 1,514 1,140 $222.09
96368 12 12 $207.89
86141 81 57 $201.14
J2310 Injection, naloxone hydrochloride, per 1 mg 21 15 $190.33
73552 17 14 $166.55
84153 12 12 $158.28
J2550 Injection, promethazine hcl, up to 50 mg 939 634 $129.53
J2919 Injection, methylprednisolone sodium succinate, 5 mg 260 206 $111.26
72170 31 26 $111.02
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 356 286 $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 146 145 $105.18
82330 69 53 $103.95
82570 14 13 $103.37
J2360 Injection, orphenadrine citrate, up to 60 mg 380 326 $101.51
J2704 Injection, propofol, 10 mg 1,411 1,218 $91.97
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,512 2,854 $91.75
84703 135 124 $87.29
87070 226 204 $83.85
80320 18 12 $80.28
J1644 Injection, heparin sodium, per 1000 units 1,144 599 $65.44
85730 484 426 $62.08
85014 19 13 $58.00
J0696 Injection, ceftriaxone sodium, per 250 mg 1,436 912 $57.93
82010 174 155 $50.33
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,241 986 $44.56
87205 34 26 $44.49
85018 19 13 $42.43
J1790 Injection, droperidol, up to 5 mg 518 408 $41.49
88342 892 766 $39.36
J0780 Injection, prochlorperazine, up to 10 mg 371 298 $36.94
01999 289 258 $36.35
J3475 Injection, magnesium sulfate, per 500 mg 872 665 $31.90
82140 59 50 $31.22
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 48 36 $23.15
J2060 Injection, lorazepam, 2 mg 384 270 $21.95
J2765 Injection, metoclopramide hcl, up to 10 mg 312 272 $12.00
J3360 Injection, diazepam, up to 5 mg 33 12 $11.56
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 181 169 $9.68
J0690 Injection, cefazolin sodium, 500 mg 886 654 $9.45
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,483 1,217 $9.10
J1171 Injection, hydromorphone, 0.1 mg 111 77 $5.01
J2470 Injection, pantoprazole sodium, 40 mg 118 94 $3.85
J0330 Injection, succinylcholine chloride, up to 20 mg 228 169 $3.00
J3480 Injection, potassium chloride, per 2 meq 202 149 $2.53
J1940 Injection, furosemide, up to 20 mg 36 27 $2.34
J2250 Injection, midazolam hydrochloride, per 1 mg 1,261 1,006 $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 140 94 $0.37
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 369 298 $0.12
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 87 78 $0.00
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 58 43 $0.00
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 496 449 $0.00
00731 432 392 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 36 24 $0.00
J1020 Injection, methylprednisolone acetate, 20 mg 34 30 $0.00
J3370 Injection, vancomycin hcl, 500 mg 171 118 $0.00
64636 37 25 $0.00
00797 27 13 $0.00
C1776 Joint device (implantable) 13 13 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 21 13 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 410 397 $0.00
88304 220 174 $0.00
00813 28 27 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 79 68 $0.00
A4648 Tissue marker, implantable, any type, each 248 211 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 167 116 $0.00
94760 83 55 $0.00
88311 16 15 $0.00
C1769 Guide wire 19 12 $0.00