Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KS › WICHITA › WESLEY MEDICAL CENTER LLC

WESLEY MEDICAL CENTER LLC

NPI: 1447299649 · WICHITA, KS 67214 · General Acute Care Hospital · NPI assigned 06/05/2006

$30.22M
Total Medicaid Paid
747,814
Total Claims
672,272
Beneficiaries
209
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCASTLEBERRY, NICOLE (CFO)
NPI Enumeration Date06/05/2006

Related Entities

Other providers sharing the same authorized official: CASTLEBERRY, NICOLE

ProviderCityStateTotal Paid
WESLEY MEDICAL CENTER LLC WICHITA KS $284K
WESLEY MEDICAL CENTER LLC WICHITA KS $56K
WESLEY MEDICAL CENTER LLC WICHITA KS $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 129,977 $4.93M
2019 120,911 $5.08M
2020 80,804 $3.52M
2021 97,122 $4.17M
2022 120,167 $4.72M
2023 117,278 $4.23M
2024 81,555 $3.57M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 172,964 164,279 $14.34M
99284 Emergency department visit for the evaluation and management, high severity 80,603 74,558 $7.73M
99282 Emergency department visit for the evaluation and management, low to moderate severity 37,693 36,441 $2.43M
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 13,945 5,264 $1.26M
99281 Emergency department visit for the evaluation and management, self-limited or minor 11,703 11,304 $595K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 44,450 41,054 $545K
85027 63,598 57,043 $348K
80053 Comprehensive metabolic panel 36,714 32,972 $282K
96375 Therapeutic injection; each additional sequential IV push 14,141 12,811 $256K
71045 Radiologic examination, chest; single view 20,377 18,969 $246K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16,233 14,999 $203K
81025 24,109 23,171 $131K
11045 8,831 967 $127K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 14,703 13,326 $119K
31720 2,651 1,916 $104K
81001 41,036 38,877 $95K
70551 Magnetic resonance imaging, brain; without contrast material 454 428 $85K
G0383 Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 580 428 $71K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 88 85 $71K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 488 468 $64K
80048 Basic metabolic panel (calcium, ionized) 10,453 9,716 $63K
96361 Intravenous infusion, hydration; each additional hour 3,343 3,022 $58K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 651 641 $50K
76770 683 659 $48K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,797 1,689 $45K
83690 8,733 8,113 $42K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,114 444 $41K
70450 Computed tomography, head or brain; without contrast material 697 656 $40K
80047 2,629 2,380 $36K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 713 674 $33K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,183 5,044 $31K
84484 4,119 3,390 $31K
74177 Computed tomography, abdomen and pelvis; with contrast material 356 335 $29K
G0378 Hospital observation service, per hour 289 251 $27K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,717 2,509 $26K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 733 713 $23K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 716 698 $23K
97602 363 234 $18K
87081 3,086 2,998 $18K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 45 44 $16K
12001 85 82 $14K
76801 222 201 $14K
74018 981 946 $14K
J1170 Injection, hydromorphone, up to 4 mg 5,908 4,995 $13K
J1885 Injection, ketorolac tromethamine, per 15 mg 10,994 10,118 $12K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 148 123 $12K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 228 216 $12K
97605 1,485 399 $11K
10060 66 64 $10K
11043 160 70 $10K
94060 239 224 $10K
J2405 Injection, ondansetron hydrochloride, per 1 mg 11,007 10,016 $10K
76705 Ultrasound, abdominal, real time with image documentation; limited 247 239 $9K
96409 193 144 $9K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 220 206 $9K
87086 Culture, bacterial; quantitative colony count, urine 1,112 1,067 $8K
87186 932 809 $8K
71046 Radiologic examination, chest; 2 views 658 623 $8K
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 211 207 $8K
97530 Therapeutic activities, direct patient contact, each 15 minutes 152 74 $7K
72125 Computed tomography, cervical spine; without contrast material 77 75 $7K
82248 1,778 1,048 $6K
97597 55 44 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 360 290 $6K
71275 Computed tomographic angiography, chest, with contrast material 38 37 $5K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 104 90 $5K
74176 Computed tomography, abdomen and pelvis; without contrast material 122 110 $5K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 93 93 $5K
29125 24 24 $5K
84112 72 67 $5K
96376 359 296 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 183 170 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 258 251 $4K
92588 113 112 $4K
76830 Ultrasound, transvaginal 78 78 $4K
81003 2,947 2,806 $4K
12011 84 82 $4K
93971 50 50 $4K
87205 1,297 1,170 $4K
87070 982 870 $4K
36430 12 12 $4K
84443 Thyroid stimulating hormone (TSH) 158 150 $4K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 67 65 $4K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 89 36 $3K
87210 843 784 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 46 46 $3K
83735 273 235 $3K
97116 107 55 $3K
71260 Computed tomography, thorax, diagnostic; with contrast material 13 13 $2K
70486 28 27 $2K
76819 Fetal biophysical profile; without non-stress testing 45 31 $2K
73610 154 149 $2K
87147 478 441 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 53 51 $2K
73630 148 141 $2K
J9370 Vincristine sulfate, 1 mg 239 162 $2K
87077 293 266 $2K
J7030 Infusion, normal saline solution , 1000 cc 18,139 16,680 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 89 48 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 86 79 $2K
93976 48 47 $2K
J2270 Injection, morphine sulfate, up to 10 mg 853 735 $2K
73130 121 119 $2K
J3010 Injection, fentanyl citrate, 0.1 mg 1,889 1,650 $2K
84703 243 230 $2K
84702 176 154 $2K
J7050 Infusion, normal saline solution, 250 cc 2,721 1,765 $1K
73110 109 107 $1K
73502 53 48 $1K
87807 63 63 $1K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 3,238 2,008 $1K
83880 98 86 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 822 774 $1K
97161 24 24 $1K
86920 13 12 $1K
80076 169 155 $1K
J8540 Dexamethasone, oral, 0.25 mg 683 649 $1K
73562 102 98 $1K
92555 68 68 $1K
73030 80 74 $1K
80320 74 72 $1K
83605 110 104 $1K
82728 49 46 $974.25
92568 101 101 $962.81
72100 61 56 $944.77
87040 96 81 $934.68
76700 Ultrasound, abdominal, real time with image documentation; complete 14 14 $930.90
73080 54 54 $904.25
J1200 Injection, diphenhydramine hcl, up to 50 mg 790 684 $835.46
J2765 Injection, metoclopramide hcl, up to 10 mg 621 564 $834.30
86850 105 103 $786.64
85379 97 94 $784.59
86901 154 149 $784.00
90715 70 67 $753.80
85610 194 150 $743.42
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12 12 $729.24
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf 45 45 $681.75
95819 16 15 $680.11
80061 Lipid panel 61 56 $659.89
87088 69 69 $656.83
73590 45 43 $647.50
85014 641 595 $615.48
76536 27 27 $609.11
80329 15 15 $589.83
90472 Immunization administration, each additional vaccine (list separately) 12 12 $587.54
73140 52 52 $576.89
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 111 104 $519.59
95816 12 12 $495.22
86140 87 83 $484.40
83615 64 56 $462.76
97162 12 12 $446.58
82570 64 58 $425.46
J7120 Ringers lactate infusion, up to 1000 cc 565 439 $393.12
85046 57 50 $380.47
86592 86 84 $376.76
84439 28 27 $368.39
A9270 Non-covered item or service 3,165 1,341 $366.86
86900 94 91 $363.87
84550 56 52 $359.55
77067 Screening mammography, bilateral, including computer-aided detection 12 12 $356.22
80069 31 27 $319.82
77072 27 27 $314.44
J2060 Injection, lorazepam, 2 mg 278 237 $303.85
84156 63 54 $302.84
88307 22 16 $298.96
J2550 Injection, promethazine hcl, up to 50 mg 146 124 $290.30
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 285 265 $286.05
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 320 192 $235.86
73564 13 13 $220.29
82803 13 13 $219.91
73090 13 13 $188.10
85730 36 31 $169.53
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 40 16 $158.29
87340 14 13 $156.57
83036 Hemoglobin; glycosylated (A1C) 15 14 $154.86
36415 Collection of venous blood by venipuncture 3,625 2,083 $151.69
J0780 Injection, prochlorperazine, up to 10 mg 19 15 $147.77
88304 17 16 $140.40
85007 54 38 $130.05
85018 113 105 $128.41
82565 28 26 $109.38
84134 27 25 $109.24
J1100 Injection, dexamethasone sodium phosphate, 1 mg 138 83 $105.11
82550 14 14 $99.24
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 380 365 $95.14
85651 24 21 $94.38
J1644 Injection, heparin sodium, per 1000 units 104 46 $90.82
84132 30 26 $80.20
90686 15 13 $58.83
84100 15 14 $56.29
87806 87 85 $54.62
S0028 Injection, famotidine, 20 mg 51 47 $49.77
96127 22 17 $47.70
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 49 42 $38.29
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,380 980 $37.60
J2360 Injection, orphenadrine citrate, up to 60 mg 72 66 $36.93
J2300 Injection, nalbuphine hydrochloride, per 10 mg 14 12 $30.38
J3490 Unclassified drugs 70 66 $19.46
J0690 Injection, cefazolin sodium, 500 mg 55 41 $15.68
J2250 Injection, midazolam hydrochloride, per 1 mg 385 251 $4.90
J1630 Injection, haloperidol, up to 5 mg 19 17 $3.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 111 106 $2.40
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 21 12 $0.00
A6021 Collagen dressing, sterile, size 16 sq. in. or less, each 30 24 $0.00
J7999 Compounded drug, not otherwise classified 156 146 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 182 105 $0.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 36 14 $0.00
G0008 Administration of influenza virus vaccine 29 26 $0.00
J2704 Injection, propofol, 10 mg 92 76 $0.00