City of Wooster

City of Wooster was paid $13.99M by Medicaid between Jan 2018 and Nov 2024, across 222 billing codes. Its largest line is 99283, emergency room visit (moderate) — 18% of everything it billed.

33Billing provider infoCITY OF WOOSTER
WOOSTER, OH 44691

33aNPI1437156247assigned 07/07/2005

33bProvider typeGeneral Acute Care Hospital

28Total paid$13.99M

24GClaims354,413

24DCodes billed222

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Acute Care Hospital providers in Ohio

Rank by total paid#64 of 101

Median peer was paid$22.32M

This provider vs. median0.6×

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.

Box 24A · Dates of service

Paid by month

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

Year	Claims	Paid
2018	25,710	$865K
2019	26,612	$872K
2020	19,492	$947K
2021	29,076	$1.14M
2022	34,704	$1.54M
2023	132,206	$4.97M
2024incomplete	86,613	$3.66M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	18%	23,436	21,094	$2.58M
96361	Intravenous infusion, hydration; each additional hour	15%	8,028	6,088	$2.17M
99282	Emergency department visit for the evaluation and management, low to moderate severity	14%	17,930	16,359	$2.00M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	6.7%	7,974	7,025	$936K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	6.2%	7,783	6,822	$870K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	3.0%	6,567	1,572	$425K
74177	Computed tomography, abdomen and pelvis; with contrast material	3.0%	1,656	1,308	$424K
70450	Computed tomography, head or brain; without contrast material	2.8%	1,637	1,364	$397K
92507	Treatment of speech, language, voice, communication, and/or auditory processing disorder	2.5%	4,650	1,478	$347K
74176	Computed tomography, abdomen and pelvis; without contrast material	1.7%	879	692	$243K
97530	Therapeutic activities, direct patient contact, each 15 minutes	1.7%	4,034	1,432	$233K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	1.4%	1,385	1,041	$195K

210 more codes

96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour	1.3%	928	$180K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	1.3%	1,530	$177K
80053	Comprehensive metabolic panel	1.2%	13,675	$169K
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	1.1%	1,551	$148K
G0378	Hospital observation service, per hour	<1%	1,550	$136K
80048	Basic metabolic panel (calcium, ionized)	<1%	20,778	$120K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	339	$119K
71275	Computed tomographic angiography, chest, with contrast material	<1%	456	$114K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	1,220	$114K
59025	Fetal non-stress test	<1%	724	$112K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	38,206	$88K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	364	$84K
84443	Thyroid stimulating hormone (TSH)	<1%	5,256	$78K
36415	Collection of venous blood by venipuncture	<1%	26,779	$71K
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%	711	$60K
87631		<1%	883	$52K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	494	$41K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	1,029	$40K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	2,060	$36K
97162		<1%	676	$35K
97113		<1%	627	$33K
97161		<1%	490	$33K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	895	$33K
80061	Lipid panel	<1%	2,672	$32K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	1,808	$31K
71046	Radiologic examination, chest; 2 views	<1%	3,015	$28K
94668		<1%	244	$27K
86703		<1%	832	$27K
84439		<1%	1,344	$26K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	135	$24K
87086	Culture, bacterial; quantitative colony count, urine	<1%	2,541	$23K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	1,024	$22K
76830	Ultrasound, transvaginal	<1%	399	$21K
97164		<1%	439	$21K
85027		<1%	3,751	$21K
94060		<1%	138	$20K
83036	Hemoglobin; glycosylated (A1C)	<1%	1,824	$20K
M0245	Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring	<1%	65	$20K
92508	Group treatment of speech, language, voice, communication, and/or auditory processing disorder	<1%	198	$19K
97803		<1%	244	$19K
77063	Screening digital breast tomosynthesis, bilateral	<1%	429	$18K
86850		<1%	804	$17K
H2020	Therapeutic behavioral services, per diem	<1%	96	$17K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	<1%	442	$17K
87070		<1%	1,021	$16K
82607		<1%	918	$15K
86780		<1%	782	$15K
95886		<1%	51	$14K
93971		<1%	169	$14K
G0145	Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision	<1%	826	$14K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	106	$14K
97166		<1%	268	$13K
H2012	Behavioral health day treatment, per hour	<1%	207	$13K
86900		<1%	931	$12K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	8,334	$12K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	2,327	$12K
87624	Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types	<1%	280	$12K
59050		<1%	779	$12K
82728		<1%	757	$11K
74018		<1%	324	$11K
97802		<1%	229	$10K
84702		<1%	607	$10K
87077		<1%	1,488	$10K
87088		<1%	1,869	$10K
86140		<1%	1,035	$10K
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	1,278	$10K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	157	$10K
86803		<1%	554	$10K
71260	Computed tomography, thorax, diagnostic; with contrast material	<1%	56	$9K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	10,942	$9K
83735		<1%	1,661	$9K
87340		<1%	446	$8K
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	185	$8K
83516		<1%	422	$8K
94726		<1%	109	$8K
94729		<1%	109	$8K
82570		<1%	714	$7K
85610		<1%	1,695	$7K
72100		<1%	336	$7K
87205		<1%	908	$7K
80320		<1%	1,180	$7K
87186		<1%	1,466	$6K
73610		<1%	461	$6K
80076		<1%	1,633	$6K
73630		<1%	615	$6K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	<1%	27	$6K
83540		<1%	670	$6K
86235		<1%	431	$6K
87081		<1%	306	$6K
82784		<1%	578	$5K
93017		<1%	76	$5K
86901		<1%	918	$5K
96367		<1%	124	$5K
88304		<1%	244	$5K
84481		<1%	436	$5K
71045	Radiologic examination, chest; single view	<1%	4,837	$5K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	1,420	$5K
73030		<1%	299	$5K
73564		<1%	268	$5K
85652		<1%	1,085	$5K
0001A		<1%	224	$4K
86762		<1%	230	$4K
77067	Screening mammography, bilateral, including computer-aided detection	<1%	430	$4K
72125	Computed tomography, cervical spine; without contrast material	<1%	359	$4K
72148	Magnetic resonance imaging, lumbar spine; without contrast material	<1%	29	$4K
92526		<1%	53	$4K
12001		<1%	36	$4K
76642		<1%	34	$4K
83615		<1%	614	$4K
81001		<1%	10,600	$4K
71271		<1%	25	$4K
83880		<1%	603	$4K
0002A		<1%	189	$4K
86256		<1%	230	$4K
83550		<1%	536	$3K
82950		<1%	243	$3K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	112	$3K
82043		<1%	401	$3K
73110		<1%	178	$3K
84484		<1%	4,085	$3K
90715		<1%	138	$2K
73130		<1%	272	$2K
84112		<1%	56	$2K
96375	Therapeutic injection; each additional sequential IV push	<1%	6,554	$2K
76981		<1%	47	$2K
86225		<1%	165	$2K
82670		<1%	56	$2K
84153		<1%	104	$2K
93970		<1%	14	$2K
82248		<1%	199	$2K
83690		<1%	2,924	$2K
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%	259	$2K
84156		<1%	354	$2K
36591		<1%	163	$2K
82140		<1%	169	$2K
96158		<1%	18	$2K
82746		<1%	230	$2K
92523		<1%	31	$2K
87522	Neg quan hep c or qual rna	<1%	28	$2K
83001		<1%	79	$2K
73502		<1%	87	$1K
84146		<1%	70	$1K
88342		<1%	393	$1K
99152		<1%	18	$1K
84100		<1%	414	$1K
70551	Magnetic resonance imaging, brain; without contrast material	<1%	16	$1K
82247		<1%	69	$1K
86480		<1%	21	$1K
96376		<1%	1,215	$1K
87075		<1%	288	$1K
88313		<1%	280	$968.40
84550		<1%	199	$936.92
82962		<1%	1,921	$932.02
82785		<1%	87	$922.00
83002		<1%	51	$917.89
85730		<1%	769	$915.47
84402		<1%	28	$789.15
86706		<1%	42	$785.52
86038		<1%	42	$776.61
86255		<1%	69	$742.31
86003		<1%	66	$741.85
80074		<1%	38	$731.69
99153	Mod sedat endo service >5yrs	<1%	17	$681.92
70486		<1%	17	$631.99
85379		<1%	709	$597.28
80164		<1%	67	$589.97
84703		<1%	2,186	$586.34
80069		<1%	26	$543.66
86787		<1%	24	$524.88
84165		<1%	73	$488.95
81025		<1%	1,299	$484.79
81002		<1%	240	$479.68
99406		<1%	52	$477.65
87040		<1%	366	$459.61
83970		<1%	29	$437.29
82652		<1%	17	$385.46
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r	<1%	21	$320.00
86376		<1%	14	$293.18
73080		<1%	42	$290.00
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	377	$261.84
87807		<1%	219	$224.64
86334		<1%	27	$223.90
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	239	$209.38
87428		<1%	1,152	$198.08
82550		<1%	69	$183.54
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	598	$182.38
83605		<1%	725	$180.81
J2405	Injection, ondansetron hydrochloride, per 1 mg	<1%	9,960	$122.21
P9604	Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge	<1%	2,438	$120.01
72040		<1%	14	$116.78
84436		<1%	17	$87.07
82565		<1%	20	$79.74
84450		<1%	20	$62.02
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	15	$56.71
73590		<1%	32	$51.83
84460		<1%	19	$44.30
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	93	$44.14
J7040	Infusion, normal saline solution, sterile (500 ml = 1 unit)	<1%	543	$33.08
J7120	Ringers lactate infusion, up to 1000 cc	<1%	105	$15.18
J7050	Infusion, normal saline solution, 250 cc	<1%	645	$9.23
91300		<1%	431	$2.40
A9270	Non-covered item or service	<1%	1,349	$1.22
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	2,622	$0.85
Q0245	Injection, bamlanivimab and etesevimab, 2100 mg	<1%	26	$0.20
A9575	Injection, gadoterate meglumine, 0.1 ml	0%	88	$0.00
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	0%	54	$0.00
J7030	Infusion, normal saline solution , 1000 cc	0%	245	$0.00
00840		0%	14	$0.00
82077		0%	197	$0.00
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	0%	29	$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 officialBOYES, SCOTT (DIRECTOR OF FISCAL SERVICES CFO)