Medicaid Provider Spending

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

PHC-CLEVELAND LLC

NPI: 1457321036 · CLEVELAND, MS 38732 · General Acute Care Hospital · NPI assigned 01/25/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TRAYLOR, JOHNETTA controls 20+ related entities in our dataset. Read more

$23.43M
Total Medicaid Paid
617,345
Total Claims
427,488
Beneficiaries
223
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTRAYLOR, JOHNETTA (DIRECTOR)
NPI Enumeration Date01/25/2006

Related Entities

Other providers sharing the same authorized official: TRAYLOR, JOHNETTA

ProviderCityStateTotal Paid
LOGAN GENERAL HOSPITAL LLC LOGAN WV $43.43M
HARTSVILLE, LLC HARTSVILLE SC $18.42M
LOGAN MEMORIAL HOSPITAL LLC RUSSELLVILLE KY $14.29M
SOUTHWESTERN MEDICAL CENTER, LLC LAWTON OK $9.40M
PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP PALESTINE TX $6.80M
WATERTOWN MEDICAL CENTER LLC WATERTOWN WI $6.31M
AMG - LIVINGSTON, LLC LIVINGSTON TN $5.52M
LOGAN GENERAL HOSPITAL LLC LOGAN WV $4.91M
ST. JOSEPH HOSPITAL LLC LEWISTON ID $4.67M
RIVERTON MEMORIAL HOSPITAL LLC RIVERTON WY $4.65M
LIVINGSTON REGIONAL HOSPITAL LLC LIVINGSTON TN $4.33M
HARTSVILLE MEDICAL GROUP LLC HARTSVILLE SC $4.16M
MEXIA PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP MEXIA TX $2.19M
PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP PALESTINE TX $1.27M
TEXAS SPECIALTY PHYSICIANS PALESTINE TX $1.26M
ST JOSEPH HOSPITAL LLC LEWISTON ID $1.10M
WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN WI $244K
WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN WI $175K
AMG-LIVINGSTON LLC LIVINGSTON TN $165K
WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN WI $149K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 116,721 $4.81M
2019 106,731 $4.29M
2020 74,829 $2.75M
2021 88,580 $3.07M
2022 94,118 $3.01M
2023 76,108 $3.16M
2024 60,258 $2.35M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 26,698 21,181 $4.67M
99283 Emergency department visit for the evaluation and management, moderate severity 21,967 17,771 $2.92M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 11,935 9,326 $2.29M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 21,939 4,770 $1.19M
G0378 Hospital observation service, per hour 2,986 2,026 $1.13M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16,941 13,564 $679K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 17,805 3,244 $620K
97530 Therapeutic activities, direct patient contact, each 15 minutes 17,384 3,572 $602K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 7,498 5,985 $600K
71045 Radiologic examination, chest; single view 15,344 11,747 $532K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,845 3,244 $479K
59025 Fetal non-stress test 4,557 2,292 $458K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 5,521 4,037 $427K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,451 1,973 $413K
70450 Computed tomography, head or brain; without contrast material 7,005 5,786 $386K
37229 189 163 $316K
54161 270 232 $297K
74176 Computed tomography, abdomen and pelvis; without contrast material 3,158 2,557 $286K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 15,371 11,044 $280K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,312 2,880 $271K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7,621 6,065 $237K
D2930 Prefabricated stainless steel crown - primary tooth 1,570 1,068 $218K
96361 Intravenous infusion, hydration; each additional hour 5,171 3,785 $212K
D7140 Extraction, erupted tooth or exposed root 730 184 $208K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 40,135 27,477 $199K
80053 Comprehensive metabolic panel 28,539 19,709 $195K
41899 Unlisted procedure, dentoalveolar structures 1,499 1,209 $177K
71046 Radiologic examination, chest; 2 views 4,126 3,317 $159K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,318 824 $157K
96375 Therapeutic injection; each additional sequential IV push 6,076 4,731 $138K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,353 1,124 $137K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 9,825 7,667 $135K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,333 2,812 $132K
86900 2,233 1,644 $111K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 8,850 7,571 $108K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 3,560 2,795 $101K
86710 8,867 7,583 $99K
83880 4,897 3,360 $95K
87430 7,067 6,088 $89K
84484 9,707 6,572 $68K
87040 7,591 4,160 $60K
80048 Basic metabolic panel (calcium, ionized) 9,406 7,276 $59K
37225 48 42 $58K
74018 1,308 1,050 $57K
72125 Computed tomography, cervical spine; without contrast material 1,152 960 $49K
36415 Collection of venous blood by venipuncture 23,341 18,183 $49K
77067 Screening mammography, bilateral, including computer-aided detection 613 563 $49K
86850 2,041 1,516 $48K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 816 317 $41K
36600 903 716 $38K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,384 994 $38K
70486 510 464 $35K
73560 1,030 752 $34K
86901 2,228 1,645 $34K
71275 Computed tomographic angiography, chest, with contrast material 556 448 $34K
84703 6,096 4,810 $33K
87420 2,779 2,402 $30K
87186 4,631 3,200 $30K
97533 814 242 $30K
81003 19,946 15,506 $29K
D0350 1,232 981 $26K
97162 633 543 $26K
87086 Culture, bacterial; quantitative colony count, urine 5,559 4,224 $24K
71250 585 475 $23K
93970 328 261 $22K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 774 180 $22K
73630 608 455 $22K
J1610 Injection, glucagon hydrochloride, per 1 mg 470 415 $21K
82553 2,372 1,999 $21K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 16 15 $19K
92523 147 121 $19K
83690 4,495 3,419 $19K
87070 2,585 1,720 $19K
85379 3,388 2,747 $19K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,837 1,311 $18K
83735 5,363 3,303 $18K
87075 2,044 1,302 $17K
82962 8,343 2,734 $16K
84702 1,504 1,001 $16K
73130 345 299 $15K
11043 88 57 $15K
82150 3,146 2,464 $14K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 188 132 $14K
87088 1,753 1,491 $14K
D0140 Limited oral evaluation - problem focused 1,330 1,071 $13K
84443 Thyroid stimulating hormone (TSH) 1,286 1,032 $13K
36430 141 90 $12K
82803 955 728 $12K
85730 3,845 2,916 $12K
73030 305 259 $11K
97010 3,914 929 $11K
83605 1,724 1,309 $11K
73610 243 190 $11K
D2330 751 264 $10K
82550 1,882 1,600 $10K
80061 Lipid panel 846 726 $10K
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 180 153 $10K
72100 211 165 $9K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 35 25 $9K
74022 129 111 $9K
85610 3,897 2,926 $9K
86140 2,047 1,586 $8K
71260 Computed tomography, thorax, diagnostic; with contrast material 95 78 $8K
86920 164 71 $7K
86921 162 71 $7K
P9016 Red blood cells, leukocytes reduced, each unit 86 52 $6K
72131 129 110 $6K
88305 Level IV - Surgical pathology, gross and microscopic examination 188 151 $6K
D1206 Topical application of fluoride varnish 753 673 $5K
76770 175 130 $5K
83655 373 356 $5K
97113 95 28 $5K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,164 4,196 $4K
83615 915 794 $4K
83721 849 728 $3K
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 180 153 $3K
97161 72 67 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg 9,400 7,412 $3K
76801 53 41 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 129 117 $3K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 276 225 $3K
C1760 Closure device, vascular (implantable/insertable) 339 281 $3K
86922 78 38 $3K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 37 36 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 227 165 $3K
83036 Hemoglobin; glycosylated (A1C) 461 360 $2K
92651 23 23 $2K
80305 301 248 $2K
96376 951 714 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 33 12 $2K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 23 15 $2K
97597 19 18 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 48 26 $2K
73110 31 27 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 10,301 7,654 $2K
73502 46 36 $1K
93925 17 15 $1K
73590 33 24 $1K
J7030 Infusion, normal saline solution , 1000 cc 1,773 1,154 $1K
82728 162 121 $1K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 15 14 $1K
77065 Tomosynthesis, mammo 28 25 $997.19
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 12 12 $947.47
82607 79 68 $929.41
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23 12 $872.99
93922 18 16 $745.64
84550 168 138 $602.97
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 48 13 $536.75
77066 Tomosynthesis, mammo 12 12 $527.86
76642 12 12 $492.75
J1100 Injection, dexamethasone sodium phosphate, 1 mg 6,415 5,176 $454.31
J2270 Injection, morphine sulfate, up to 10 mg 3,668 2,803 $437.34
J7120 Ringers lactate infusion, up to 1000 cc 1,163 820 $434.19
J1885 Injection, ketorolac tromethamine, per 15 mg 9,524 7,584 $411.97
85651 108 96 $344.94
82270 125 107 $331.77
84153 50 42 $311.36
A9270 Non-covered item or service 5,387 4,259 $280.05
J0690 Injection, cefazolin sodium, 500 mg 1,774 1,331 $279.70
84156 155 112 $260.58
D1351 Sealant - per tooth 52 15 $256.16
82565 62 54 $245.27
97116 35 13 $206.48
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,315 922 $178.56
80076 20 16 $156.94
97535 Self-care/home management training, each 15 minutes 269 190 $149.98
85045 44 26 $146.61
J3010 Injection, fentanyl citrate, 0.1 mg 3,660 2,928 $144.91
82570 59 39 $114.53
J1644 Injection, heparin sodium, per 1000 units 847 584 $83.72
J7510 Prednisolone oral, per 5 mg 897 752 $65.19
83540 24 12 $64.02
82247 15 12 $63.55
82248 15 12 $63.55
J2550 Injection, promethazine hcl, up to 50 mg 1,180 813 $59.23
85014 31 29 $54.33
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 5,441 4,577 $53.32
82009 17 12 $40.70
J1170 Injection, hydromorphone, up to 4 mg 2,654 1,385 $40.63
J1815 Injection, insulin, per 5 units 399 265 $35.25
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,133 766 $31.14
85018 14 14 $27.93
J2919 Injection, methylprednisolone sodium succinate, 5 mg 204 140 $27.91
J2250 Injection, midazolam hydrochloride, per 1 mg 887 731 $23.44
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 398 346 $20.88
J1650 Injection, enoxaparin sodium, 10 mg 410 225 $17.23
P9612 Catheterization for collection of specimen, single patient, all places of service 43 40 $0.37
C1724 Catheter, transluminal atherectomy, rotational 183 156 $0.00
C9113 Injection, pantoprazole sodium, per vial 95 44 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 88 83 $0.00
76937 315 245 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 175 151 $0.00
90715 127 116 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 363 276 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 237 202 $0.00
J3370 Injection, vancomycin hcl, 500 mg 21 13 $0.00
C1885 Catheter, transluminal angioplasty, laser 12 12 $0.00
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 18 16 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 149 124 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 1,760 1,359 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 820 626 $0.00
C1769 Guide wire 403 328 $0.00
G0379 Direct admission of patient for hospital observation care 17 13 $0.00
J1940 Injection, furosemide, up to 20 mg 550 353 $0.00
J2704 Injection, propofol, 10 mg 2,828 2,163 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 345 269 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 118 104 $0.00
C1726 Catheter, balloon dilatation, non-vascular 195 172 $0.00
J7050 Infusion, normal saline solution, 250 cc 125 52 $0.00
37233 50 40 $0.00
C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away 15 13 $0.00
J2060 Injection, lorazepam, 2 mg 151 116 $0.00
96368 22 12 $0.00
J3480 Injection, potassium chloride, per 2 meq 258 138 $0.00
77063 Screening digital breast tomosynthesis, bilateral 65 46 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 121 68 $0.00
C2623 Catheter, transluminal angioplasty, drug-coated, non-laser 72 61 $0.00
C1733 Catheter, electrophysiology, diagnostic/ablation, other than 3d or vector mapping, other than cool-tip 32 21 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 33 30 $0.00
J0461 Injection, atropine sulfate, 0.01 mg 56 54 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 49 40 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 14 14 $0.00
99406 23 14 $0.00