Medicaid Provider Spending

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

FULTON MEDICAL CENTER LLC

NPI: 1417367665 · FULTON, MO 65251 · General Acute Care Hospital · NPI assigned 04/28/2014

$317K
Total Medicaid Paid
2,622
Total Claims
2,256
Beneficiaries
13
Codes Billed
2018-01
First Month
2022-03
Last Month

Provider Details

Authorized OfficialTASSET, DANIEL (CEO, NUEHEALTH)
NPI Enumeration Date04/28/2014

Related Entities

Other providers sharing the same authorized official: TASSET, DANIEL

ProviderCityStateTotal Paid
FULTON MEDICAL CENTER LLC FULTON MO $62K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 337 $191K
2019 124 $51K
2020 872 $54K
2021 1,261 $21K
2022 28 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 1,638 1,388 $254K
X4011 State-specific procedure code 208 197 $38K
Y7506 61 56 $10K
99282 Emergency department visit for the evaluation and management, low to moderate severity 164 154 $7K
99284 Emergency department visit for the evaluation and management, high severity 195 155 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16 12 $569.97
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 71 66 $408.00
X4003 33 27 $209.72
80053 Comprehensive metabolic panel 62 53 $137.16
85025 Blood count; complete (CBC), automated, and automated differential WBC count 79 70 $119.55
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 18 15 $49.71
81001 61 51 $30.36
36415 Collection of venous blood by venipuncture 16 12 $0.00