Medicaid Provider Spending

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

CLEVELAND AREA HOSPITAL HOLDINGS, INC.

NPI: 1427295872 · CLEVELAND, OK 74020 · Critical Access Hospital · NPI assigned 01/07/2009

$4.35M
Total Medicaid Paid
56,243
Total Claims
46,201
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBENTON, EDRED (CEO)
NPI Enumeration Date01/07/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,435 $437K
2019 5,353 $465K
2020 3,963 $331K
2021 8,177 $652K
2022 15,485 $1.14M
2023 13,051 $978K
2024 3,779 $349K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 20,048 14,676 $2.21M
99284 Emergency department visit for the evaluation and management, high severity 5,877 4,925 $960K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,149 1,694 $515K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,437 3,391 $165K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,786 630 $115K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,801 2,748 $77K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,153 3,004 $64K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 449 439 $61K
36415 Collection of venous blood by venipuncture 3,575 3,337 $27K
97530 Therapeutic activities, direct patient contact, each 15 minutes 446 144 $25K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,732 1,715 $24K
80053 Comprehensive metabolic panel 1,671 1,632 $15K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,774 1,727 $12K
99282 Emergency department visit for the evaluation and management, low to moderate severity 194 155 $11K
80061 Lipid panel 801 797 $9K
71045 Radiologic examination, chest; single view 470 453 $7K
87070 766 758 $6K
96375 Therapeutic injection; each additional sequential IV push 127 118 $6K
80050 General health panel 190 189 $6K
71046 Radiologic examination, chest; 2 views 240 238 $4K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 169 169 $4K
81001 1,394 1,364 $4K
84443 Thyroid stimulating hormone (TSH) 189 187 $3K
74177 Computed tomography, abdomen and pelvis; with contrast material 13 13 $3K
96361 Intravenous infusion, hydration; each additional hour 54 52 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 350 324 $2K
83036 Hemoglobin; glycosylated (A1C) 204 203 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 26 24 $1K
84484 102 79 $1K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 12 12 $1K
83690 163 160 $940.92
82330 83 79 $901.04
81025 123 122 $855.63
86140 199 179 $849.33
87420 60 60 $742.20
83605 54 51 $534.89
80048 Basic metabolic panel (calcium, ionized) 58 56 $387.79
82550 56 55 $282.52
87086 Culture, bacterial; quantitative colony count, urine 41 39 $280.94
83735 41 38 $219.68
84439 24 24 $198.12
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 14 14 $189.01
84481 12 12 $180.84
85610 29 29 $110.78
J1885 Injection, ketorolac tromethamine, per 15 mg 75 74 $28.97
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12 12 $0.00