Medicaid Provider Spending

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

CITY OF WOOSTER

NPI: 1437156247 · WOOSTER, OH 44691 · General Acute Care Hospital · NPI assigned 07/07/2005

$13.99M
Total Medicaid Paid
354,413
Total Claims
277,964
Beneficiaries
222
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBOYES, SCOTT (DIRECTOR OF FISCAL SERVICES CFO)
NPI Enumeration Date07/07/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 86,613 $3.66M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 23,436 21,094 $2.58M
96361 Intravenous infusion, hydration; each additional hour 8,028 6,088 $2.17M
99282 Emergency department visit for the evaluation and management, low to moderate severity 17,930 16,359 $2.00M
99284 Emergency department visit for the evaluation and management, high severity 7,974 7,025 $936K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 7,783 6,822 $870K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,567 1,572 $425K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,656 1,308 $424K
70450 Computed tomography, head or brain; without contrast material 1,637 1,364 $397K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 4,650 1,478 $347K
74176 Computed tomography, abdomen and pelvis; without contrast material 879 692 $243K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,034 1,432 $233K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,385 1,041 $195K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 928 473 $180K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,530 1,034 $177K
80053 Comprehensive metabolic panel 13,675 11,434 $169K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,551 625 $148K
G0378 Hospital observation service, per hour 1,550 1,167 $136K
80048 Basic metabolic panel (calcium, ionized) 20,778 16,863 $120K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 339 302 $119K
71275 Computed tomographic angiography, chest, with contrast material 456 371 $114K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,220 802 $114K
59025 Fetal non-stress test 724 509 $112K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 38,206 31,526 $88K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 364 330 $84K
84443 Thyroid stimulating hormone (TSH) 5,256 4,686 $78K
36415 Collection of venous blood by venipuncture 26,779 20,010 $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 711 522 $60K
87631 883 800 $52K
76705 Ultrasound, abdominal, real time with image documentation; limited 494 404 $41K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,029 922 $40K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,060 1,679 $36K
97162 676 594 $35K
97113 627 154 $33K
97161 490 448 $33K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 895 310 $33K
80061 Lipid panel 2,672 2,449 $32K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,808 1,629 $31K
71046 Radiologic examination, chest; 2 views 3,015 2,586 $28K
94668 244 90 $27K
86703 832 729 $27K
84439 1,344 1,199 $26K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 135 123 $24K
87086 Culture, bacterial; quantitative colony count, urine 2,541 2,127 $23K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,024 920 $22K
76830 Ultrasound, transvaginal 399 346 $21K
97164 439 375 $21K
85027 3,751 2,766 $21K
94060 138 128 $20K
83036 Hemoglobin; glycosylated (A1C) 1,824 1,629 $20K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 65 59 $20K
92508 Group treatment of speech, language, voice, communication, and/or auditory processing disorder 198 47 $19K
97803 244 188 $19K
77063 Screening digital breast tomosynthesis, bilateral 429 377 $18K
86850 804 640 $17K
H2020 Therapeutic behavioral services, per diem 96 24 $17K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 442 299 $17K
87070 1,021 862 $16K
82607 918 803 $15K
86780 782 684 $15K
95886 51 48 $14K
93971 169 154 $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 826 747 $14K
99281 Emergency department visit for the evaluation and management, self-limited or minor 106 102 $14K
97166 268 227 $13K
H2012 Behavioral health day treatment, per hour 207 51 $13K
86900 931 737 $12K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,334 6,920 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,327 1,507 $12K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 280 243 $12K
59050 779 543 $12K
82728 757 656 $11K
74018 324 286 $11K
97802 229 153 $10K
84702 607 379 $10K
87077 1,488 1,091 $10K
87088 1,869 1,579 $10K
86140 1,035 839 $10K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,278 1,036 $10K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 157 122 $10K
86803 554 478 $10K
71260 Computed tomography, thorax, diagnostic; with contrast material 56 41 $9K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 10,942 9,181 $9K
83735 1,661 1,197 $9K
87340 446 386 $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 185 174 $8K
83516 422 217 $8K
94726 109 100 $8K
94729 109 100 $8K
82570 714 583 $7K
85610 1,695 1,187 $7K
72100 336 289 $7K
87205 908 761 $7K
80320 1,180 899 $7K
87186 1,466 1,101 $6K
73610 461 393 $6K
80076 1,633 1,310 $6K
73630 615 493 $6K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 27 24 $6K
83540 670 583 $6K
86235 431 125 $6K
87081 306 273 $6K
82784 578 314 $5K
93017 76 65 $5K
86901 918 725 $5K
96367 124 79 $5K
88304 244 178 $5K
84481 436 399 $5K
71045 Radiologic examination, chest; single view 4,837 4,284 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,420 1,353 $5K
73030 299 247 $5K
73564 268 230 $5K
85652 1,085 854 $5K
0001A 224 170 $4K
86762 230 192 $4K
77067 Screening mammography, bilateral, including computer-aided detection 430 378 $4K
72125 Computed tomography, cervical spine; without contrast material 359 292 $4K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 29 27 $4K
92526 53 25 $4K
12001 36 26 $4K
76642 34 25 $4K
83615 614 470 $4K
81001 10,600 9,029 $4K
71271 25 25 $4K
83880 603 503 $4K
0002A 189 136 $4K
86256 230 98 $4K
83550 536 461 $3K
82950 243 201 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 112 88 $3K
82043 401 362 $3K
73110 178 160 $3K
84484 4,085 2,754 $3K
90715 138 118 $2K
73130 272 248 $2K
84112 56 38 $2K
96375 Therapeutic injection; each additional sequential IV push 6,554 5,054 $2K
76981 47 42 $2K
86225 165 136 $2K
82670 56 47 $2K
84153 104 94 $2K
93970 14 12 $2K
82248 199 130 $2K
83690 2,924 2,173 $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 259 255 $2K
84156 354 257 $2K
36591 163 83 $2K
82140 169 128 $2K
96158 18 14 $2K
82746 230 196 $2K
92523 31 27 $2K
87522 Neg quan hep c or qual rna 28 14 $2K
83001 79 67 $2K
73502 87 68 $1K
84146 70 58 $1K
88342 393 304 $1K
99152 18 13 $1K
84100 414 261 $1K
70551 Magnetic resonance imaging, brain; without contrast material 16 14 $1K
82247 69 37 $1K
86480 21 18 $1K
96376 1,215 706 $1K
87075 288 224 $1K
88313 280 224 $968.40
84550 199 155 $936.92
82962 1,921 1,021 $932.02
82785 87 66 $922.00
83002 51 46 $917.89
85730 769 618 $915.47
84402 28 24 $789.15
86706 42 31 $785.52
86038 42 36 $776.61
86255 69 56 $742.31
86003 66 26 $741.85
80074 38 27 $731.69
99153 Mod sedat endo service >5yrs 17 12 $681.92
70486 17 14 $631.99
85379 709 584 $597.28
80164 67 52 $589.97
84703 2,186 1,717 $586.34
80069 26 25 $543.66
86787 24 15 $524.88
84165 73 67 $488.95
81025 1,299 979 $484.79
81002 240 207 $479.68
99406 52 40 $477.65
87040 366 183 $459.61
83970 29 26 $437.29
82652 17 12 $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 21 21 $320.00
86376 14 13 $293.18
73080 42 40 $290.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 377 190 $261.84
87807 219 193 $224.64
86334 27 27 $223.90
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 239 200 $209.38
87428 1,152 979 $198.08
82550 69 56 $183.54
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 598 494 $182.38
83605 725 533 $180.81
J2405 Injection, ondansetron hydrochloride, per 1 mg 9,960 6,821 $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 2,438 1,661 $120.01
72040 14 13 $116.78
84436 17 13 $87.07
82565 20 13 $79.74
84450 20 13 $62.02
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 13 $56.71
73590 32 26 $51.83
84460 19 12 $44.30
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 93 84 $44.14
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 543 388 $33.08
J7120 Ringers lactate infusion, up to 1000 cc 105 61 $15.18
J7050 Infusion, normal saline solution, 250 cc 645 358 $9.23
91300 431 291 $2.40
A9270 Non-covered item or service 1,349 971 $1.22
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,622 2,073 $0.85
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 26 24 $0.20
A9575 Injection, gadoterate meglumine, 0.1 ml 88 80 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 54 47 $0.00
J7030 Infusion, normal saline solution , 1000 cc 245 157 $0.00
00840 14 12 $0.00
82077 197 180 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 29 24 $0.00