Medicaid Provider Spending

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

MARY IMMACULATE HOSPITAL LLC

NPI: 1427064310 · NEWPORT NEWS, VA 23602 · General Acute Care Hospital · NPI assigned 07/31/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official RALSTON, KIMBERLY controls 20+ related entities in our dataset. Read more

$24.51M
Total Medicaid Paid
743,906
Total Claims
554,324
Beneficiaries
232
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRALSTON, KIMBERLY (SYSTEM DIRECTOR PAYOR ADMIN)
NPI Enumeration Date07/31/2006

Related Entities

Other providers sharing the same authorized official: RALSTON, KIMBERLY

ProviderCityStateTotal Paid
BON SECOURS ST. MARY'S HOSPITAL OF RICHMOND LLC RICHMOND VA $83.03M
MARYVIEW HOSPITAL LLC PORTSMOUTH VA $75.03M
BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC RICHMOND VA $57.21M
BON SECOURS ST FRANCIS MEDICAL CENTER LLC MIDLOTHIAN VA $44.86M
MERCY HEALTH YOUNGSTOWN LLC WARREN OH $43.63M
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC MECHANICSVILLE VA $42.02M
MERCY HEALTH YOUNGSTOWN LLC YOUNGSTOWN OH $36.60M
MERCY HEALTH - FAIRFIELD HOSPITAL LLC FAIRFIELD OH $25.17M
ST FRANCIS HOSPITAL INC GREENVILLE SC $17.81M
NWO INTEGRATED LABORATORIES MERCY LLC TOLEDO OH $13.47M
HOSPICE OF THE VALLEY, INC. GIRARD OH $13.33M
MERCY HEALTH - TIFFIN HOSPITAL LLC TIFFIN OH $12.99M
MERCY HEALTH - DEFIANCE HOSPITAL LLC DEFIANCE OH $11.90M
BON SECOURS DEPAUL MEDICAL CENTER LLC NORFOLK VA $11.59M
COMMUNITY MERCY HEALTH PARTNERS URBANA OH $8.81M
MERCY HEALTH-ALLEN HOSPITAL LLC OBERLIN OH $8.61M
CHESAPEAKE HOSPITAL LLC KILMARNOCK VA $6.00M
MARYVIEW HOSPITAL, LLC SUFFOLK VA $3.48M
ROPER ST FRANCIS ANCILLARY SERVICES LADSON SC $3.33M
MERCY HEALTH YOUNGSTOWN LLC YOUNGSTOWN OH $3.23M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 75,776 $1.84M
2019 107,872 $2.71M
2020 89,473 $2.92M
2021 123,148 $3.95M
2022 122,223 $4.36M
2023 132,233 $4.50M
2024 93,181 $4.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 32,905 27,692 $4.98M
99284 Emergency department visit for the evaluation and management, high severity 24,076 20,217 $4.04M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 14,961 12,518 $2.59M
96361 Intravenous infusion, hydration; each additional hour 7,732 6,270 $2.14M
99282 Emergency department visit for the evaluation and management, low to moderate severity 10,108 8,436 $1.32M
74177 Computed tomography, abdomen and pelvis; with contrast material 4,505 3,942 $1.03M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 22,187 5,554 $872K
97530 Therapeutic activities, direct patient contact, each 15 minutes 16,873 4,917 $798K
59025 Fetal non-stress test 5,315 3,458 $796K
70450 Computed tomography, head or brain; without contrast material 3,876 3,351 $683K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,321 3,626 $376K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,596 2,247 $358K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,327 962 $341K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,653 1,407 $325K
71275 Computed tomographic angiography, chest, with contrast material 1,423 1,253 $312K
93975 2,444 2,125 $247K
G0378 Hospital observation service, per hour 2,058 1,187 $230K
74240 2,177 2,004 $227K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,283 2,027 $187K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,053 2,003 $186K
97162 1,669 1,524 $182K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,335 3,698 $178K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,022 458 $175K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 14,226 3,845 $164K
97161 1,812 1,593 $155K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 22,059 17,310 $138K
80053 Comprehensive metabolic panel 30,768 24,638 $117K
97535 Self-care/home management training, each 15 minutes 4,174 2,266 $107K
99281 Emergency department visit for the evaluation and management, self-limited or minor 909 811 $95K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 672 478 $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 3,789 3,529 $84K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,406 1,200 $54K
93971 636 550 $52K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 155 141 $49K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,885 1,662 $46K
97016 1,826 497 $42K
C1776 Joint device (implantable) 345 268 $40K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4,893 4,324 $40K
0202U Oncology (prostate), multianalyte, gene expression profiling 971 914 $37K
97116 1,670 926 $36K
80048 Basic metabolic panel (calcium, ionized) 9,220 7,664 $36K
83880 2,934 2,471 $25K
97602 164 51 $25K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,309 1,063 $23K
71046 Radiologic examination, chest; 2 views 7,349 6,579 $22K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 36,529 28,930 $22K
76830 Ultrasound, transvaginal 366 320 $20K
87040 2,638 1,391 $17K
36415 Collection of venous blood by venipuncture 13,040 9,565 $15K
82553 6,666 4,660 $14K
71045 Radiologic examination, chest; single view 11,007 9,156 $14K
86850 4,693 3,929 $14K
49083 27 16 $14K
97165 253 197 $13K
80076 2,619 2,345 $13K
0346T 218 189 $12K
85379 2,678 2,318 $12K
J2405 Injection, ondansetron hydrochloride, per 1 mg 15,906 12,030 $11K
72125 Computed tomography, cervical spine; without contrast material 282 248 $10K
76942 211 190 $10K
84484 14,256 9,194 $10K
93970 70 66 $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 2,971 2,809 $10K
82107 432 402 $9K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 16,138 13,294 $8K
85027 3,571 2,776 $8K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 848 703 $8K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,803 4,239 $7K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,387 506 $7K
85610 4,932 4,015 $7K
84703 4,921 4,220 $5K
86900 5,445 4,600 $5K
83036 Hemoglobin; glycosylated (A1C) 1,949 1,679 $5K
85014 1,183 983 $5K
88307 459 365 $5K
J7030 Infusion, normal saline solution , 1000 cc 13,227 10,618 $5K
87521 Neg quan hep c or qual rna 276 238 $5K
J2250 Injection, midazolam hydrochloride, per 1 mg 7,305 5,821 $4K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 4,618 4,158 $4K
J1170 Injection, hydromorphone, up to 4 mg 4,796 2,958 $4K
87641 413 355 $4K
82728 688 630 $4K
J1885 Injection, ketorolac tromethamine, per 15 mg 10,221 8,215 $4K
J3490 Unclassified drugs 10,399 5,728 $4K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,061 1,692 $4K
81025 13,268 11,317 $4K
81001 16,736 14,044 $3K
J7120 Ringers lactate infusion, up to 1000 cc 14,135 8,125 $3K
73630 923 834 $3K
82962 8,993 4,287 $3K
93976 53 47 $3K
87086 Culture, bacterial; quantitative colony count, urine 6,136 5,175 $3K
96375 Therapeutic injection; each additional sequential IV push 12,291 9,635 $3K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,671 1,477 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,875 5,042 $3K
86901 5,442 4,599 $3K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 332 262 $3K
84443 Thyroid stimulating hormone (TSH) 770 684 $3K
83540 830 745 $3K
83605 2,533 1,966 $2K
90715 141 134 $2K
83735 8,485 6,554 $2K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 2,424 1,980 $2K
81003 11,624 9,594 $2K
80143 386 333 $2K
80179 374 321 $2K
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,708 2,174 $2K
74018 788 708 $2K
72110 192 174 $2K
83690 11,524 9,487 $2K
96376 3,683 2,185 $2K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 320 262 $2K
84702 2,909 2,289 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,304 2,639 $2K
99218 149 118 $1K
J2270 Injection, morphine sulfate, up to 10 mg 5,229 3,647 $1K
85018 1,109 920 $1K
73610 625 555 $1K
82550 7,281 5,169 $1K
85730 2,712 2,219 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,135 2,348 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,108 851 $1K
73130 369 319 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,681 4,138 $996.02
J2060 Injection, lorazepam, 2 mg 613 483 $983.67
82607 132 129 $967.20
73030 408 354 $922.82
J2765 Injection, metoclopramide hcl, up to 10 mg 2,405 1,964 $906.84
J3010 Injection, fentanyl citrate, 0.1 mg 8,491 5,701 $879.18
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 7,615 6,553 $866.77
82731 42 36 $762.86
73564 535 457 $725.09
80050 General health panel 142 132 $704.18
82077 2,150 1,786 $700.24
87070 4,239 3,679 $680.58
87210 3,840 3,368 $624.06
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 372 330 $613.58
87077 2,126 1,754 $584.86
84439 146 133 $528.45
J1100 Injection, dexamethasone sodium phosphate, 1 mg 5,689 4,430 $492.20
J8597 Antiemetic drug, oral, not otherwise specified 16 12 $441.68
87081 1,010 915 $395.80
C9399 Unclassified drugs or biologicals 70 55 $383.48
84112 77 61 $380.93
J0690 Injection, cefazolin sodium, 500 mg 4,381 2,894 $367.95
86704 59 51 $359.24
82746 95 93 $351.22
74022 188 157 $332.08
87186 1,836 1,499 $315.57
84425 26 26 $314.14
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 28 26 $313.65
J0500 Injection, dicyclomine hcl, up to 20 mg 90 78 $309.61
J2550 Injection, promethazine hcl, up to 50 mg 1,289 916 $299.71
87807 587 564 $288.11
A9577 Injection, gadobenate dimeglumine (multihance), per ml 151 146 $284.82
85652 292 259 $280.50
86708 73 63 $279.31
C9113 Injection, pantoprazole sodium, per vial 1,003 663 $272.87
86706 74 64 $260.50
74220 15 12 $254.12
J0171 Injection, adrenalin, epinephrine, 0.1 mg 767 604 $230.32
80061 Lipid panel 63 51 $230.30
83550 76 63 $228.33
73562 304 260 $223.28
87340 70 60 $206.43
90686 16 14 $198.82
97166 15 12 $195.24
94762 194 172 $153.37
71260 Computed tomography, thorax, diagnostic; with contrast material 13 12 $147.93
0100U 40 27 $142.42
86677 18 14 $133.27
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,476 1,154 $131.64
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 611 478 $120.89
76981 273 246 $113.82
J1815 Injection, insulin, per 5 units 42 26 $106.72
73502 15 12 $89.30
80047 12 12 $85.41
J2704 Injection, propofol, 10 mg 7,426 5,268 $83.87
84132 70 54 $78.84
J1650 Injection, enoxaparin sodium, 10 mg 777 348 $72.73
84550 105 79 $69.25
J1644 Injection, heparin sodium, per 1000 units 839 376 $67.61
88304 22 18 $63.12
J2370 Injection, phenylephrine hcl, up to 1 ml 825 673 $62.70
87147 806 546 $47.82
82140 17 14 $41.29
J7050 Infusion, normal saline solution, 250 cc 1,733 1,123 $36.87
J2795 Injection, ropivacaine hydrochloride, 1 mg 732 542 $32.21
87205 168 139 $31.54
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 706 586 $30.78
73090 13 12 $29.63
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 504 423 $26.80
87088 58 57 $19.60
J3475 Injection, magnesium sulfate, per 500 mg 284 206 $14.85
J7510 Prednisolone oral, per 5 mg 86 81 $13.42
J0330 Injection, succinylcholine chloride, up to 20 mg 312 235 $11.23
82570 35 26 $6.01
J0780 Injection, prochlorperazine, up to 10 mg 126 115 $5.57
J1790 Injection, droperidol, up to 5 mg 217 182 $4.87
84156 57 36 $2.68
83615 16 12 $2.68
C1769 Guide wire 126 104 $2.50
J3360 Injection, diazepam, up to 5 mg 35 27 $0.54
73110 95 62 $0.00
99152 18 13 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 288 253 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 428 343 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 173 148 $0.00
C1729 Catheter, drainage 24 14 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 82 79 $0.00
J1171 Injection, hydromorphone, 0.1 mg 123 58 $0.00
J3370 Injection, vancomycin hcl, 500 mg 55 26 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 114 94 $0.00
96367 15 13 $0.00
A4641 Radiopharmaceutical, diagnostic, not otherwise classified 13 12 $0.00
89051 62 26 $0.00
88313 13 13 $0.00
C9290 Injection, bupivacaine liposome, 1 mg 356 294 $0.00
A9270 Non-covered item or service 1,039 346 $0.00
J3480 Injection, potassium chloride, per 2 meq 16 15 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 222 172 $0.00
A4217 Sterile water/saline, 500 ml 540 382 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 127 91 $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 291 260 $0.00
82803 92 73 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 25 12 $0.00
J8540 Dexamethasone, oral, 0.25 mg 74 66 $0.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 86 65 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 40 40 $0.00
94760 67 56 $0.00
99153 Mod sedat endo service >5yrs 13 12 $0.00
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 189 183 $0.00