Physician
ST Elizabeth Medical Center, INC
ST Elizabeth Medical Center, INC was paid $4.66M by Medicaid between Jan 2018 and Nov 2024, across 97 billing codes. Its largest line is 99283, emergency room visit (moderate) — 37% of everything it billed.
33Billing provider infoST ELIZABETH MEDICAL CENTER, INC
LAWRENCEBURG, IN 47025
LAWRENCEBURG, IN 47025
33aNPI1326142498assigned 09/11/2006
33bProvider typeEmergency Medicine Physician
28Total paid$4.66M
24GClaims120,866
24DCodes billed97
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Indiana
Rank by total paid#17 of 191
Median peer was paid$126K
This provider vs. median37×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 34,468 | $452K | |
| 2019 | 28,057 | $864K | |
| 2020 | 24,931 | $1.08M | |
| 2021 | 6,366 | $363K | |
| 2022 | 11,948 | $599K | |
| 2023 | 10,519 | $859K | |
| 2024incomplete | 4,577 | $441K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 37% | 13,223 | 10,625 | $1.71M |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 14% | 6,685 | 5,670 | $630K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 12% | 4,491 | 3,489 | $544K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 11% | 6,593 | 1,548 | $515K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 5.0% | 588 | 469 | $233K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 3.1% | 1,610 | 1,268 | $143K |
| 71045 | Radiologic examination, chest; single view | 2.8% | 1,619 | 1,230 | $128K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 2.1% | 2,490 | 1,880 | $98K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 1.4% | 120 | 50 | $63K |
| 80053 | Comprehensive metabolic panel | 1.2% | 12,689 | 10,209 | $56K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 687 | 587 | $42K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 995 | 756 | $36K |
85 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 11,693 | $36K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 333 | $28K |
| 36415 | Collection of venous blood by venipuncture | <1% | 16,606 | $27K |
| 87501 | <1% | 1,151 | $27K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 1,103 | $25K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 1,099 | $24K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 1,696 | $21K |
| 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% | 655 | $21K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 606 | $20K |
| 97161 | <1% | 219 | $19K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 5,324 | $18K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 144 | $16K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 595 | $13K |
| 87653 | <1% | 599 | $13K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 188 | $11K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 424 | $11K |
| 80061 | Lipid panel | <1% | 2,067 | $11K |
| 97010 | <1% | 398 | $10K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 2,569 | $10K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 203 | $8K |
| 80306 | <1% | 1,158 | $8K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 19 | $7K |
| 87070 | <1% | 1,125 | $6K | |
| 59025 | Fetal non-stress test | <1% | 21 | $6K |
| 93017 | <1% | 20 | $5K | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 350 | $5K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 368 | $4K |
| 84484 | <1% | 603 | $3K | |
| 87205 | <1% | 1,127 | $3K | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 565 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 32 | $3K |
| 81001 | <1% | 2,325 | $3K | |
| 81025 | <1% | 619 | $2K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 295 | $2K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 711 | $2K |
| 87510 | <1% | 206 | $2K | |
| 83605 | <1% | 330 | $2K | |
| 87480 | <1% | 206 | $2K | |
| 87660 | <1% | 206 | $2K | |
| 85027 | <1% | 589 | $2K | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 229 | $2K |
| 83690 | <1% | 842 | $2K | |
| 80069 | <1% | 904 | $1K | |
| 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 | <1% | 280 | $1K |
| 87631 | <1% | 13 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 309 | $1K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 68 | $951.08 |
| 81003 | <1% | 892 | $862.18 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 300 | $786.98 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 67 | $720.45 |
| 93016 | <1% | 67 | $716.76 | |
| 84439 | <1% | 92 | $566.61 | |
| 93018 | <1% | 67 | $475.11 | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 646 | $358.87 |
| 80076 | <1% | 146 | $332.85 | |
| 80055 | <1% | 37 | $331.65 | |
| 82570 | <1% | 107 | $259.52 | |
| 86592 | <1% | 125 | $235.65 | |
| 84702 | <1% | 65 | $232.49 | |
| 87420 | <1% | 16 | $176.21 | |
| 84156 | <1% | 80 | $137.50 | |
| 84703 | <1% | 21 | $109.81 | |
| 86803 | <1% | 15 | $103.01 | |
| 87806 | <1% | 15 | $95.47 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 46 | $87.28 |
| 87040 | <1% | 14 | $74.16 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 1,275 | $55.80 |
| 82043 | <1% | 12 | $50.10 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 252 | $47.65 |
| 85610 | <1% | 69 | $34.03 | |
| 82950 | <1% | 26 | $28.40 | |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | <1% | 145 | $21.67 |
| 85730 | <1% | 15 | $6.47 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 824 | $3.65 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 128 | $0.00 |
| J0689 | Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg | 0% | 153 | $0.00 |
| J0171 | Injection, adrenalin, epinephrine, 0.1 mg | 0% | 44 | $0.00 |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | 0% | 127 | $0.00 |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 0% | 19 | $0.00 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 0% | 753 | $0.00 |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | 0% | 298 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 626 | $0.00 |
| J0690 | Injection, cefazolin sodium, 500 mg | 0% | 265 | $0.00 |
| J1170 | Injection, hydromorphone, up to 4 mg | 0% | 21 | $0.00 |
| G0378 | Hospital observation service, per hour | 0% | 14 | $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 officialRITCHEY-BALDWIN, LORI (CFO)
| Provider | Location | Paid |
|---|---|---|
| ST Elizabeth Medical Center, INC | Edgewood, KY | $188.25M |
| ST Elizabeth Medical Center, INC | Florence, KY | $65.44M |
| ST Elizabeth Medical Center, INC | Fort Thomas, KY | $45.99M |
| ST Elizabeth Medical Center, INC | Williamstown, KY | $35.42M |
| ST Elizabeth Medical Center, INC | Erlanger, KY | $3.75M |
| ST Elizabeth Medical Center, INC | Edgewood, KY | $2.95M |
| ST. Elizabeth Medical Center, INC. | Edgewood, KY | $438.18 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.