Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Westerville › NPI 1417037045
Hospital

Mount Carmel Health System

Mount Carmel Health System was paid $42.48M by Medicaid between Jan 2018 and Dec 2024, across 311 billing codes. Its largest line is 99284, emergency room visit (serious) — 14% of everything it billed.

33Billing provider infoMOUNT CARMEL HEALTH SYSTEM
WESTERVILLE, OH 43081
33aNPI1417037045assigned 10/17/2006
28Total paid$42.48M
24GClaims1,069,571
24DCodes billed311
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Ohio

Rank by total paid#24 of 101
Median peer was paid$22.32M
This provider vs. median1.9×

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

$0$500K$1.0M$1.5M2018201920202021202220232024
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
2018143,672$4.82M
2019134,958$4.60M
2020110,549$5.80M
2021102,901$5.14M
2022111,840$4.98M
2023269,190$9.68M
2024incomplete196,461$7.46M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 14% 43,260 39,113 $5.82M
96361 Intravenous infusion, hydration; each additional hour 14% 19,781 16,615 $5.77M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 14% 46,771 43,047 $5.74M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 8.5% 25,146 21,968 $3.61M
99282 Emergency department visit for the evaluation and management, low to moderate severity 5.4% 21,006 19,661 $2.31M
70450 Computed tomography, head or brain; without contrast material 4.1% 6,860 5,961 $1.73M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4.0% 14,607 12,032 $1.71M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3.6% 14,384 10,507 $1.52M
59025 Fetal non-stress test 3.5% 10,346 4,644 $1.50M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.4% 12,997 11,692 $1.44M
74176 Computed tomography, abdomen and pelvis; without contrast material 2.7% 4,241 3,611 $1.16M
74177 Computed tomography, abdomen and pelvis; with contrast material 1.8% 2,851 2,307 $766K
299 more codes
99213 Doctor's office visit, returning patient (routine) 1.7% 5,435 $734K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.1% 2,432 $485K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1.1% 4,171 $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 1.1% 12,422 $454K
G0378 Hospital observation service, per hour <1% 5,587 $413K
80048 Basic metabolic panel (calcium, ionized) <1% 42,047 $399K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 4,545 $329K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 2,874 $316K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,063 $311K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,365 $263K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 933 $240K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,050 $204K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,581 $198K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,605 $185K
93975 <1% 1,140 $181K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 3,117 $177K
76801 <1% 2,423 $164K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 7,986 $143K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 1,871 $143K
84484 <1% 23,314 $131K
76820 <1% 2,400 $128K
81513 <1% 908 $120K
71046 Radiologic examination, chest; 2 views <1% 15,549 $102K
76642 <1% 682 $92K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 595 $92K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,809 $90K
86850 <1% 5,194 $90K
80076 <1% 13,051 $84K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 1,323 $82K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 1,084 $80K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 166 $75K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 937 $75K
82805 <1% 2,617 $72K
86780 <1% 4,833 $72K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 4,939 $65K
99214 Doctor's office visit, returning patient (more involved) <1% 727 $63K
80053 Comprehensive metabolic panel <1% 25,675 $62K
86900 <1% 5,231 $62K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 2,455 $61K
62323 <1% 152 $59K
76819 Fetal biophysical profile; without non-stress testing <1% 757 $58K
93971 <1% 799 $52K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 1,418 $52K
70551 Magnetic resonance imaging, brain; without contrast material <1% 376 $52K
93970 <1% 370 $50K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 4,901 $49K
70496 <1% 228 $46K
71045 Radiologic examination, chest; single view <1% 15,505 $46K
72100 <1% 1,378 $44K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 35,037 $43K
59430 <1% 413 $40K
76818 <1% 363 $39K
P9016 Red blood cells, leukocytes reduced, each unit <1% 156 $36K
97161 <1% 987 $34K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 53,712 $32K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,039 $30K
93356 <1% 1,045 $30K
36415 Collection of venous blood by venipuncture <1% 82,721 $30K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 12,580 $29K
90715 <1% 2,109 $29K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 99 $28K
76830 Ultrasound, transvaginal <1% 1,028 $28K
93017 <1% 310 $28K
80364 <1% 2,394 $27K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 630 $27K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,719 $26K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 28,886 $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 <1% 169 $24K
73560 <1% 465 $22K
85027 <1% 21,214 $22K
97165 <1% 509 $22K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 3,960 $21K
72131 <1% 470 $19K
72125 Computed tomography, cervical spine; without contrast material <1% 1,310 $19K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 946 $19K
73030 <1% 1,035 $18K
72050 <1% 330 $18K
95886 <1% 67 $17K
86901 <1% 5,291 $16K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 63 $15K
70486 <1% 435 $15K
83021 <1% 1,211 $15K
81001 <1% 31,404 $15K
12001 <1% 101 $15K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 80 $14K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 91 $14K
82105 <1% 956 $13K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 2,813 $13K
87086 Culture, bacterial; quantitative colony count, urine <1% 10,637 $13K
72070 <1% 377 $13K
74018 <1% 754 $12K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 1,596 $11K
70498 <1% 264 $11K
72040 <1% 217 $11K
73630 <1% 1,040 $11K
82677 <1% 603 $11K
93325 <1% 121 $11K
83690 <1% 22,790 $10K
96376 <1% 3,489 $10K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 775 $10K
83735 <1% 13,087 $10K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 4,952 $10K
77062 <1% 233 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 6,876 $9K
83605 <1% 3,493 $9K
73610 <1% 822 $9K
96375 Therapeutic injection; each additional sequential IV push <1% 17,678 $9K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 14 $8K
83880 <1% 4,483 $8K
10060 <1% 48 $8K
73502 <1% 508 $8K
0042T <1% 38 $7K
84702 <1% 3,233 $7K
73130 <1% 728 $7K
64635 <1% 16 $7K
73564 <1% 845 $7K
77061 <1% 231 $7K
97116 <1% 354 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 65 $7K
90658 <1% 890 $7K
73110 <1% 465 $6K
76536 <1% 53 $6K
82950 <1% 2,097 $6K
71250 <1% 59 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 3,047 $5K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session <1% 127 $5K
82248 <1% 5,650 $5K
70491 <1% 13 $5K
36430 <1% 120 $5K
76770 <1% 33 $4K
94060 <1% 29 $4K
J7030 Infusion, normal saline solution , 1000 cc <1% 27,109 $4K
80349 <1% 432 $4K
77066 Tomosynthesis, mammo <1% 256 $3K
77065 Tomosynthesis, mammo <1% 282 $3K
97162 <1% 178 $3K
94762 <1% 126 $3K
84703 <1% 5,412 $3K
81002 <1% 12,785 $3K
83036 Hemoglobin; glycosylated (A1C) <1% 1,676 $3K
73590 <1% 287 $2K
82077 <1% 2,052 $2K
84145 <1% 1,227 $2K
85379 <1% 1,615 $2K
85610 <1% 4,342 $2K
84443 Thyroid stimulating hormone (TSH) <1% 1,715 $2K
20610 <1% 17 $2K
81003 <1% 5,759 $2K
86787 <1% 2,313 $2K
97535 Self-care/home management training, each 15 minutes <1% 121 $2K
81025 <1% 4,803 $2K
94729 <1% 29 $2K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 739 $2K
93922 <1% 30 $2K
94726 <1% 27 $2K
87905 <1% 326 $2K
J1170 Injection, hydromorphone, up to 4 mg <1% 3,421 $2K
82728 <1% 1,599 $2K
86762 <1% 2,193 $2K
87481 <1% 905 $2K
71101 <1% 136 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 965 $1K
87077 <1% 1,534 $1K
86701 <1% 1,843 $1K
87040 <1% 1,348 $1K
87340 <1% 2,250 $1K
73562 <1% 12 $1K
J1815 Injection, insulin, per 5 units <1% 1,970 $1K
99152 <1% 94 $1K
87081 <1% 1,749 $1K
73080 <1% 138 $1K
86140 <1% 381 $1K
85730 <1% 2,152 $1K
90688 <1% 59 $1K
84439 <1% 539 $1K
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 346 $981.41
87186 <1% 1,255 $967.64
86920 <1% 81 $937.33
80143 <1% 911 $834.44
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 356 $799.20
J1650 Injection, enoxaparin sodium, 10 mg <1% 1,115 $766.65
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,093 $763.75
82607 <1% 214 $748.84
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 12,532 $723.26
C9113 Injection, pantoprazole sodium, per vial <1% 449 $722.57
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,900 $700.75
85652 <1% 478 $686.21
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 429 $679.12
80061 Lipid panel <1% 249 $658.27
92610 <1% 36 $656.60
86803 <1% 456 $656.09
73140 <1% 34 $638.70
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,904 $590.87
J3370 Injection, vancomycin hcl, 500 mg <1% 434 $487.20
72128 <1% 46 $483.11
84100 <1% 374 $457.14
82947 <1% 844 $438.30
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg <1% 36 $412.54
J3475 Injection, magnesium sulfate, per 500 mg <1% 1,007 $404.26
87634 <1% 134 $385.01
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 16,664 $363.53
J0780 Injection, prochlorperazine, up to 10 mg <1% 830 $359.31
80179 <1% 876 $328.96
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 5,375 $311.39
80320 <1% 33 $307.40
82550 <1% 262 $305.50
86923 <1% 20 $299.62
J7050 Infusion, normal saline solution, 250 cc <1% 1,354 $289.76
87070 <1% 457 $276.31
73090 <1% 71 $255.59
82040 <1% 991 $254.07
J1644 Injection, heparin sodium, per 1000 units <1% 1,460 $243.72
J0690 Injection, cefazolin sodium, 500 mg <1% 1,413 $226.77
72072 <1% 15 $215.27
87808 <1% 335 $209.58
80361 <1% 315 $208.86
87205 <1% 555 $201.83
82746 <1% 82 $196.41
J2704 Injection, propofol, 10 mg <1% 2,665 $196.33
82570 <1% 196 $188.71
84156 <1% 281 $181.70
84460 <1% 1,038 $168.01
82150 <1% 901 $163.81
84075 <1% 993 $144.13
83540 <1% 192 $142.40
82140 <1% 153 $137.74
82247 <1% 1,028 $135.19
84155 <1% 1,015 $128.46
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,746 $128.26
83550 <1% 187 $126.77
84450 <1% 883 $117.95
82010 <1% 119 $116.75
85007 <1% 96 $114.87
82977 <1% 842 $110.44
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 886 $101.27
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,765 $100.90
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 438 $99.46
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 175 $95.17
86336 <1% 609 $92.93
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 148 $92.10
82565 <1% 219 $91.42
J3010 Injection, fentanyl citrate, 0.1 mg <1% 2,152 $82.42
J2060 Injection, lorazepam, 2 mg <1% 1,025 $81.48
80365 <1% 315 $80.73
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 479 $71.14
J3480 Injection, potassium chloride, per 2 meq <1% 342 $68.71
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 973 $64.53
82310 <1% 195 $63.84
83020 <1% 124 $59.41
82435 <1% 200 $56.81
84520 <1% 204 $56.81
82374 <1% 199 $56.81
J1940 Injection, furosemide, up to 20 mg <1% 247 $50.02
84295 <1% 151 $43.05
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 12 $34.30
72170 <1% 17 $33.88
85046 <1% 19 $32.82
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 574 $30.40
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 1,862 $28.32
J1630 Injection, haloperidol, up to 5 mg <1% 407 $25.26
J8597 Antiemetic drug, oral, not otherwise specified <1% 365 $24.45
J2470 Injection, pantoprazole sodium, 40 mg <1% 91 $22.14
J3411 Injection, thiamine hcl, 100 mg <1% 49 $21.34
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,530 $19.25
84550 <1% 40 $19.03
J3490 Unclassified drugs <1% 19 $17.84
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 145 $17.20
J1953 Injection, levetiracetam, 10 mg <1% 54 $16.05
81000 <1% 56 $15.31
J0360 Injection, hydralazine hcl, up to 20 mg <1% 66 $12.10
83615 <1% 14 $10.13
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 171 $9.28
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 14 $2.36
J1790 Injection, droperidol, up to 5 mg <1% 12 $2.29
J1171 Injection, hydromorphone, 0.1 mg <1% 150 $1.40
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 191 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 0% 188 $0.00
C1769 Guide wire 0% 445 $0.00
88342 0% 124 $0.00
A9270 Non-covered item or service 0% 126 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 31 $0.00
J0456 Injection, azithromycin, 500 mg 0% 29 $0.00
G0475 Hiv antigen/antibody, combination assay, screening 0% 51 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 0% 47 $0.00
88304 0% 65 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 48 $0.00
76376 0% 981 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 43 $0.00
H1000 Prenatal care, at-risk assessment 0% 584 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 0% 28 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 308 $0.00
Q0114 Fern test 0% 137 $0.00
51702 0% 38 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 22 $0.00
00812 0% 17 $0.00
00811 0% 14 $0.00
96367 0% 34 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 0% 21 $0.00
00731 0% 16 $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 officialPRIDAY, ANDREW (CHIEF FINANCIAL OFFICER)
Same official

Other billing entities under PRIDAY, ANDREW

Full network →
ProviderLocationPaid
Mount Carmel Health SystemColumbus, OH$66.65M
Mount Carmel Health SystemGrove City, OH$14.42M
Diley Ridge Medical CenterCanal Winchester, OH$6.17M
Mount Carmel Health SystemColumbus, OH$5.23M
Mount Carmel Health SystemColumbus, OH$403K
Mount Carmel Health SystemColumbus, OH$318K
Mount Carmel Health SystemGrove City, OH$180K
Mount Carmel Health SystemNew Albany, OH$14K

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