Medicaid Provider Spending

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

WAGONER HOSPITAL AUTHORITY

NPI: 1386611580 · WAGONER, OK 74467 · General Acute Care Hospital · NPI assigned 03/07/2006

$7.28M
Total Medicaid Paid
102,756
Total Claims
84,607
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHAMILTON, DEBI (CHAIRMAN)
NPI Enumeration Date03/07/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,970 $799K
2019 11,528 $943K
2020 9,740 $756K
2021 14,651 $1.05M
2022 22,327 $1.53M
2023 21,619 $1.41M
2024 11,921 $792K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 14,994 12,925 $1.82M
99284 Emergency department visit for the evaluation and management, high severity 6,059 5,322 $1.30M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,071 11,080 $723K
D9999 Unspecified adjunctive procedure, by report 557 557 $495K
99282 Emergency department visit for the evaluation and management, low to moderate severity 9,315 8,632 $469K
90832 Psychotherapy, 30 minutes with patient 10,334 3,403 $460K
90791 Psychiatric diagnostic evaluation 3,136 3,126 $338K
99221 3,568 3,488 $266K
99238 Hospital discharge day management, 30 minutes or less 3,491 3,410 $201K
99231 Subsequent hospital care, per day, straightforward or low complexity 5,290 2,687 $185K
99223 Prolong inpt eval add15 m 1,016 1,000 $135K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 381 287 $89K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,959 1,992 $81K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,417 1,363 $75K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 492 479 $73K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 491 485 $67K
90792 Psychiatric diagnostic evaluation with medical services 545 544 $56K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,134 899 $51K
80053 Comprehensive metabolic panel 4,830 4,525 $47K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5,682 5,338 $38K
99239 Hospital discharge day management, more than 30 minutes 460 451 $37K
99233 Prolong inpt eval add15 m 477 422 $35K
99232 Subsequent hospital care, per day, moderate complexity 594 363 $31K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 304 304 $25K
36415 Collection of venous blood by venipuncture 4,863 4,423 $25K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 263 263 $22K
00170 Anesthesia for intraoral procedures, including biopsy 56 56 $21K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 358 356 $18K
74176 Computed tomography, abdomen and pelvis; without contrast material 154 152 $13K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 105 105 $13K
71045 Radiologic examination, chest; single view 628 621 $9K
84443 Thyroid stimulating hormone (TSH) 550 541 $8K
80061 Lipid panel 625 624 $7K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 334 332 $7K
83036 Hemoglobin; glycosylated (A1C) 654 653 $6K
99205 Prolong outpt/office vis 31 31 $5K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 104 103 $3K
96375 Therapeutic injection; each additional sequential IV push 53 50 $3K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 27 27 $3K
96127 691 677 $2K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 141 74 $2K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 27 27 $2K
99220 15 15 $2K
84439 229 224 $2K
83880 43 43 $1K
84484 136 125 $1K
96361 Intravenous infusion, hydration; each additional hour 27 26 $1K
99383 12 12 $1K
87400 103 52 $1K
81001 356 354 $970.08
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 187 179 $922.97
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 53 53 $890.91
71046 Radiologic examination, chest; 2 views 39 39 $747.49
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 28 28 $710.91
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 12 12 $663.24
81003 277 275 $524.00
83735 83 83 $478.54
80048 Basic metabolic panel (calcium, ionized) 53 52 $392.02
J3010 Injection, fentanyl citrate, 0.1 mg 302 302 $234.25
90686 15 15 $227.66
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $163.20
82607 12 12 $160.92
84550 39 39 $153.28
J2405 Injection, ondansetron hydrochloride, per 1 mg 379 379 $52.73
J1885 Injection, ketorolac tromethamine, per 15 mg 83 79 $0.00