Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › WESTERVILLE › MOUNT CARMEL HEALTH SYSTEM

MOUNT CARMEL HEALTH SYSTEM

NPI: 1417037045 · WESTERVILLE, OH 43081 · General Acute Care Hospital · NPI assigned 10/17/2006

$42.48M
Total Medicaid Paid
1,069,571
Total Claims
889,023
Beneficiaries
311
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRIDAY, ANDREW (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date10/17/2006

Related Entities

Other providers sharing the same authorized official: PRIDAY, ANDREW

ProviderCityStateTotal Paid
MOUNT CARMEL HEALTH SYSTEM COLUMBUS OH $66.65M
MOUNT CARMEL HEALTH SYSTEM GROVE CITY OH $14.42M
DILEY RIDGE MEDICAL CENTER CANAL WINCHESTER OH $6.17M
MOUNT CARMEL HEALTH SYSTEM COLUMBUS OH $5.23M
MOUNT CARMEL HEALTH SYSTEM COLUMBUS OH $403K
MOUNT CARMEL HEALTH SYSTEM COLUMBUS OH $318K
MOUNT CARMEL HEALTH SYSTEM GROVE CITY OH $180K
MOUNT CARMEL HEALTH SYSTEM NEW ALBANY OH $14K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 143,672 $4.82M
2019 134,958 $4.60M
2020 110,549 $5.80M
2021 102,901 $5.14M
2022 111,840 $4.98M
2023 269,190 $9.68M
2024 196,461 $7.46M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 43,260 39,113 $5.82M
96361 Intravenous infusion, hydration; each additional hour 19,781 16,615 $5.77M
99283 Emergency department visit for the evaluation and management, moderate severity 46,771 43,047 $5.74M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 25,146 21,968 $3.61M
99282 Emergency department visit for the evaluation and management, low to moderate severity 21,006 19,661 $2.31M
70450 Computed tomography, head or brain; without contrast material 6,860 5,961 $1.73M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 14,607 12,032 $1.71M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 14,384 10,507 $1.52M
59025 Fetal non-stress test 10,346 4,644 $1.50M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12,997 11,692 $1.44M
74176 Computed tomography, abdomen and pelvis; without contrast material 4,241 3,611 $1.16M
74177 Computed tomography, abdomen and pelvis; with contrast material 2,851 2,307 $766K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,435 4,697 $734K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,432 1,985 $485K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 4,171 3,862 $464K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 12,422 11,110 $454K
G0378 Hospital observation service, per hour 5,587 2,568 $413K
80048 Basic metabolic panel (calcium, ionized) 42,047 36,604 $399K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4,545 1,287 $329K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,874 2,593 $316K
71275 Computed tomographic angiography, chest, with contrast material 1,063 840 $311K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,365 1,509 $263K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 933 807 $240K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,050 685 $204K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,581 1,475 $198K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,605 839 $185K
93975 1,140 935 $181K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3,117 2,483 $177K
76801 2,423 2,035 $164K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 7,986 6,920 $143K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,871 1,320 $143K
84484 23,314 18,170 $131K
76820 2,400 1,317 $128K
81513 908 752 $120K
71046 Radiologic examination, chest; 2 views 15,549 14,215 $102K
76642 682 616 $92K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 595 507 $92K
77063 Screening digital breast tomosynthesis, bilateral 1,809 1,668 $90K
86850 5,194 4,368 $90K
80076 13,051 12,160 $84K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,323 1,133 $82K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,084 801 $80K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 166 128 $75K
76705 Ultrasound, abdominal, real time with image documentation; limited 937 755 $75K
82805 2,617 2,058 $72K
86780 4,833 4,471 $72K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,939 4,340 $65K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 727 658 $63K
80053 Comprehensive metabolic panel 25,675 20,687 $62K
86900 5,231 4,396 $62K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,455 824 $61K
62323 152 133 $59K
76819 Fetal biophysical profile; without non-stress testing 757 529 $58K
93971 799 664 $52K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,418 1,212 $52K
70551 Magnetic resonance imaging, brain; without contrast material 376 302 $52K
93970 370 308 $50K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4,901 4,376 $49K
70496 228 175 $46K
71045 Radiologic examination, chest; single view 15,505 13,544 $46K
72100 1,378 1,239 $44K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 35,037 30,350 $43K
59430 413 396 $40K
76818 363 229 $39K
P9016 Red blood cells, leukocytes reduced, each unit 156 90 $36K
97161 987 808 $34K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 53,712 45,769 $32K
77067 Screening mammography, bilateral, including computer-aided detection 2,039 1,886 $30K
93356 1,045 876 $30K
36415 Collection of venous blood by venipuncture 82,721 67,679 $30K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12,580 10,963 $29K
90715 2,109 1,863 $29K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 99 82 $28K
76830 Ultrasound, transvaginal 1,028 876 $28K
93017 310 246 $28K
80364 2,394 2,201 $27K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 630 254 $27K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,719 2,360 $26K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 28,886 24,672 $24K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography 169 125 $24K
73560 465 397 $22K
85027 21,214 17,851 $22K
97165 509 400 $22K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 3,960 3,570 $21K
72131 470 374 $19K
72125 Computed tomography, cervical spine; without contrast material 1,310 1,071 $19K
97530 Therapeutic activities, direct patient contact, each 15 minutes 946 604 $19K
73030 1,035 904 $18K
72050 330 287 $18K
95886 67 40 $17K
86901 5,291 4,451 $16K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 63 48 $15K
70486 435 368 $15K
83021 1,211 1,112 $15K
81001 31,404 27,874 $15K
12001 101 89 $15K
71260 Computed tomography, thorax, diagnostic; with contrast material 80 62 $14K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 91 81 $14K
82105 956 902 $13K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,813 2,472 $13K
87086 Culture, bacterial; quantitative colony count, urine 10,637 9,300 $13K
72070 377 351 $13K
74018 754 631 $12K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,596 1,476 $11K
70498 264 211 $11K
72040 217 209 $11K
73630 1,040 889 $11K
82677 603 567 $11K
93325 121 102 $11K
83690 22,790 20,161 $10K
96376 3,489 1,708 $10K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 775 733 $10K
83735 13,087 10,154 $10K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,952 4,419 $10K
77062 233 212 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,876 5,072 $9K
83605 3,493 2,616 $9K
73610 822 713 $9K
96375 Therapeutic injection; each additional sequential IV push 17,678 14,318 $9K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 14 13 $8K
83880 4,483 3,748 $8K
10060 48 39 $8K
73502 508 430 $8K
0042T 38 26 $7K
84702 3,233 2,653 $7K
73130 728 624 $7K
64635 16 12 $7K
73564 845 722 $7K
77061 231 190 $7K
97116 354 188 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 65 60 $7K
90658 890 837 $7K
73110 465 389 $6K
76536 53 53 $6K
82950 2,097 1,957 $6K
71250 59 48 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 3,047 2,942 $5K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 127 112 $5K
82248 5,650 4,592 $5K
70491 13 13 $5K
36430 120 71 $5K
76770 33 30 $4K
94060 29 27 $4K
J7030 Infusion, normal saline solution , 1000 cc 27,109 21,751 $4K
80349 432 405 $4K
77066 Tomosynthesis, mammo 256 233 $3K
77065 Tomosynthesis, mammo 282 228 $3K
97162 178 136 $3K
94762 126 70 $3K
84703 5,412 4,507 $3K
81002 12,785 10,594 $3K
83036 Hemoglobin; glycosylated (A1C) 1,676 1,469 $3K
73590 287 233 $2K
82077 2,052 1,607 $2K
84145 1,227 965 $2K
85379 1,615 1,329 $2K
85610 4,342 3,340 $2K
84443 Thyroid stimulating hormone (TSH) 1,715 1,362 $2K
20610 17 15 $2K
81003 5,759 5,223 $2K
86787 2,313 2,133 $2K
97535 Self-care/home management training, each 15 minutes 121 82 $2K
81025 4,803 4,141 $2K
94729 29 27 $2K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 739 195 $2K
93922 30 27 $2K
94726 27 25 $2K
87905 326 256 $2K
J1170 Injection, hydromorphone, up to 4 mg 3,421 1,974 $2K
82728 1,599 1,458 $2K
86762 2,193 2,024 $2K
87481 905 749 $2K
71101 136 111 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 965 813 $1K
87077 1,534 1,277 $1K
86701 1,843 1,693 $1K
87040 1,348 831 $1K
87340 2,250 2,082 $1K
73562 12 12 $1K
J1815 Injection, insulin, per 5 units 1,970 552 $1K
99152 94 77 $1K
87081 1,749 1,658 $1K
73080 138 108 $1K
86140 381 279 $1K
85730 2,152 1,555 $1K
90688 59 52 $1K
84439 539 438 $1K
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 346 277 $981.41
87186 1,255 1,049 $967.64
86920 81 52 $937.33
80143 911 720 $834.44
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 356 348 $799.20
J1650 Injection, enoxaparin sodium, 10 mg 1,115 443 $766.65
J2270 Injection, morphine sulfate, up to 10 mg 2,093 1,435 $763.75
82607 214 154 $748.84
J1885 Injection, ketorolac tromethamine, per 15 mg 12,532 10,463 $723.26
C9113 Injection, pantoprazole sodium, per vial 449 205 $722.57
J7120 Ringers lactate infusion, up to 1000 cc 2,900 1,956 $700.75
85652 478 303 $686.21
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 429 336 $679.12
80061 Lipid panel 249 166 $658.27
92610 36 26 $656.60
86803 456 443 $656.09
73140 34 25 $638.70
J0696 Injection, ceftriaxone sodium, per 250 mg 1,904 1,155 $590.87
J3370 Injection, vancomycin hcl, 500 mg 434 224 $487.20
72128 46 37 $483.11
84100 374 249 $457.14
82947 844 785 $438.30
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 36 12 $412.54
J3475 Injection, magnesium sulfate, per 500 mg 1,007 679 $404.26
87634 134 126 $385.01
J2405 Injection, ondansetron hydrochloride, per 1 mg 16,664 13,269 $363.53
J0780 Injection, prochlorperazine, up to 10 mg 830 561 $359.31
80179 876 705 $328.96
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,375 4,399 $311.39
80320 33 25 $307.40
82550 262 178 $305.50
86923 20 16 $299.62
J7050 Infusion, normal saline solution, 250 cc 1,354 680 $289.76
87070 457 379 $276.31
73090 71 56 $255.59
82040 991 800 $254.07
J1644 Injection, heparin sodium, per 1000 units 1,460 449 $243.72
J0690 Injection, cefazolin sodium, 500 mg 1,413 860 $226.77
72072 15 12 $215.27
87808 335 260 $209.58
80361 315 303 $208.86
87205 555 455 $201.83
82746 82 62 $196.41
J2704 Injection, propofol, 10 mg 2,665 1,955 $196.33
82570 196 148 $188.71
84156 281 231 $181.70
84460 1,038 837 $168.01
82150 901 695 $163.81
84075 993 806 $144.13
83540 192 144 $142.40
82140 153 115 $137.74
82247 1,028 832 $135.19
84155 1,015 824 $128.46
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,746 2,079 $128.26
83550 187 141 $126.77
84450 883 689 $117.95
82010 119 84 $116.75
85007 96 62 $114.87
82977 842 660 $110.44
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 886 660 $101.27
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,765 1,297 $100.90
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 438 272 $99.46
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 175 117 $95.17
86336 609 573 $92.93
J2919 Injection, methylprednisolone sodium succinate, 5 mg 148 114 $92.10
82565 219 204 $91.42
J3010 Injection, fentanyl citrate, 0.1 mg 2,152 1,607 $82.42
J2060 Injection, lorazepam, 2 mg 1,025 715 $81.48
80365 315 303 $80.73
A9575 Injection, gadoterate meglumine, 0.1 ml 479 411 $71.14
J3480 Injection, potassium chloride, per 2 meq 342 201 $68.71
J2765 Injection, metoclopramide hcl, up to 10 mg 973 714 $64.53
82310 195 184 $63.84
83020 124 120 $59.41
82435 200 189 $56.81
84520 204 192 $56.81
82374 199 188 $56.81
J1940 Injection, furosemide, up to 20 mg 247 127 $50.02
84295 151 146 $43.05
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $34.30
72170 17 14 $33.88
85046 19 12 $32.82
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 574 357 $30.40
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,862 898 $28.32
J1630 Injection, haloperidol, up to 5 mg 407 292 $25.26
J8597 Antiemetic drug, oral, not otherwise specified 365 348 $24.45
J2470 Injection, pantoprazole sodium, 40 mg 91 55 $22.14
J3411 Injection, thiamine hcl, 100 mg 49 25 $21.34
J2250 Injection, midazolam hydrochloride, per 1 mg 1,530 1,158 $19.25
84550 40 37 $19.03
J3490 Unclassified drugs 19 14 $17.84
J2370 Injection, phenylephrine hcl, up to 1 ml 145 96 $17.20
J1953 Injection, levetiracetam, 10 mg 54 44 $16.05
81000 56 47 $15.31
J0360 Injection, hydralazine hcl, up to 20 mg 66 40 $12.10
83615 14 12 $10.13
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 171 155 $9.28
J0171 Injection, adrenalin, epinephrine, 0.1 mg 14 12 $2.36
J1790 Injection, droperidol, up to 5 mg 12 12 $2.29
J1171 Injection, hydromorphone, 0.1 mg 150 107 $1.40
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 191 144 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 188 155 $0.00
C1769 Guide wire 445 344 $0.00
88342 124 99 $0.00
A9270 Non-covered item or service 126 27 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 31 25 $0.00
J0456 Injection, azithromycin, 500 mg 29 12 $0.00
G0475 Hiv antigen/antibody, combination assay, screening 51 49 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 47 42 $0.00
88304 65 50 $0.00
J2785 Injection, regadenoson, 0.1 mg 48 37 $0.00
76376 981 820 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 43 42 $0.00
H1000 Prenatal care, at-risk assessment 584 548 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 28 26 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 308 234 $0.00
Q0114 Fern test 137 110 $0.00
51702 38 25 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 22 14 $0.00
00812 17 17 $0.00
00811 14 12 $0.00
96367 34 29 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 21 14 $0.00
00731 16 14 $0.00