Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Portsmouth › NPI 1417227398
Physician

Portsmouth Hospital Corporation

Portsmouth Hospital Corporation was paid $19.69M by Medicaid between Jan 2018 and Dec 2024, across 204 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.

33Billing provider infoPORTSMOUTH HOSPITAL CORPORATION
PORTSMOUTH, OH 45662
33aNPI1417227398assigned 01/09/2012
28Total paid$19.69M
24GClaims451,399
24DCodes billed204
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Ohio

Rank by total paid#5 of 739
Median peer was paid$30K
This provider vs. median664×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official WHITLATCH, KRISTIE controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
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
201833,640$818K
201934,304$516K
202033,956$1.33M
202160,665$3.24M
202273,439$4.35M
2023109,699$4.91M
2024incomplete105,696$4.51M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 29,374 27,263 $3.61M
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 17% 21,416 19,506 $3.26M
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 15% 21,942 20,109 $2.92M
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 7.1% 7,660 6,960 $1.39M
80053 Comprehensive metabolic panel 3.7% 31,065 26,559 $730K
74176 Computed tomography, abdomen and pelvis; without contrast material 3.4% 1,414 1,257 $660K
96361 Intravenous infusion, hydration; each additional hour 2.4% 1,001 835 $475K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.3% 2,049 1,776 $445K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.9% 38,739 34,088 $376K
70450 Computed tomography, head or brain; without contrast material 1.4% 675 601 $280K
84443 Thyroid stimulating hormone (TSH) 1.4% 13,553 12,608 $273K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.3% 526 465 $249K
192 more codes
99284 Emergency room visit (serious) 1.2% 1,017 $244K
99203 Doctor's office visit, new patient (routine) 1.2% 2,149 $237K
84439 1.0% 8,013 $202K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.0% 32,832 $201K
71046 Radiologic examination, chest; 2 views 1.0% 6,355 $198K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 566 $195K
82607 <1% 5,630 $177K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 5,073 $172K
80061 Lipid panel <1% 10,837 $169K
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 <1% 16,983 $165K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 7,548 $158K
99204 Doctor's office visit, new patient (more involved) <1% 1,431 $157K
83036 Hemoglobin; glycosylated (A1C) <1% 7,113 $136K
87430 <1% 13,110 $114K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 223 $112K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 301 $104K
81001 <1% 16,471 $104K
87081 <1% 12,286 $101K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 9,968 $93K
36415 Collection of venous blood by venipuncture <1% 22,666 $87K
80047 <1% 4,514 $85K
80048 Basic metabolic panel (calcium, ionized) <1% 3,559 $82K
99285 Emergency room visit (most serious) <1% 336 $78K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 502 $77K
82728 <1% 3,528 $76K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 368 $59K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 356 $59K
71250 <1% 329 $56K
83550 <1% 4,209 $54K
87086 Culture, bacterial; quantitative colony count, urine <1% 3,826 $53K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 420 $46K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,252 $43K
52000 <1% 61 $40K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 94 $36K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 150 $35K
93017 <1% 240 $32K
74018 <1% 787 $32K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 44 $30K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 101 $29K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 2,520 $29K
72100 <1% 749 $29K
99215 Doctor's office visit, returning patient (complex) <1% 158 $28K
0223U <1% 91 $27K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 1,425 $27K
84703 <1% 3,083 $26K
80076 <1% 2,185 $25K
77063 Screening digital breast tomosynthesis, bilateral <1% 601 $24K
76536 <1% 152 $23K
83735 <1% 2,456 $23K
71271 <1% 107 $23K
77067 Screening mammography, bilateral, including computer-aided detection <1% 574 $22K
73130 <1% 682 $22K
73560 <1% 812 $21K
73610 <1% 757 $21K
73630 <1% 784 $21K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 104 $20K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 227 $18K
73030 <1% 572 $16K
86140 <1% 2,045 $16K
84153 <1% 692 $16K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 592 $14K
71101 <1% 165 $14K
G0378 Hospital observation service, per hour <1% 203 $13K
86803 <1% 442 $13K
87807 <1% 1,794 $13K
82378 <1% 618 $13K
80050 General health panel <1% 205 $12K
72040 <1% 240 $12K
82043 <1% 1,158 $12K
85610 <1% 999 $11K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 72 $11K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 50 $11K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,289 $11K
73110 <1% 416 $11K
94729 <1% 87 $10K
84403 <1% 313 $9K
96375 Therapeutic injection; each additional sequential IV push <1% 1,192 $9K
88185 <1% 100 $9K
88184 <1% 132 $9K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 592 $8K
94726 <1% 69 $8K
74450 <1% 96 $8K
85652 <1% 1,270 $7K
83690 <1% 2,646 $7K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 1,537 $7K
84484 <1% 2,433 $7K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 834 $6K
80074 <1% 249 $6K
87186 <1% 859 $6K
73502 <1% 193 $6K
94060 <1% 24 $5K
83880 <1% 803 $5K
73221 <1% 12 $5K
84145 <1% 1,604 $5K
85730 <1% 829 $4K
82746 <1% 467 $4K
74019 <1% 185 $4K
73080 <1% 117 $4K
84270 <1% 148 $4K
82150 <1% 282 $3K
80069 <1% 107 $3K
83970 <1% 99 $3K
71045 Radiologic examination, chest; single view <1% 381 $3K
86038 <1% 74 $3K
93975 <1% 12 $3K
87070 <1% 231 $3K
84702 <1% 109 $3K
93922 <1% 15 $3K
85379 <1% 876 $2K
86703 <1% 84 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 319 $2K
72070 <1% 68 $2K
82947 <1% 745 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 29 $2K
72125 Computed tomography, cervical spine; without contrast material <1% 28 $2K
84550 <1% 210 $2K
82550 <1% 453 $2K
82784 <1% 118 $2K
43249 <1% 22 $2K
87077 <1% 297 $2K
84100 <1% 232 $2K
82077 <1% 68 $2K
70486 <1% 12 $1K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 16 $1K
82565 <1% 126 $1K
83605 <1% 852 $1K
82570 <1% 85 $1K
83525 <1% 30 $1K
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,689 $1K
86225 <1% 43 $1K
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 105 $1K
84156 <1% 115 $899.05
00910 <1% 648 $861.52
86900 <1% 28 $860.47
00170 Anesthesia for intraoral procedures, including biopsy <1% 23 $826.80
87210 <1% 216 $735.06
86003 <1% 18 $692.61
J7030 Infusion, normal saline solution , 1000 cc <1% 2,177 $658.15
84520 <1% 112 $654.16
80339 <1% 32 $645.06
99201 <1% 14 $617.93
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 180 $612.75
85045 <1% 89 $600.28
86430 <1% 29 $588.17
J2704 Injection, propofol, 10 mg <1% 3,161 $572.50
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 19 $544.35
88187 <1% 12 $516.24
97802 <1% 13 $515.43
96376 <1% 33 $503.95
86850 <1% 28 $494.11
97803 <1% 14 $491.48
87205 <1% 94 $476.29
83615 <1% 30 $461.24
72220 <1% 14 $432.74
73090 <1% 13 $423.70
86039 <1% 14 $384.61
86901 <1% 28 $379.89
86200 <1% 13 $283.12
80334 <1% 17 $279.14
J0690 Injection, cefazolin sodium, 500 mg <1% 1,204 $259.97
80337 <1% 17 $245.19
86308 <1% 15 $232.28
73140 <1% 14 $223.15
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,407 $199.59
84480 <1% 15 $188.40
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 134 $166.88
84165 <1% 28 $159.23
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 811 $152.84
99152 <1% 148 $137.76
80361 <1% 39 $125.61
J3010 Injection, fentanyl citrate, 0.1 mg <1% 3,204 $109.54
88300 <1% 15 $102.00
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 66 $93.00
J3490 Unclassified drugs <1% 68 $88.61
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 2,567 $84.02
C9113 Injection, pantoprazole sodium, per vial <1% 84 $79.07
J2270 Injection, morphine sulfate, up to 10 mg <1% 146 $65.98
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 371 $65.93
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 3,027 $62.73
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 52 $60.18
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 443 $47.39
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 139 $34.64
J2785 Injection, regadenoson, 0.1 mg <1% 66 $23.91
J1596 Injection, glycopyrrolate, 0.1 mg <1% 31 $14.24
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 22 $8.81
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 104 $8.71
J2470 Injection, pantoprazole sodium, 40 mg <1% 22 $7.06
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 79 $2.81
J1956 Injection, levofloxacin, 250 mg <1% 217 $2.50
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 187 $1.62
00731 0% 165 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 0% 19 $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 officialWHITLATCH, KRISTIE (CEO)
Same official

Other billing entities under WHITLATCH, KRISTIE

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