Saint Thomas Stones River Hospital, LLC
Saint Thomas Stones River Hospital, LLC was paid $554K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99283, emergency room visit (moderate) — 82% of everything it billed.
WOODBURY, TN 37190
Next to other Psychiatric Hospital Unit providers in Tennessee
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,337 | $98K | |
| 2019 | 1,159 | $87K | |
| 2020 | 279 | $27K | |
| 2021 | 989 | $80K | |
| 2022 | 2,159 | $118K | |
| 2023 | 1,805 | $102K | |
| 2024incomplete | 585 | $42K |
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 | 82% | 4,485 | 4,179 | $453K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 15% | 642 | 578 | $83K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 135 | 127 | $5K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 113 | 109 | $3K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 48 | 44 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 753 | 669 | $2K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 244 | 218 | $2K |
| 80053 | Comprehensive metabolic panel | <1% | 812 | 702 | $1K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 40 | 38 | $611.90 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 145 | 128 | $389.68 |
| 83735 | <1% | 166 | 146 | $342.66 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 132 | 105 | $334.20 |
11 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 42 | $205.92 |
| 85027 | <1% | 172 | $190.65 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 38 | $179.73 |
| 84484 | <1% | 15 | $43.45 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 44 | $35.04 |
| 81001 | <1% | 44 | $33.30 | |
| 85610 | <1% | 31 | $15.46 | |
| A9270 | Non-covered item or service | 0% | 63 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 14 | $0.00 |
| J3490 | Unclassified drugs | 0% | 122 | $0.00 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 13 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Saint Thomas River Park Hospital, LLC | Mcminnville, TN | $8.41M |
| Saint Thomas West Hospital | Nashville, TN | $7.14M |
| Meeting Milestones Early Intervention Services, LLC | Gaffney, SC | $6.63M |
| Saint Thomas West Hospital | Nashville, TN | $3.68M |
| Saint Thomas Highlands Hospital, LLC | Sparta, TN | $3.33M |
| Public Health Solutions | Brooklyn, NY | $2.10M |
| Nursing and Therapy Services of Colorado INC | Colorado Springs, CO | $1.05M |
| Saint Thomas Hickman Hospital | Centerville, TN | $924K |
| Metro Anesthesia, PLLC | Ridgeland, MS | $261K |
| Talking Toddlers LLC | Simpsonville, SC | $16K |
| Royal Paradise Cente LLC | West Palm Beach, FL | $4K |
| Lisa A. Davis, M.D., P.A. | San Antonio, TX | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.