Medicaid Provider Spending

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

GRAFTON CITY HOSPITAL INC

NPI: 1336200344 · GRAFTON, WV 26354 · Rural Health Clinic/Center · NPI assigned 12/13/2006

$4.42M
Total Medicaid Paid
86,976
Total Claims
70,835
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialLILLEY, JEFFREY (ADMINISTRATOR)
NPI Enumeration Date12/13/2006

Related Entities

Other providers sharing the same authorized official: LILLEY, JEFFREY

ProviderCityStateTotal Paid
GRAFTON CITY HOSPITAL INC GRAFTON WV $6.45M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,106 $628K
2019 6,865 $337K
2020 12,898 $761K
2021 17,045 $695K
2022 14,452 $805K
2023 16,200 $787K
2024 8,410 $411K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 36,608 27,871 $4.11M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,614 13,387 $146K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,432 8,348 $78K
99283 Emergency department visit for the evaluation and management, moderate severity 198 178 $23K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,606 1,487 $20K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 499 432 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 765 681 $11K
99284 Emergency department visit for the evaluation and management, high severity 122 104 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 348 322 $8K
81002 365 327 $5K
90686 43 39 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity 59 48 $1K
90688 32 30 $990.94
99215 Prolong outpt/office vis 16 15 $592.57
J1885 Injection, ketorolac tromethamine, per 15 mg 40 30 $487.71
90472 Immunization administration, each additional vaccine (list separately) 67 64 $331.27
90834 Psychotherapy, 45 minutes with patient 30 29 $167.98
1036F 977 864 $0.00
3008F 4,674 4,189 $0.00
3074F 1,987 1,833 $0.00
3079F 1,151 1,070 $0.00
1034F 729 611 $0.00
1111F 548 511 $0.00
99308 Subsequent nursing facility care, per day, straightforward 1,663 1,281 $0.00
3075F 347 323 $0.00
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,166 696 $0.00
3080F 303 270 $0.00
99406 45 34 $0.00
99441 201 157 $0.00
99443 21 18 $0.00
99307 310 246 $0.00
3078F 1,537 1,418 $0.00
3077F 649 564 $0.00
1159F 2,456 2,251 $0.00
80305 336 169 $0.00
1160F 558 516 $0.00
99442 385 347 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 36 36 $0.00
90832 Psychotherapy, 30 minutes with patient 24 12 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 29 27 $0.00