Medicaid Provider Spending

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

CLEVELAND CLINIC AVON HOSPITAL

NPI: 1346607017 · AVON, OH 44011 · General Acute Care Hospital · NPI assigned 01/26/2016

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

Authorized official LARAWAY, DENNIS controls 20+ related entities in our dataset. Read more

$11.72M
Total Medicaid Paid
344,846
Total Claims
270,478
Beneficiaries
244
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLARAWAY, DENNIS (EXECUTIVE VP CHIEF FINANCE OFFICER)
NPI Enumeration Date01/26/2016

Related Entities

Other providers sharing the same authorized official: LARAWAY, DENNIS

ProviderCityStateTotal Paid
THE CLEVELAND CLINIC FOUNDATION CLEVELAND OH $863.55M
AKRON GENERAL MEDICAL CENTER AKRON OH $98.99M
CLEVELAND CLINIC MERCY HOSPITAL CANTON OH $86.97M
MEMORIAL HERMANN HEALTH SYSTEM HOUSTON TX $84.45M
FAIRVIEW HOSPITAL CLEVELAND OH $62.42M
LUTHERAN HOSPITAL CLEVELAND OH $41.49M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION EUCLID OH $40.67M
MEMORIAL HERMANN HEALTH SYSTEM HOUSTON TX $39.46M
CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION CLEVELAND OH $36.43M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION MAYFIELD HTS OH $32.76M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION WARRENSVILLE HEIGHTS OH $31.44M
PARTNERS PHYSICIAN GROUP AKRON OH $28.37M
MARYMOUNT HOSPITAL INC GARFIELD HEIGHTS OH $28.02M
MEMORIAL HERMANN HEALTH SYSTEM HUMBLE TX $26.79M
MARTIN MEMORIAL MEDICAL CENTER INC STUART FL $26.03M
THE UNION HOSPITAL ASSOCIATION DOVER OH $20.23M
LODI COMMUNITY HOSPITAL LODI OH $17.53M
CLINIC MEDICAL SERVICES COMPANY LLC CLEVELAND OH $10.82M
CLEVELAND CLINIC HOME CARE SERVICES INDEPENDENCE OH $10.76M
INDIAN RIVER MEMORIAL HOSPITAL INC VERO BEACH FL $9.27M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,795 $387K
2019 6,686 $324K
2020 8,319 $474K
2021 18,071 $913K
2022 26,609 $1.09M
2023 162,809 $5.30M
2024 113,557 $3.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 20,239 17,682 $2.27M
96361 Intravenous infusion, hydration; each additional hour 6,943 4,915 $1.93M
99283 Emergency department visit for the evaluation and management, moderate severity 12,594 11,837 $1.22M
99284 Emergency department visit for the evaluation and management, high severity 10,512 9,399 $1.08M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 6,489 5,721 $687K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,379 2,012 $486K
70450 Computed tomography, head or brain; without contrast material 2,146 1,783 $445K
G0378 Hospital observation service, per hour 4,364 2,069 $330K
74176 Computed tomography, abdomen and pelvis; without contrast material 999 867 $225K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,206 1,792 $222K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 565 439 $183K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,042 917 $183K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,414 778 $181K
45380 Colonoscopy, flexible; with biopsy, single or multiple 420 318 $161K
71260 Computed tomography, thorax, diagnostic; with contrast material 876 729 $155K
76770 933 854 $133K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,700 1,509 $130K
80053 Comprehensive metabolic panel 24,288 20,090 $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 966 825 $119K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,091 884 $98K
99282 Emergency department visit for the evaluation and management, low to moderate severity 815 745 $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 2,211 2,058 $73K
93975 507 439 $50K
71046 Radiologic examination, chest; 2 views 3,336 2,991 $46K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 194 167 $40K
76642 367 324 $38K
76536 388 357 $37K
93971 695 618 $36K
70498 208 171 $36K
70551 Magnetic resonance imaging, brain; without contrast material 289 250 $33K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 24,740 21,029 $31K
84443 Thyroid stimulating hormone (TSH) 2,548 2,252 $29K
71250 365 329 $28K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 125 115 $26K
36415 Collection of venous blood by venipuncture 28,331 20,035 $26K
80048 Basic metabolic panel (calcium, ionized) 4,569 3,188 $25K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,271 1,134 $23K
80061 Lipid panel 1,975 1,762 $21K
76830 Ultrasound, transvaginal 544 480 $21K
99281 Emergency department visit for the evaluation and management, self-limited or minor 172 161 $20K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 49 38 $20K
72100 694 625 $18K
86850 1,050 870 $18K
85027 5,301 3,763 $17K
72125 Computed tomography, cervical spine; without contrast material 711 605 $16K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,225 956 $16K
83036 Hemoglobin; glycosylated (A1C) 1,405 1,212 $15K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 71 68 $14K
73564 442 376 $13K
82728 897 784 $13K
86140 1,785 1,452 $13K
82607 757 653 $13K
84439 728 650 $13K
77063 Screening digital breast tomosynthesis, bilateral 309 295 $13K
73630 838 732 $13K
71045 Radiologic examination, chest; single view 4,084 3,556 $12K
96367 526 394 $12K
77067 Screening mammography, bilateral, including computer-aided detection 551 512 $11K
74018 626 543 $11K
84702 1,963 1,516 $11K
70491 47 43 $11K
93799 2,655 1,025 $11K
72131 164 138 $10K
73030 593 500 $10K
93970 96 83 $9K
86900 1,061 877 $9K
83540 985 856 $9K
73130 520 454 $8K
87086 Culture, bacterial; quantitative colony count, urine 2,271 1,910 $8K
84484 7,366 4,385 $8K
86780 552 462 $7K
87631 57 52 $7K
83550 978 848 $7K
83735 9,262 7,063 $7K
86803 401 338 $7K
71275 Computed tomographic angiography, chest, with contrast material 21 21 $7K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 8,469 7,136 $6K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,352 1,093 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 588 513 $6K
85610 1,745 1,269 $6K
73502 390 319 $6K
81001 9,347 7,899 $6K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 57 55 $6K
87340 324 262 $6K
74183 37 30 $6K
76857 476 409 $5K
A9270 Non-covered item or service 1,276 631 $5K
82962 5,556 1,975 $5K
82570 532 483 $5K
73610 525 466 $5K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 329 278 $5K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,129 888 $5K
83880 1,589 1,326 $4K
70486 90 86 $4K
73221 16 12 $4K
86901 1,059 877 $4K
80076 259 207 $4K
73110 335 284 $4K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 588 513 $4K
80069 253 214 $3K
96376 1,952 1,028 $3K
90715 241 185 $3K
77061 102 88 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,329 1,527 $3K
83970 123 109 $3K
70496 257 213 $3K
77062 100 91 $3K
85652 675 569 $3K
87077 859 735 $2K
78264 15 13 $2K
96375 Therapeutic injection; each additional sequential IV push 4,173 2,972 $2K
82043 346 314 $2K
83690 4,651 3,805 $2K
81513 13 13 $2K
82784 135 109 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 446 382 $2K
12001 13 12 $2K
84100 581 384 $2K
84403 117 104 $2K
97116 77 40 $2K
82550 520 406 $2K
77065 Tomosynthesis, mammo 168 138 $2K
86706 102 82 $2K
73560 250 218 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 193 140 $1K
73140 61 55 $1K
87505 23 16 $1K
76870 95 80 $1K
86038 47 36 $1K
97535 Self-care/home management training, each 15 minutes 56 30 $1K
86480 32 26 $1K
87186 647 559 $1K
83605 1,870 1,341 $1K
82746 157 129 $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 748 617 $977.10
85730 627 461 $967.42
77066 Tomosynthesis, mammo 179 155 $945.48
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 27 27 $910.62
84481 76 67 $888.09
74019 14 13 $865.67
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 97 76 $832.72
00811 520 399 $822.84
85379 1,659 1,400 $813.48
72050 15 14 $778.37
97161 124 88 $755.21
87481 16 14 $742.04
82077 830 614 $727.69
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 29 26 $692.94
81025 4,133 3,390 $681.21
99252 28 26 $662.18
73590 109 102 $653.80
97802 15 12 $649.22
84146 26 25 $637.01
81003 1,877 1,573 $618.16
86762 15 13 $564.83
86308 152 127 $551.39
99231 Subsequent hospital care, per day, straightforward or low complexity 46 24 $544.39
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,062 3,384 $530.81
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27 26 $517.46
84153 32 30 $512.24
88304 221 173 $483.84
J2270 Injection, morphine sulfate, up to 10 mg 1,908 1,191 $482.02
87070 260 207 $471.85
87040 448 351 $420.85
83001 15 14 $409.54
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 195 148 $393.05
84550 71 65 $379.11
86704 23 13 $366.47
99221 14 13 $358.60
73080 38 30 $356.36
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 201 143 $344.82
87205 272 213 $319.86
99152 134 110 $316.02
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 25 25 $314.83
84156 58 51 $304.71
J1885 Injection, ketorolac tromethamine, per 15 mg 6,228 4,858 $301.46
00731 485 376 $287.29
83002 14 13 $260.96
J1170 Injection, hydromorphone, up to 4 mg 723 457 $232.06
82565 17 12 $222.02
72128 12 12 $192.23
83615 35 27 $175.15
J2704 Injection, propofol, 10 mg 3,361 2,586 $167.50
J3490 Unclassified drugs 60 43 $132.85
J1644 Injection, heparin sodium, per 1000 units 872 353 $117.32
87493 18 12 $114.16
76801 28 27 $111.79
J2919 Injection, methylprednisolone sodium succinate, 5 mg 166 129 $95.80
97530 Therapeutic activities, direct patient contact, each 15 minutes 21 14 $93.62
J0696 Injection, ceftriaxone sodium, per 250 mg 1,305 801 $90.72
J3010 Injection, fentanyl citrate, 0.1 mg 3,405 2,071 $86.32
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 372 322 $83.34
J0780 Injection, prochlorperazine, up to 10 mg 522 381 $76.24
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,705 4,032 $69.40
84132 64 50 $67.93
88342 36 28 $64.98
C1769 Guide wire 390 304 $64.58
J1815 Injection, insulin, per 5 units 24 18 $54.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 328 252 $49.89
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,029 604 $45.69
J2060 Injection, lorazepam, 2 mg 279 200 $44.40
J7120 Ringers lactate infusion, up to 1000 cc 583 432 $44.13
84145 63 50 $42.56
J1200 Injection, diphenhydramine hcl, up to 50 mg 819 633 $38.17
J0690 Injection, cefazolin sodium, 500 mg 1,342 851 $30.72
C9113 Injection, pantoprazole sodium, per vial 46 25 $28.95
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,782 1,340 $24.09
J2765 Injection, metoclopramide hcl, up to 10 mg 666 517 $18.91
J1940 Injection, furosemide, up to 20 mg 97 51 $16.83
J2250 Injection, midazolam hydrochloride, per 1 mg 2,188 1,577 $16.56
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 121 100 $16.48
J3475 Injection, magnesium sulfate, per 500 mg 827 607 $15.27
J1790 Injection, droperidol, up to 5 mg 260 201 $14.60
J2795 Injection, ropivacaine hydrochloride, 1 mg 246 188 $10.50
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 18 12 $9.77
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 2,106 1,537 $9.11
J7030 Infusion, normal saline solution , 1000 cc 549 400 $7.66
J1650 Injection, enoxaparin sodium, 10 mg 27 12 $6.29
J3370 Injection, vancomycin hcl, 500 mg 57 42 $5.72
J2360 Injection, orphenadrine citrate, up to 60 mg 30 26 $4.07
J3480 Injection, potassium chloride, per 2 meq 163 120 $2.40
J1171 Injection, hydromorphone, 0.1 mg 56 46 $0.45
3078F 15 12 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 566 504 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 130 119 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 19 12 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 13 12 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 31 31 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 91 79 $0.00
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 65 55 $0.00
C2625 Stent, non-coronary, temporary, with delivery system 66 52 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 13 13 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 17 15 $0.00
82365 33 25 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 15 13 $0.00
94760 1,496 858 $0.00
3074F 19 15 $0.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 485 408 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 89 59 $0.00
C1889 Implantable/insertable device, not otherwise classified 29 29 $0.00
00813 39 32 $0.00
82803 55 42 $0.00
74022 16 12 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 29 28 $0.00