Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › CAMBRIDGE › SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER INC

SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER INC

NPI: 1346247350 · CAMBRIDGE, OH 43725 · Rural Acute Care Hospital · NPI assigned 07/05/2005

$19.26M
Total Medicaid Paid
596,510
Total Claims
469,724
Beneficiaries
295
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialELLIOTT, WENDY (CEO)
NPI Enumeration Date07/05/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 58,779 $1.47M
2019 57,300 $1.34M
2020 50,990 $1.55M
2021 61,313 $1.94M
2022 73,699 $2.44M
2023 201,232 $6.49M
2024 93,197 $4.03M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 25,261 22,925 $2.77M
99284 Emergency department visit for the evaluation and management, high severity 20,839 18,223 $2.40M
96361 Intravenous infusion, hydration; each additional hour 6,972 5,080 $1.80M
99282 Emergency department visit for the evaluation and management, low to moderate severity 9,642 8,837 $927K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 7,354 6,316 $857K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 12,052 2,822 $838K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 5,452 4,588 $785K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,934 2,452 $708K
70450 Computed tomography, head or brain; without contrast material 3,288 2,865 $675K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 6,688 2,061 $465K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,613 1,821 $395K
80053 Comprehensive metabolic panel 34,958 29,822 $375K
59025 Fetal non-stress test 2,480 1,363 $374K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,365 1,159 $331K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,321 1,179 $316K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 6,651 6,314 $305K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,487 3,540 $217K
71275 Computed tomographic angiography, chest, with contrast material 794 647 $210K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,809 824 $206K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 758 423 $182K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 6,644 6,314 $180K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,071 1,632 $163K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 799 645 $160K
84443 Thyroid stimulating hormone (TSH) 8,216 7,513 $153K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,382 771 $138K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 43,874 35,837 $136K
G0378 Hospital observation service, per hour 1,680 806 $125K
80061 Lipid panel 7,391 6,907 $106K
87086 Culture, bacterial; quantitative colony count, urine 13,228 11,557 $106K
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 742 639 $103K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 3,531 3,249 $98K
71046 Radiologic examination, chest; 2 views 5,343 4,785 $96K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 5,311 5,068 $93K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 2,146 1,857 $93K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 372 341 $88K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 930 507 $80K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,138 962 $74K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,794 2,561 $73K
J3490 Unclassified drugs 12,849 4,500 $72K
82607 2,529 2,334 $67K
80048 Basic metabolic panel (calcium, ionized) 5,128 4,209 $59K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,859 610 $55K
76705 Ultrasound, abdominal, real time with image documentation; limited 562 475 $53K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 131 106 $50K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,240 1,176 $48K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,370 3,607 $48K
97016 1,351 348 $47K
92526 1,642 537 $46K
95810 Polysomnography; sleep staging with 4 or more additional parameters 87 78 $46K
74018 894 792 $43K
84439 2,142 1,988 $42K
87070 1,790 1,635 $41K
77063 Screening digital breast tomosynthesis, bilateral 892 792 $41K
71260 Computed tomography, thorax, diagnostic; with contrast material 158 131 $36K
97533 671 277 $33K
73630 983 853 $31K
96367 539 330 $29K
87400 3,185 1,650 $29K
83036 Hemoglobin; glycosylated (A1C) 2,185 1,979 $28K
36415 Collection of venous blood by venipuncture 37,017 29,710 $27K
80081 844 790 $26K
97161 774 654 $25K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 14,326 11,603 $24K
73610 758 639 $24K
85027 2,077 1,954 $24K
76642 199 183 $23K
92557 388 367 $22K
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 150 147 $22K
92587 443 418 $22K
84702 1,137 847 $21K
86592 600 538 $20K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 894 832 $20K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed 691 630 $20K
84484 9,590 7,918 $20K
73130 643 562 $20K
72100 338 304 $19K
45380 Colonoscopy, flexible; with biopsy, single or multiple 67 40 $17K
73030 487 425 $16K
82728 1,262 1,150 $16K
73560 383 335 $16K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 4,025 3,038 $16K
87081 2,271 2,089 $16K
97035 311 76 $15K
87510 565 546 $15K
93971 179 157 $14K
82172 636 596 $14K
94060 140 129 $14K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 72 68 $14K
99281 Emergency department visit for the evaluation and management, self-limited or minor 119 110 $13K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,149 960 $13K
86850 564 458 $13K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 891 829 $13K
87077 1,332 1,141 $12K
97014 343 110 $12K
12001 94 69 $12K
71250 227 200 $12K
84481 772 726 $12K
73110 369 320 $12K
80076 794 697 $11K
80320 1,376 1,073 $11K
82553 1,882 1,581 $10K
71045 Radiologic examination, chest; single view 6,580 5,640 $10K
77067 Screening mammography, bilateral, including computer-aided detection 895 793 $10K
82950 697 650 $10K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,274 1,198 $9K
86140 1,063 864 $9K
76830 Ultrasound, transvaginal 142 125 $8K
83540 1,202 1,066 $8K
72131 210 163 $8K
86900 678 547 $8K
87480 565 546 $8K
36591 1,637 885 $8K
87660 566 547 $8K
86803 339 301 $8K
72125 Computed tomography, cervical spine; without contrast material 721 601 $7K
84466 1,164 1,039 $7K
82677 200 185 $7K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 141 29 $7K
84146 317 268 $7K
94726 140 129 $7K
94729 139 129 $7K
82805 245 162 $6K
83735 4,989 3,802 $6K
84153 364 330 $6K
43235 21 19 $6K
87186 1,224 1,043 $6K
82378 1,055 868 $6K
95811 13 13 $6K
97162 238 196 $6K
76775 63 54 $6K
73562 109 104 $5K
74174 70 54 $5K
82105 219 204 $5K
76536 39 38 $5K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 306 276 $5K
73502 153 129 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,474 3,430 $5K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 13 12 $5K
97597 133 78 $4K
85610 7,468 6,266 $4K
82746 334 298 $4K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 820 632 $4K
72110 145 124 $4K
72040 61 56 $4K
83695 356 332 $4K
86038 128 103 $4K
82947 2,368 1,416 $3K
92567 511 482 $3K
87522 Neg quan hep c or qual rna 72 54 $3K
83880 1,999 1,649 $3K
86901 678 547 $3K
82977 297 249 $3K
85652 902 733 $3K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 25 24 $3K
81001 11,976 10,243 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 13 12 $3K
86336 202 187 $3K
83605 4,975 3,960 $3K
12002 19 12 $3K
96375 Therapeutic injection; each additional sequential IV push 8,243 6,143 $3K
96376 1,308 744 $3K
84403 146 137 $3K
99215 Prolong outpt/office vis 41 39 $3K
73090 146 119 $3K
87340 97 79 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 12,180 10,210 $2K
82570 261 216 $2K
83001 94 85 $2K
84436 416 340 $2K
87040 2,003 1,266 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 35 27 $2K
81025 6,724 5,687 $2K
87807 225 215 $2K
93017 30 27 $2K
83690 6,695 5,627 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $2K
82565 212 180 $2K
86618 120 99 $1K
73590 108 82 $1K
87205 403 339 $1K
87147 176 139 $1K
72072 28 27 $1K
80069 85 60 $1K
82043 156 148 $1K
85018 202 161 $1K
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 380 370 $1K
97165 39 29 $1K
82550 5,036 4,203 $986.12
90715 53 43 $957.82
97116 30 12 $947.13
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,806 1,646 $919.54
81003 4,941 4,200 $863.13
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 3,010 1,527 $809.82
86677 40 36 $804.43
82784 46 40 $716.03
A4452 Tape, waterproof, per 18 square inches 261 159 $698.46
86780 26 25 $685.20
86431 37 30 $684.99
99205 Prolong outpt/office vis 12 12 $662.49
82248 87 65 $661.76
84100 625 458 $628.37
85379 1,583 1,321 $595.38
71101 30 25 $573.39
83655 18 18 $532.59
87045 43 38 $523.97
84479 339 273 $519.15
84145 595 466 $481.37
80074 33 27 $478.82
82670 14 14 $469.34
77065 Tomosynthesis, mammo 26 25 $468.42
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,290 4,476 $465.65
87493 32 27 $427.52
85730 6,226 5,263 $421.31
70486 44 37 $415.47
84460 98 68 $399.03
73140 19 12 $398.25
84402 15 15 $387.22
77062 14 12 $373.99
82247 54 36 $369.43
J2270 Injection, morphine sulfate, up to 10 mg 1,648 1,076 $365.22
A6257 Transparent film, sterile, 16 sq. in. or less, each dressing 10,665 8,158 $357.79
82150 674 587 $357.27
88141 14 12 $356.30
73552 46 28 $348.47
73080 12 12 $347.49
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 742 628 $341.96
00731 58 52 $334.64
00811 13 13 $334.64
82140 151 114 $304.17
86318 12 12 $303.70
74019 37 25 $303.57
88304 33 28 $291.96
J1885 Injection, ketorolac tromethamine, per 15 mg 4,906 3,740 $287.66
77066 Tomosynthesis, mammo 68 58 $283.38
86787 16 13 $277.19
84450 70 51 $247.87
J3475 Injection, magnesium sulfate, per 500 mg 288 180 $233.03
86308 23 20 $230.85
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,758 1,430 $225.99
72128 35 25 $175.58
85014 40 24 $173.78
A4649 Surgical supply; miscellaneous 979 671 $148.17
88342 50 40 $147.80
J2405 Injection, ondansetron hydrochloride, per 1 mg 8,099 5,799 $109.57
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,417 1,740 $105.28
87427 16 13 $98.96
C9113 Injection, pantoprazole sodium, per vial 180 130 $97.81
29125 12 12 $92.42
J1170 Injection, hydromorphone, up to 4 mg 434 205 $82.69
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 512 398 $78.40
J0690 Injection, cefazolin sodium, 500 mg 926 585 $73.31
84550 13 12 $66.74
J7120 Ringers lactate infusion, up to 1000 cc 569 455 $65.91
86300 17 13 $64.10
A6197 Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 12 12 $60.76
A6454 Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard 324 171 $60.05
80143 715 577 $52.38
84703 43 25 $52.04
36600 224 148 $48.56
83615 13 12 $43.17
J0696 Injection, ceftriaxone sodium, per 250 mg 564 372 $39.22
J1650 Injection, enoxaparin sodium, 10 mg 141 66 $37.74
J3010 Injection, fentanyl citrate, 0.1 mg 2,424 1,682 $36.61
J0780 Injection, prochlorperazine, up to 10 mg 150 106 $35.06
J2704 Injection, propofol, 10 mg 2,403 1,758 $33.77
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 569 361 $33.73
J1200 Injection, diphenhydramine hcl, up to 50 mg 682 454 $31.63
80179 702 565 $26.18
J2765 Injection, metoclopramide hcl, up to 10 mg 488 355 $18.31
J7050 Infusion, normal saline solution, 250 cc 737 392 $11.93
J2250 Injection, midazolam hydrochloride, per 1 mg 5,043 3,359 $7.28
J2175 Injection, meperidine hydrochloride, per 100 mg 139 107 $4.07
0353U 40 38 $2.28
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 273 162 $1.33
J3480 Injection, potassium chloride, per 2 meq 59 40 $1.24
A4602 Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each 163 111 $0.62
J2919 Injection, methylprednisolone sodium succinate, 5 mg 43 42 $0.31
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 207 158 $0.06
A9575 Injection, gadoterate meglumine, 0.1 ml 14 14 $0.00
A4550 Surgical trays 213 148 $0.00
99152 12 12 $0.00
82010 33 24 $0.00
76942 42 26 $0.00
82800 100 68 $0.00
A9270 Non-covered item or service 2,041 1,608 $0.00
A6452 High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard 21 12 $0.00
C1727 Catheter, balloon tissue dissector, non-vascular (insertable) 154 116 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 26 12 $0.00
A4616 Tubing (oxygen), per foot 190 152 $0.00
J2060 Injection, lorazepam, 2 mg 114 58 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 62 62 $0.00
00813 86 72 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 125 78 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 99 67 $0.00
99153 Mod sedat endo service >5yrs 15 12 $0.00