Medicaid Provider Spending

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

HIGHLANDS HOSPITAL CORP

NPI: 1447683958 · SALYERSVILLE, KY 41465 · Family Medicine Physician · NPI assigned 08/20/2013

$580K
Total Medicaid Paid
23,848
Total Claims
16,858
Beneficiaries
37
Codes Billed
2018-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialWARMAN, HAROLD (CEO)
NPI Enumeration Date08/20/2013

Related Entities

Other providers sharing the same authorized official: WARMAN, HAROLD

ProviderCityStateTotal Paid
HIGHLANDS HOSPITAL CORP HAROLD KY $581K
HIGHLANDS HEART AND VASCULAR LLC PRESTONSBURG KY $137K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,839 $320K
2019 9,734 $254K
2020 275 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,652 5,792 $375K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,229 1,964 $97K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 709 284 $36K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,428 647 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 697 653 $16K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,091 992 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 429 387 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 303 296 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 55 54 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 45 45 $3K
36415 Collection of venous blood by venipuncture 200 169 $1K
96127 335 301 $1K
90686 35 34 $633.56
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 39 38 $591.12
J1100 Injection, dexamethasone sodium phosphate, 1 mg 132 124 $168.57
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 412 385 $0.45
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,719 1,563 $0.08
G8754 Most recent diastolic blood pressure < 90 mmhg 384 370 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 394 370 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 28 28 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 479 454 $0.00
1036F 212 193 $0.00
3017F 34 32 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 56 53 $0.00
3014F 13 12 $0.00
1006F 12 12 $0.00
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 31 31 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 14 12 $0.00
1111F 17 14 $0.00
4004F 230 220 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 267 257 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 931 847 $0.00
G8482 Influenza immunization administered or previously received 49 47 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 32 29 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 77 76 $0.00
G0444 Annual depression screening, 5 to 15 minutes 65 60 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 13 13 $0.00