Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Wesley Medical Center LLC

Wesley Medical Center LLC was paid $30.22M by Medicaid between Jan 2018 and Nov 2024, across 209 billing codes. Its largest line is 99283, emergency room visit (moderate) — 47% of everything it billed.

33Billing provider infoWESLEY MEDICAL CENTER LLC
WICHITA, KS 67214
33aNPI1447299649assigned 06/05/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$30.22M
24GClaims747,814
24DCodes billed209
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other General Acute Care Hospital providers in Kansas

Rank by total paid#2 of 48
Median peer was paid$461K
This provider vs. median66×

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

$0$250K$500K$750K2018201920202021202220232024
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
YearClaimsPaid
2018129,977$4.93M
2019120,911$5.08M
202080,804$3.52M
202197,122$4.17M
2022120,167$4.72M
2023117,278$4.23M
2024incomplete81,555$3.57M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 47% 172,964 164,279 $14.34M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 26% 80,603 74,558 $7.73M
99282 Emergency department visit for the evaluation and management, low to moderate severity 8.1% 37,693 36,441 $2.43M
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 4.2% 13,945 5,264 $1.26M
99281 Emergency department visit for the evaluation and management, self-limited or minor 2.0% 11,703 11,304 $595K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.8% 44,450 41,054 $545K
85027 1.2% 63,598 57,043 $348K
80053 Comprehensive metabolic panel <1% 36,714 32,972 $282K
96375 Therapeutic injection; each additional sequential IV push <1% 14,141 12,811 $256K
71045 Radiologic examination, chest; single view <1% 20,377 18,969 $246K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 16,233 14,999 $203K
81025 <1% 24,109 23,171 $131K
197 more codes
11045 <1% 8,831 $127K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 14,703 $119K
31720 <1% 2,651 $104K
81001 <1% 41,036 $95K
70551 Magnetic resonance imaging, brain; without contrast material <1% 454 $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) <1% 580 $71K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 88 $71K
99285 Emergency room visit (most serious) <1% 488 $64K
80048 Basic metabolic panel (calcium, ionized) <1% 10,453 $63K
96361 Intravenous infusion, hydration; each additional hour <1% 3,343 $58K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 651 $50K
76770 <1% 683 $48K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,797 $45K
83690 <1% 8,733 $42K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 1,114 $41K
70450 Computed tomography, head or brain; without contrast material <1% 697 $40K
80047 <1% 2,629 $36K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 713 $33K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 5,183 $31K
84484 <1% 4,119 $31K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 356 $29K
G0378 Hospital observation service, per hour <1% 289 $27K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,717 $26K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 733 $23K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 716 $23K
97602 <1% 363 $18K
87081 <1% 3,086 $18K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 45 $16K
12001 <1% 85 $14K
76801 <1% 222 $14K
74018 <1% 981 $14K
J1170 Injection, hydromorphone, up to 4 mg <1% 5,908 $13K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 10,994 $12K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 148 $12K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 228 $12K
97605 <1% 1,485 $11K
10060 <1% 66 $10K
11043 <1% 160 $10K
94060 <1% 239 $10K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 11,007 $10K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 247 $9K
96409 <1% 193 $9K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 220 $9K
87086 Culture, bacterial; quantitative colony count, urine <1% 1,112 $8K
87186 <1% 932 $8K
71046 Radiologic examination, chest; 2 views <1% 658 $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 <1% 211 $8K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 152 $7K
72125 Computed tomography, cervical spine; without contrast material <1% 77 $7K
82248 <1% 1,778 $6K
97597 <1% 55 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 360 $6K
71275 Computed tomographic angiography, chest, with contrast material <1% 38 $5K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 104 $5K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 122 $5K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 93 $5K
29125 <1% 24 $5K
84112 <1% 72 $5K
96376 <1% 359 $5K
99213 Doctor's office visit, returning patient (routine) <1% 183 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 258 $4K
92588 <1% 113 $4K
76830 Ultrasound, transvaginal <1% 78 $4K
81003 <1% 2,947 $4K
12011 <1% 84 $4K
93971 <1% 50 $4K
87205 <1% 1,297 $4K
87070 <1% 982 $4K
36430 <1% 12 $4K
84443 Thyroid stimulating hormone (TSH) <1% 158 $4K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 67 $4K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 89 $3K
87210 <1% 843 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 46 $3K
83735 <1% 273 $3K
97116 <1% 107 $3K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 13 $2K
70486 <1% 28 $2K
76819 Fetal biophysical profile; without non-stress testing <1% 45 $2K
73610 <1% 154 $2K
87147 <1% 478 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 53 $2K
73630 <1% 148 $2K
J9370 Vincristine sulfate, 1 mg <1% 239 $2K
87077 <1% 293 $2K
J7030 Infusion, normal saline solution , 1000 cc <1% 18,139 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 89 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 86 $2K
93976 <1% 48 $2K
J2270 Injection, morphine sulfate, up to 10 mg <1% 853 $2K
73130 <1% 121 $2K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,889 $2K
84703 <1% 243 $2K
84702 <1% 176 $2K
J7050 Infusion, normal saline solution, 250 cc <1% 2,721 $1K
73110 <1% 109 $1K
73502 <1% 53 $1K
87807 <1% 63 $1K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 3,238 $1K
83880 <1% 98 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 822 $1K
97161 <1% 24 $1K
86920 <1% 13 $1K
80076 <1% 169 $1K
J8540 Dexamethasone, oral, 0.25 mg <1% 683 $1K
73562 <1% 102 $1K
92555 <1% 68 $1K
73030 <1% 80 $1K
80320 <1% 74 $1K
83605 <1% 110 $1K
82728 <1% 49 $974.25
92568 <1% 101 $962.81
72100 <1% 61 $944.77
87040 <1% 96 $934.68
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 14 $930.90
73080 <1% 54 $904.25
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 790 $835.46
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 621 $834.30
86850 <1% 105 $786.64
85379 <1% 97 $784.59
86901 <1% 154 $784.00
90715 <1% 70 $753.80
85610 <1% 194 $743.42
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 12 $729.24
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf <1% 45 $681.75
95819 <1% 16 $680.11
80061 Lipid panel <1% 61 $659.89
87088 <1% 69 $656.83
73590 <1% 45 $647.50
85014 <1% 641 $615.48
76536 <1% 27 $609.11
80329 <1% 15 $589.83
90472 Immunization administration, each additional vaccine (list separately) <1% 12 $587.54
73140 <1% 52 $576.89
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 111 $519.59
95816 <1% 12 $495.22
86140 <1% 87 $484.40
83615 <1% 64 $462.76
97162 <1% 12 $446.58
82570 <1% 64 $425.46
J7120 Ringers lactate infusion, up to 1000 cc <1% 565 $393.12
85046 <1% 57 $380.47
86592 <1% 86 $376.76
84439 <1% 28 $368.39
A9270 Non-covered item or service <1% 3,165 $366.86
86900 <1% 94 $363.87
84550 <1% 56 $359.55
77067 Screening mammography, bilateral, including computer-aided detection <1% 12 $356.22
80069 <1% 31 $319.82
77072 <1% 27 $314.44
J2060 Injection, lorazepam, 2 mg <1% 278 $303.85
84156 <1% 63 $302.84
88307 <1% 22 $298.96
J2550 Injection, promethazine hcl, up to 50 mg <1% 146 $290.30
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 285 $286.05
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing <1% 320 $235.86
73564 <1% 13 $220.29
82803 <1% 13 $219.91
73090 <1% 13 $188.10
85730 <1% 36 $169.53
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 40 $158.29
87340 <1% 14 $156.57
83036 Hemoglobin; glycosylated (A1C) <1% 15 $154.86
36415 Collection of venous blood by venipuncture <1% 3,625 $151.69
J0780 Injection, prochlorperazine, up to 10 mg <1% 19 $147.77
88304 <1% 17 $140.40
85007 <1% 54 $130.05
85018 <1% 113 $128.41
82565 <1% 28 $109.38
84134 <1% 27 $109.24
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 138 $105.11
82550 <1% 14 $99.24
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 380 $95.14
85651 <1% 24 $94.38
J1644 Injection, heparin sodium, per 1000 units <1% 104 $90.82
84132 <1% 30 $80.20
90686 <1% 15 $58.83
84100 <1% 15 $56.29
87806 <1% 87 $54.62
S0028 Injection, famotidine, 20 mg <1% 51 $49.77
96127 <1% 22 $47.70
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 49 $38.29
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,380 $37.60
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 72 $36.93
J2300 Injection, nalbuphine hydrochloride, per 10 mg <1% 14 $30.38
J3490 Unclassified drugs <1% 70 $19.46
J0690 Injection, cefazolin sodium, 500 mg <1% 55 $15.68
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 385 $4.90
J1630 Injection, haloperidol, up to 5 mg <1% 19 $3.00
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 111 $2.40
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 21 $0.00
A6021 Collagen dressing, sterile, size 16 sq. in. or less, each 0% 30 $0.00
J7999 Compounded drug, not otherwise classified 0% 156 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 0% 182 $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 0% 36 $0.00
G0008 Administration of influenza virus vaccine 0% 29 $0.00
J2704 Injection, propofol, 10 mg 0% 92 $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 officialCASTLEBERRY, NICOLE (CFO)
Same official

Other billing entities under CASTLEBERRY, NICOLE

Full network →
ProviderLocationPaid
Wesley Medical Center LLCWichita, KS$284K
Wesley Medical Center LLCWichita, KS$56K
Wesley Medical Center LLCWichita, KS$2K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.