Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Cleveland Clinic Avon Hospital

Cleveland Clinic Avon Hospital was paid $11.72M by Medicaid between Jan 2018 and Dec 2024, across 244 billing codes. Its largest line is 99285, emergency room visit (most serious) — 19% of everything it billed.

33Billing provider infoCLEVELAND CLINIC AVON HOSPITAL
AVON, OH 44011
33aNPI1346607017assigned 01/26/2016
33bProvider typeGeneral Acute Care Hospital
28Total paid$11.72M
24GClaims344,846
24DCodes billed244
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Ohio

Rank by total paid#69 of 101
Median peer was paid$22.32M
This provider vs. median0.5×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official LARAWAY, DENNIS controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
20188,795$387K
20196,686$324K
20208,319$474K
202118,071$913K
202226,609$1.09M
2023162,809$5.30M
2024incomplete113,557$3.23M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 19% 20,239 17,682 $2.27M
96361 Intravenous infusion, hydration; each additional hour 17% 6,943 4,915 $1.93M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 10% 12,594 11,837 $1.22M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 9.2% 10,512 9,399 $1.08M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 5.9% 6,489 5,721 $687K
74177 Computed tomography, abdomen and pelvis; with contrast material 4.2% 2,379 2,012 $486K
70450 Computed tomography, head or brain; without contrast material 3.8% 2,146 1,783 $445K
G0378 Hospital observation service, per hour 2.8% 4,364 2,069 $330K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.9% 999 867 $225K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.9% 2,206 1,792 $222K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.6% 565 439 $183K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.6% 1,042 917 $183K
232 more codes
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1.5% 1,414 $181K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1.4% 420 $161K
71260 Computed tomography, thorax, diagnostic; with contrast material 1.3% 876 $155K
76770 1.1% 933 $133K
76705 Ultrasound, abdominal, real time with image documentation; limited 1.1% 1,700 $130K
80053 Comprehensive metabolic panel 1.1% 24,288 $125K
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 1.0% 966 $119K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,091 $98K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 815 $76K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 2,211 $73K
93975 <1% 507 $50K
71046 Radiologic examination, chest; 2 views <1% 3,336 $46K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 194 $40K
76642 <1% 367 $38K
76536 <1% 388 $37K
93971 <1% 695 $36K
70498 <1% 208 $36K
70551 Magnetic resonance imaging, brain; without contrast material <1% 289 $33K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 24,740 $31K
84443 Thyroid stimulating hormone (TSH) <1% 2,548 $29K
71250 <1% 365 $28K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 125 $26K
36415 Collection of venous blood by venipuncture <1% 28,331 $26K
80048 Basic metabolic panel (calcium, ionized) <1% 4,569 $25K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,271 $23K
80061 Lipid panel <1% 1,975 $21K
76830 Ultrasound, transvaginal <1% 544 $21K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 172 $20K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 49 $20K
72100 <1% 694 $18K
86850 <1% 1,050 $18K
85027 <1% 5,301 $17K
72125 Computed tomography, cervical spine; without contrast material <1% 711 $16K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,225 $16K
83036 Hemoglobin; glycosylated (A1C) <1% 1,405 $15K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 71 $14K
73564 <1% 442 $13K
82728 <1% 897 $13K
86140 <1% 1,785 $13K
82607 <1% 757 $13K
84439 <1% 728 $13K
77063 Screening digital breast tomosynthesis, bilateral <1% 309 $13K
73630 <1% 838 $13K
71045 Radiologic examination, chest; single view <1% 4,084 $12K
96367 <1% 526 $12K
77067 Screening mammography, bilateral, including computer-aided detection <1% 551 $11K
74018 <1% 626 $11K
84702 <1% 1,963 $11K
70491 <1% 47 $11K
93799 <1% 2,655 $11K
72131 <1% 164 $10K
73030 <1% 593 $10K
93970 <1% 96 $9K
86900 <1% 1,061 $9K
83540 <1% 985 $9K
73130 <1% 520 $8K
87086 Culture, bacterial; quantitative colony count, urine <1% 2,271 $8K
84484 <1% 7,366 $8K
86780 <1% 552 $7K
87631 <1% 57 $7K
83550 <1% 978 $7K
83735 <1% 9,262 $7K
86803 <1% 401 $7K
71275 Computed tomographic angiography, chest, with contrast material <1% 21 $7K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 8,469 $6K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,352 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 588 $6K
85610 <1% 1,745 $6K
73502 <1% 390 $6K
81001 <1% 9,347 $6K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 57 $6K
87340 <1% 324 $6K
74183 <1% 37 $6K
76857 <1% 476 $5K
A9270 Non-covered item or service <1% 1,276 $5K
82962 <1% 5,556 $5K
82570 <1% 532 $5K
73610 <1% 525 $5K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 329 $5K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 1,129 $5K
83880 <1% 1,589 $4K
70486 <1% 90 $4K
73221 <1% 16 $4K
86901 <1% 1,059 $4K
80076 <1% 259 $4K
73110 <1% 335 $4K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 588 $4K
80069 <1% 253 $3K
96376 <1% 1,952 $3K
90715 <1% 241 $3K
77061 <1% 102 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,329 $3K
83970 <1% 123 $3K
70496 <1% 257 $3K
77062 <1% 100 $3K
85652 <1% 675 $3K
87077 <1% 859 $2K
78264 <1% 15 $2K
96375 Therapeutic injection; each additional sequential IV push <1% 4,173 $2K
82043 <1% 346 $2K
83690 <1% 4,651 $2K
81513 <1% 13 $2K
82784 <1% 135 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 446 $2K
12001 <1% 13 $2K
84100 <1% 581 $2K
84403 <1% 117 $2K
97116 <1% 77 $2K
82550 <1% 520 $2K
77065 Tomosynthesis, mammo <1% 168 $2K
86706 <1% 102 $2K
73560 <1% 250 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 193 $1K
73140 <1% 61 $1K
87505 <1% 23 $1K
76870 <1% 95 $1K
86038 <1% 47 $1K
97535 Self-care/home management training, each 15 minutes <1% 56 $1K
86480 <1% 32 $1K
87186 <1% 647 $1K
83605 <1% 1,870 $1K
82746 <1% 157 $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 <1% 748 $977.10
85730 <1% 627 $967.42
77066 Tomosynthesis, mammo <1% 179 $945.48
99214 Doctor's office visit, returning patient (more involved) <1% 27 $910.62
84481 <1% 76 $888.09
74019 <1% 14 $865.67
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 97 $832.72
00811 <1% 520 $822.84
85379 <1% 1,659 $813.48
72050 <1% 15 $778.37
97161 <1% 124 $755.21
87481 <1% 16 $742.04
82077 <1% 830 $727.69
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 29 $692.94
81025 <1% 4,133 $681.21
99252 <1% 28 $662.18
73590 <1% 109 $653.80
97802 <1% 15 $649.22
84146 <1% 26 $637.01
81003 <1% 1,877 $618.16
86762 <1% 15 $564.83
86308 <1% 152 $551.39
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 46 $544.39
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 4,062 $530.81
99213 Doctor's office visit, returning patient (routine) <1% 27 $517.46
84153 <1% 32 $512.24
88304 <1% 221 $483.84
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,908 $482.02
87070 <1% 260 $471.85
87040 <1% 448 $420.85
83001 <1% 15 $409.54
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 195 $393.05
84550 <1% 71 $379.11
86704 <1% 23 $366.47
99221 <1% 14 $358.60
73080 <1% 38 $356.36
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 201 $344.82
87205 <1% 272 $319.86
99152 <1% 134 $316.02
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 25 $314.83
84156 <1% 58 $304.71
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 6,228 $301.46
00731 <1% 485 $287.29
83002 <1% 14 $260.96
J1170 Injection, hydromorphone, up to 4 mg <1% 723 $232.06
82565 <1% 17 $222.02
72128 <1% 12 $192.23
83615 <1% 35 $175.15
J2704 Injection, propofol, 10 mg <1% 3,361 $167.50
J3490 Unclassified drugs <1% 60 $132.85
J1644 Injection, heparin sodium, per 1000 units <1% 872 $117.32
87493 <1% 18 $114.16
76801 <1% 28 $111.79
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 166 $95.80
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 21 $93.62
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,305 $90.72
J3010 Injection, fentanyl citrate, 0.1 mg <1% 3,405 $86.32
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 372 $83.34
J0780 Injection, prochlorperazine, up to 10 mg <1% 522 $76.24
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 5,705 $69.40
84132 <1% 64 $67.93
88342 <1% 36 $64.98
C1769 Guide wire <1% 390 $64.58
J1815 Injection, insulin, per 5 units <1% 24 $54.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 328 $49.89
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 1,029 $45.69
J2060 Injection, lorazepam, 2 mg <1% 279 $44.40
J7120 Ringers lactate infusion, up to 1000 cc <1% 583 $44.13
84145 <1% 63 $42.56
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 819 $38.17
J0690 Injection, cefazolin sodium, 500 mg <1% 1,342 $30.72
C9113 Injection, pantoprazole sodium, per vial <1% 46 $28.95
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,782 $24.09
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 666 $18.91
J1940 Injection, furosemide, up to 20 mg <1% 97 $16.83
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 2,188 $16.56
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 121 $16.48
J3475 Injection, magnesium sulfate, per 500 mg <1% 827 $15.27
J1790 Injection, droperidol, up to 5 mg <1% 260 $14.60
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 246 $10.50
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 18 $9.77
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 2,106 $9.11
J7030 Infusion, normal saline solution , 1000 cc <1% 549 $7.66
J1650 Injection, enoxaparin sodium, 10 mg <1% 27 $6.29
J3370 Injection, vancomycin hcl, 500 mg <1% 57 $5.72
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 30 $4.07
J3480 Injection, potassium chloride, per 2 meq <1% 163 $2.40
J1171 Injection, hydromorphone, 0.1 mg <1% 56 $0.45
3078F 0% 15 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 0% 566 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 130 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 19 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 13 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 0% 31 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 91 $0.00
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 0% 65 $0.00
C2625 Stent, non-coronary, temporary, with delivery system 0% 66 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 0% 13 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 17 $0.00
82365 0% 33 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 0% 15 $0.00
94760 0% 1,496 $0.00
3074F 0% 19 $0.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 0% 485 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 89 $0.00
C1889 Implantable/insertable device, not otherwise classified 0% 29 $0.00
00813 0% 39 $0.00
82803 0% 55 $0.00
74022 0% 16 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 29 $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 officialLARAWAY, DENNIS (EXECUTIVE VP CHIEF FINANCE OFFICER)
Same official

Other billing entities under LARAWAY, DENNIS

Full network →
ProviderLocationPaid
The Cleveland Clinic FoundationCleveland, OH$863.55M
Akron General Medical CenterAkron, OH$98.99M
Cleveland Clinic Mercy HospitalCanton, OH$86.97M
Memorial Hermann Health SystemHouston, TX$84.45M
Fairview HospitalCleveland, OH$62.42M
Lutheran HospitalCleveland, OH$41.49M
Cleveland Clinic Health System - East RegionEuclid, OH$40.67M
Memorial Hermann Health SystemHouston, TX$39.46M
Cleveland Clinic Children's Hospital for RehabilitationCleveland, OH$36.43M
Cleveland Clinic Health System - East RegionMayfield Hts, OH$32.76M
Cleveland Clinic Health System - East RegionWarrensville Heights, OH$31.44M
Partners Physician GroupAkron, OH$28.37M
Marymount Hospital INCGarfield Heights, OH$28.02M
Memorial Hermann Health SystemHumble, TX$26.79M
Martin Memorial Medical Center INCStuart, FL$26.03M
The Union Hospital AssociationDover, OH$20.23M
Lodi Community HospitalLodi, OH$17.53M
Clinic Medical Services Company LLCCleveland, OH$10.82M
Cleveland Clinic Home Care ServicesIndependence, OH$10.76M
Indian River Memorial Hospital INCVero Beach, FL$9.27M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.