Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Mary Immaculate Hospital LLC

Mary Immaculate Hospital LLC was paid $24.51M by Medicaid between Jan 2018 and Dec 2024, across 232 billing codes. Its largest line is 99283, emergency room visit (moderate) — 20% of everything it billed.

33Billing provider infoMARY IMMACULATE HOSPITAL LLC
NEWPORT NEWS, VA 23602
33aNPI1427064310assigned 07/31/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$24.51M
24GClaims743,906
24DCodes billed232
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Virginia

Rank by total paid#29 of 80
Median peer was paid$14.69M
This provider vs. median1.7×

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 RALSTON, KIMBERLY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
201875,776$1.84M
2019107,872$2.71M
202089,473$2.92M
2021123,148$3.95M
2022122,223$4.36M
2023132,233$4.50M
2024incomplete93,181$4.23M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 20% 32,905 27,692 $4.98M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 16% 24,076 20,217 $4.04M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 11% 14,961 12,518 $2.59M
96361 Intravenous infusion, hydration; each additional hour 8.7% 7,732 6,270 $2.14M
99282 Emergency department visit for the evaluation and management, low to moderate severity 5.4% 10,108 8,436 $1.32M
74177 Computed tomography, abdomen and pelvis; with contrast material 4.2% 4,505 3,942 $1.03M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3.6% 22,187 5,554 $872K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3.3% 16,873 4,917 $798K
59025 Fetal non-stress test 3.2% 5,315 3,458 $796K
70450 Computed tomography, head or brain; without contrast material 2.8% 3,876 3,351 $683K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.5% 4,321 3,626 $376K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.5% 2,596 2,247 $358K
220 more codes
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1.4% 1,327 $341K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.3% 1,653 $325K
71275 Computed tomographic angiography, chest, with contrast material 1.3% 1,423 $312K
93975 1.0% 2,444 $247K
G0378 Hospital observation service, per hour <1% 2,058 $230K
74240 <1% 2,177 $227K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,283 $187K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 3,053 $186K
97162 <1% 1,669 $182K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 4,335 $178K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,022 $175K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 14,226 $164K
97161 <1% 1,812 $155K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 22,059 $138K
80053 Comprehensive metabolic panel <1% 30,768 $117K
97535 Self-care/home management training, each 15 minutes <1% 4,174 $107K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 909 $95K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 672 $91K
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 <1% 3,789 $84K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,406 $54K
93971 <1% 636 $52K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 155 $49K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,885 $46K
97016 <1% 1,826 $42K
C1776 Joint device (implantable) <1% 345 $40K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 4,893 $40K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 971 $37K
97116 <1% 1,670 $36K
80048 Basic metabolic panel (calcium, ionized) <1% 9,220 $36K
83880 <1% 2,934 $25K
97602 <1% 164 $25K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 1,309 $23K
71046 Radiologic examination, chest; 2 views <1% 7,349 $22K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 36,529 $22K
76830 Ultrasound, transvaginal <1% 366 $20K
87040 <1% 2,638 $17K
36415 Collection of venous blood by venipuncture <1% 13,040 $15K
82553 <1% 6,666 $14K
71045 Radiologic examination, chest; single view <1% 11,007 $14K
86850 <1% 4,693 $14K
49083 <1% 27 $14K
97165 <1% 253 $13K
80076 <1% 2,619 $13K
0346T <1% 218 $12K
85379 <1% 2,678 $12K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 15,906 $11K
72125 Computed tomography, cervical spine; without contrast material <1% 282 $10K
76942 <1% 211 $10K
84484 <1% 14,256 $10K
93970 <1% 70 $10K
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% 2,971 $10K
82107 <1% 432 $9K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 16,138 $8K
85027 <1% 3,571 $8K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 848 $8K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 4,803 $7K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 1,387 $7K
85610 <1% 4,932 $7K
84703 <1% 4,921 $5K
86900 <1% 5,445 $5K
83036 Hemoglobin; glycosylated (A1C) <1% 1,949 $5K
85014 <1% 1,183 $5K
88307 <1% 459 $5K
J7030 Infusion, normal saline solution , 1000 cc <1% 13,227 $5K
87521 Neg quan hep c or qual rna <1% 276 $5K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 7,305 $4K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 4,618 $4K
J1170 Injection, hydromorphone, up to 4 mg <1% 4,796 $4K
87641 <1% 413 $4K
82728 <1% 688 $4K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 10,221 $4K
J3490 Unclassified drugs <1% 10,399 $4K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,061 $4K
81025 <1% 13,268 $4K
81001 <1% 16,736 $3K
J7120 Ringers lactate infusion, up to 1000 cc <1% 14,135 $3K
73630 <1% 923 $3K
82962 <1% 8,993 $3K
93976 <1% 53 $3K
87086 Culture, bacterial; quantitative colony count, urine <1% 6,136 $3K
96375 Therapeutic injection; each additional sequential IV push <1% 12,291 $3K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 1,671 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 6,875 $3K
86901 <1% 5,442 $3K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 332 $3K
84443 Thyroid stimulating hormone (TSH) <1% 770 $3K
83540 <1% 830 $3K
83605 <1% 2,533 $2K
90715 <1% 141 $2K
83735 <1% 8,485 $2K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 2,424 $2K
81003 <1% 11,624 $2K
80143 <1% 386 $2K
80179 <1% 374 $2K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,708 $2K
74018 <1% 788 $2K
72110 <1% 192 $2K
83690 <1% 11,524 $2K
96376 <1% 3,683 $2K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 320 $2K
84702 <1% 2,909 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,304 $2K
99218 <1% 149 $1K
J2270 Injection, morphine sulfate, up to 10 mg <1% 5,229 $1K
85018 <1% 1,109 $1K
73610 <1% 625 $1K
82550 <1% 7,281 $1K
85730 <1% 2,712 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 5,135 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,108 $1K
73130 <1% 369 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 4,681 $996.02
J2060 Injection, lorazepam, 2 mg <1% 613 $983.67
82607 <1% 132 $967.20
73030 <1% 408 $922.82
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 2,405 $906.84
J3010 Injection, fentanyl citrate, 0.1 mg <1% 8,491 $879.18
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 7,615 $866.77
82731 <1% 42 $762.86
73564 <1% 535 $725.09
80050 General health panel <1% 142 $704.18
82077 <1% 2,150 $700.24
87070 <1% 4,239 $680.58
87210 <1% 3,840 $624.06
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 372 $613.58
87077 <1% 2,126 $584.86
84439 <1% 146 $528.45
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 5,689 $492.20
J8597 Antiemetic drug, oral, not otherwise specified <1% 16 $441.68
87081 <1% 1,010 $395.80
C9399 Unclassified drugs or biologicals <1% 70 $383.48
84112 <1% 77 $380.93
J0690 Injection, cefazolin sodium, 500 mg <1% 4,381 $367.95
86704 <1% 59 $359.24
82746 <1% 95 $351.22
74022 <1% 188 $332.08
87186 <1% 1,836 $315.57
84425 <1% 26 $314.14
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 28 $313.65
J0500 Injection, dicyclomine hcl, up to 20 mg <1% 90 $309.61
J2550 Injection, promethazine hcl, up to 50 mg <1% 1,289 $299.71
87807 <1% 587 $288.11
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 151 $284.82
85652 <1% 292 $280.50
86708 <1% 73 $279.31
C9113 Injection, pantoprazole sodium, per vial <1% 1,003 $272.87
86706 <1% 74 $260.50
74220 <1% 15 $254.12
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 767 $230.32
80061 Lipid panel <1% 63 $230.30
83550 <1% 76 $228.33
73562 <1% 304 $223.28
87340 <1% 70 $206.43
90686 <1% 16 $198.82
97166 <1% 15 $195.24
94762 <1% 194 $153.37
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 13 $147.93
0100U <1% 40 $142.42
86677 <1% 18 $133.27
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 1,476 $131.64
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 611 $120.89
76981 <1% 273 $113.82
J1815 Injection, insulin, per 5 units <1% 42 $106.72
73502 <1% 15 $89.30
80047 <1% 12 $85.41
J2704 Injection, propofol, 10 mg <1% 7,426 $83.87
84132 <1% 70 $78.84
J1650 Injection, enoxaparin sodium, 10 mg <1% 777 $72.73
84550 <1% 105 $69.25
J1644 Injection, heparin sodium, per 1000 units <1% 839 $67.61
88304 <1% 22 $63.12
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 825 $62.70
87147 <1% 806 $47.82
82140 <1% 17 $41.29
J7050 Infusion, normal saline solution, 250 cc <1% 1,733 $36.87
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 732 $32.21
87205 <1% 168 $31.54
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 706 $30.78
73090 <1% 13 $29.63
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 504 $26.80
87088 <1% 58 $19.60
J3475 Injection, magnesium sulfate, per 500 mg <1% 284 $14.85
J7510 Prednisolone oral, per 5 mg <1% 86 $13.42
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 312 $11.23
82570 <1% 35 $6.01
J0780 Injection, prochlorperazine, up to 10 mg <1% 126 $5.57
J1790 Injection, droperidol, up to 5 mg <1% 217 $4.87
84156 <1% 57 $2.68
83615 <1% 16 $2.68
C1769 Guide wire <1% 126 $2.50
J3360 Injection, diazepam, up to 5 mg <1% 35 $0.54
73110 0% 95 $0.00
99152 0% 18 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 288 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 0% 428 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 173 $0.00
C1729 Catheter, drainage 0% 24 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 0% 82 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 123 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 55 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 114 $0.00
96367 0% 15 $0.00
A4641 Radiopharmaceutical, diagnostic, not otherwise classified 0% 13 $0.00
89051 0% 62 $0.00
88313 0% 13 $0.00
C9290 Injection, bupivacaine liposome, 1 mg 0% 356 $0.00
A9270 Non-covered item or service 0% 1,039 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 16 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 222 $0.00
A4217 Sterile water/saline, 500 ml 0% 540 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 127 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 0% 291 $0.00
82803 0% 92 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 0% 25 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 74 $0.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 0% 86 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 40 $0.00
94760 0% 67 $0.00
99153 Mod sedat endo service >5yrs 0% 13 $0.00
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 0% 189 $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 officialRALSTON, KIMBERLY (SYSTEM DIRECTOR PAYOR ADMIN)
Same official

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