Medicaid Provider Spending

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

MERCY HEALTH - TIFFIN HOSPITAL LLC

NPI: 1316994734 · TIFFIN, OH 44883 · Medicare Defined Swing Bed Hospital Unit · NPI assigned 05/30/2006

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

Authorized official RALSTON, KIMBERLY controls 20+ related entities in our dataset. Read more

$12.99M
Total Medicaid Paid
356,623
Total Claims
259,287
Beneficiaries
205
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRALSTON, KIMBERLY (SYSTEM DIRECTOR)
NPI Enumeration Date05/30/2006

Related Entities

Other providers sharing the same authorized official: RALSTON, KIMBERLY

ProviderCityStateTotal Paid
BON SECOURS ST. MARY'S HOSPITAL OF RICHMOND LLC RICHMOND VA $83.03M
MARYVIEW HOSPITAL LLC PORTSMOUTH VA $75.03M
BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC RICHMOND VA $57.21M
BON SECOURS ST FRANCIS MEDICAL CENTER LLC MIDLOTHIAN VA $44.86M
MERCY HEALTH YOUNGSTOWN LLC WARREN OH $43.63M
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC MECHANICSVILLE VA $42.02M
MERCY HEALTH YOUNGSTOWN LLC YOUNGSTOWN OH $36.60M
MERCY HEALTH - FAIRFIELD HOSPITAL LLC FAIRFIELD OH $25.17M
MARY IMMACULATE HOSPITAL LLC NEWPORT NEWS VA $24.51M
ST FRANCIS HOSPITAL INC GREENVILLE SC $17.81M
NWO INTEGRATED LABORATORIES MERCY LLC TOLEDO OH $13.47M
HOSPICE OF THE VALLEY, INC. GIRARD OH $13.33M
MERCY HEALTH - DEFIANCE HOSPITAL LLC DEFIANCE OH $11.90M
BON SECOURS DEPAUL MEDICAL CENTER LLC NORFOLK VA $11.59M
COMMUNITY MERCY HEALTH PARTNERS URBANA OH $8.81M
MERCY HEALTH-ALLEN HOSPITAL LLC OBERLIN OH $8.61M
CHESAPEAKE HOSPITAL LLC KILMARNOCK VA $6.00M
MARYVIEW HOSPITAL, LLC SUFFOLK VA $3.48M
ROPER ST FRANCIS ANCILLARY SERVICES LADSON SC $3.33M
MERCY HEALTH YOUNGSTOWN LLC YOUNGSTOWN OH $3.23M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23,358 $747K
2019 26,310 $795K
2020 26,210 $1.09M
2021 33,191 $1.38M
2022 30,206 $1.22M
2023 133,000 $4.68M
2024 84,348 $3.07M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 19,698 18,039 $2.33M
99284 Emergency department visit for the evaluation and management, high severity 13,940 11,545 $1.74M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 15,291 5,082 $1.04M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 7,697 5,911 $1.03M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7,927 2,316 $635K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,819 4,538 $524K
96361 Intravenous infusion, hydration; each additional hour 1,540 830 $520K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,781 1,186 $493K
97530 Therapeutic activities, direct patient contact, each 15 minutes 6,259 2,235 $453K
70450 Computed tomography, head or brain; without contrast material 1,359 1,009 $345K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,752 997 $271K
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 1,211 1,154 $209K
80053 Comprehensive metabolic panel 17,315 13,754 $168K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 546 276 $167K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,593 3,160 $166K
74176 Computed tomography, abdomen and pelvis; without contrast material 619 415 $158K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,831 1,939 $157K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 819 651 $150K
41899 Unlisted procedure, dentoalveolar structures 115 107 $132K
0202U Oncology (prostate), multianalyte, gene expression profiling 700 597 $119K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,129 2,720 $118K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,587 3,157 $95K
71260 Computed tomography, thorax, diagnostic; with contrast material 511 344 $88K
G0378 Hospital observation service, per hour 1,096 359 $85K
59025 Fetal non-stress test 515 353 $82K
87086 Culture, bacterial; quantitative colony count, urine 4,880 4,021 $68K
80048 Basic metabolic panel (calcium, ionized) 8,188 6,568 $67K
84443 Thyroid stimulating hormone (TSH) 2,839 2,302 $64K
80061 Lipid panel 2,538 2,233 $62K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 23,977 18,687 $61K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 520 320 $56K
36415 Collection of venous blood by venipuncture 32,101 24,843 $56K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,087 607 $51K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2,043 1,867 $50K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 183 121 $46K
92526 670 249 $42K
76705 Ultrasound, abdominal, real time with image documentation; limited 390 302 $38K
85027 4,556 3,735 $33K
71046 Radiologic examination, chest; 2 views 2,643 2,312 $30K
93242 383 300 $28K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 9,141 7,128 $28K
97533 362 149 $28K
74018 573 462 $28K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,204 1,094 $27K
86900 1,013 797 $26K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 178 90 $26K
83036 Hemoglobin; glycosylated (A1C) 1,701 1,458 $25K
80074 1,241 1,157 $25K
86803 764 668 $25K
93017 341 238 $24K
97161 385 322 $22K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 801 683 $21K
84703 2,623 2,217 $20K
86780 895 784 $20K
77067 Screening mammography, bilateral, including computer-aided detection 370 313 $19K
97014 733 227 $19K
93976 157 115 $19K
84702 984 607 $18K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,009 754 $17K
87070 780 633 $17K
70496 62 38 $16K
86850 1,097 894 $16K
93243 369 295 $16K
81001 12,449 10,154 $13K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,581 3,836 $13K
84484 5,207 3,229 $13K
84439 966 802 $12K
86140 855 644 $12K
86762 549 471 $11K
82607 627 546 $11K
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 617 592 $11K
82728 607 528 $11K
87480 607 509 $11K
86901 1,147 924 $10K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 677 592 $10K
97166 122 102 $10K
73630 511 432 $9K
87340 689 594 $9K
71045 Radiologic examination, chest; single view 4,738 3,910 $9K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 207 185 $9K
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 52 51 $9K
83550 677 590 $8K
87522 Neg quan hep c or qual rna 150 138 $8K
72125 Computed tomography, cervical spine; without contrast material 330 244 $8K
87660 607 509 $8K
80320 814 575 $8K
83540 745 643 $8K
88305 Level IV - Surgical pathology, gross and microscopic examination 648 399 $7K
97162 166 137 $7K
82746 542 470 $7K
73562 301 252 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,935 2,538 $7K
87186 665 486 $7K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 36 13 $6K
87510 607 509 $6K
94664 1,044 760 $6K
86403 304 196 $6K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 343 317 $6K
73610 359 312 $6K
97113 76 27 $6K
82570 707 566 $6K
80306 301 246 $6K
84460 579 498 $5K
73130 407 338 $5K
76642 53 42 $5K
83880 900 688 $5K
77063 Screening digital breast tomosynthesis, bilateral 365 308 $5K
83735 2,333 1,568 $4K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 9,233 7,118 $4K
85652 583 467 $4K
84450 539 465 $4K
83970 109 88 $4K
80076 674 486 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 6,610 2,861 $4K
93971 57 54 $4K
96375 Therapeutic injection; each additional sequential IV push 5,790 4,090 $3K
83516 188 90 $3K
73030 200 149 $3K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 13 12 $3K
85610 1,783 1,194 $3K
83690 4,565 3,413 $3K
72100 98 75 $3K
71250 33 30 $3K
87077 297 227 $2K
83605 2,055 1,271 $2K
73110 167 131 $2K
84146 123 90 $2K
82043 295 248 $2K
82947 1,254 623 $2K
96376 894 465 $2K
82805 42 27 $1K
81003 514 353 $1K
87081 64 51 $1K
82784 115 91 $1K
96367 65 41 $1K
84153 54 51 $1K
51798 71 53 $1K
70498 67 39 $978.45
84156 258 192 $954.31
73502 48 28 $934.88
82248 56 54 $932.60
83001 51 39 $904.40
85730 339 251 $871.63
85379 773 568 $860.69
87088 99 85 $754.31
87205 180 103 $720.65
76830 Ultrasound, transvaginal 31 26 $681.19
81025 1,581 1,097 $617.27
84550 152 111 $612.37
87210 57 39 $606.06
73590 38 28 $597.83
87040 703 290 $556.87
83002 32 24 $541.35
82565 60 52 $461.92
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 12 12 $364.94
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 87 86 $355.59
80143 533 407 $308.04
J0500 Injection, dicyclomine hcl, up to 20 mg 32 14 $305.74
84100 55 37 $270.17
J2270 Injection, morphine sulfate, up to 10 mg 967 498 $267.23
87807 510 410 $259.74
82670 14 13 $234.52
90715 12 12 $227.22
J1885 Injection, ketorolac tromethamine, per 15 mg 4,775 3,086 $212.23
J0696 Injection, ceftriaxone sodium, per 250 mg 721 414 $146.25
84481 16 16 $132.06
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,007 2,914 $127.78
80179 505 390 $95.68
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 48 12 $91.78
82533 14 12 $79.52
82150 61 52 $78.98
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,378 3,574 $76.03
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 160 110 $74.30
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 12 $59.71
J1650 Injection, enoxaparin sodium, 10 mg 111 42 $57.50
J2060 Injection, lorazepam, 2 mg 396 208 $54.21
J3010 Injection, fentanyl citrate, 0.1 mg 1,695 947 $45.48
94761 756 266 $37.29
J2919 Injection, methylprednisolone sodium succinate, 5 mg 69 41 $34.86
J1200 Injection, diphenhydramine hcl, up to 50 mg 686 412 $32.63
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,865 1,029 $32.19
J2704 Injection, propofol, 10 mg 1,986 938 $22.98
J0780 Injection, prochlorperazine, up to 10 mg 146 84 $20.99
J0690 Injection, cefazolin sodium, 500 mg 623 367 $15.86
J2360 Injection, orphenadrine citrate, up to 60 mg 204 112 $14.62
J3370 Injection, vancomycin hcl, 500 mg 44 12 $5.78
J8540 Dexamethasone, oral, 0.25 mg 13 13 $4.82
J2250 Injection, midazolam hydrochloride, per 1 mg 842 529 $3.96
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 16 12 $3.70
J7050 Infusion, normal saline solution, 250 cc 44 35 $1.96
J1030 Injection, methylprednisolone acetate, 40 mg 243 215 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 310 135 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 123 97 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 104 72 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 156 109 $0.00
C1769 Guide wire 46 26 $0.00
73560 14 13 $0.00
J2785 Injection, regadenoson, 0.1 mg 95 65 $0.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 56 12 $0.00
00170 Anesthesia for intraoral procedures, including biopsy 117 108 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 16 15 $0.00
99152 40 37 $0.00
J7030 Infusion, normal saline solution , 1000 cc 154 128 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 22 13 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 68 40 $0.00