Hospital
Alleghany County Memorial Hospital INC
Alleghany County Memorial Hospital INC was paid $1.97M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 99283, emergency room visit (moderate) — 55% of everything it billed.
33Billing provider infoALLEGHANY COUNTY MEMORIAL HOSPITAL INC
SPARTA, NC 28675
SPARTA, NC 28675
33aNPI1356318968assigned 03/02/2006
33bProvider typeCritical Access Hospital
28Total paid$1.97M
24GClaims39,293
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Access Hospital providers in North Carolina
Rank by total paid#10 of 25
Median peer was paid$1.32M
This provider vs. median1.5×
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.
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 | 3,741 | $277K | |
| 2019 | 2,866 | $223K | |
| 2020 | 1,317 | $89K | |
| 2021 | 3,120 | $162K | |
| 2022 | 5,515 | $321K | |
| 2023 | 11,756 | $363K | |
| 2024incomplete | 10,978 | $534K |
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 | 55% | 5,937 | 5,280 | $1.08M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 4,893 | 3,703 | $216K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 9.9% | 588 | 558 | $194K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 8.0% | 2,876 | 2,029 | $157K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 4.3% | 729 | 653 | $84K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.3% | 857 | 750 | $45K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.1% | 732 | 675 | $42K |
| 99199 | Unlisted special service, procedure or report | 1.6% | 10,039 | 10,035 | $31K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,288 | 1,117 | $16K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,258 | 542 | $15K |
| 80053 | Comprehensive metabolic panel | <1% | 2,052 | 1,676 | $14K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 208 | 145 | $14K |
31 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,019 | $13K |
| 99285 | Emergency room visit (most serious) | <1% | 46 | $10K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 30 | $6K |
| 71045 | Radiologic examination, chest; single view | <1% | 108 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 48 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,420 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 203 | $3K |
| 85027 | <1% | 298 | $2K | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 41 | $2K |
| 81001 | <1% | 593 | $1K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 12 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 50 | $1K |
| 87070 | <1% | 80 | $1K | |
| J3490 | Unclassified drugs | <1% | 18 | $829.15 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $749.81 |
| 87081 | <1% | 103 | $703.64 | |
| 83605 | <1% | 100 | $692.47 | |
| 87807 | <1% | 40 | $647.90 | |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 60 | $494.10 |
| 87400 | <1% | 55 | $456.96 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 14 | $326.30 |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 29 | $324.36 |
| 80061 | Lipid panel | <1% | 13 | $293.40 |
| 84484 | <1% | 16 | $145.36 | |
| 83735 | <1% | 19 | $82.28 | |
| A9270 | Non-covered item or service | <1% | 1,139 | $78.07 |
| 82550 | <1% | 16 | $68.05 | |
| 85730 | <1% | 16 | $62.77 | |
| 81003 | <1% | 87 | $53.07 | |
| 85610 | <1% | 17 | $41.11 | |
| 99173 | <1% | 131 | $14.00 |
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 officialHAWKS, KAYLEN (MEDICAL STAFF COORDINATOR)