Medicaid Provider Spending

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

MOUNT CARMEL HEALTH SYSTEM

NPI: 1457617235 · COLUMBUS, OH 43213 · Orthopaedic Surgery Physician · NPI assigned 04/06/2012

$5.23M
Total Medicaid Paid
149,540
Total Claims
126,007
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRIDAY, ANDREW (TREASURER & CFO)
NPI Enumeration Date04/06/2012

Related Entities

Other providers sharing the same authorized official: PRIDAY, ANDREW

ProviderCityStateTotal Paid
MOUNT CARMEL HEALTH SYSTEM COLUMBUS OH $66.65M
MOUNT CARMEL HEALTH SYSTEM WESTERVILLE OH $42.48M
MOUNT CARMEL HEALTH SYSTEM GROVE CITY OH $14.42M
DILEY RIDGE MEDICAL CENTER CANAL WINCHESTER OH $6.17M
MOUNT CARMEL HEALTH SYSTEM COLUMBUS OH $403K
MOUNT CARMEL HEALTH SYSTEM COLUMBUS OH $318K
MOUNT CARMEL HEALTH SYSTEM GROVE CITY OH $180K
MOUNT CARMEL HEALTH SYSTEM NEW ALBANY OH $14K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 29,402 $1.08M
2019 23,602 $806K
2020 23,358 $826K
2021 23,673 $816K
2022 21,273 $707K
2023 14,151 $474K
2024 14,081 $529K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44,041 39,003 $1.60M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 27,025 23,728 $913K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,880 13,985 $549K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 6,712 6,412 $436K
59025 Fetal non-stress test 20,172 13,269 $412K
99283 Emergency department visit for the evaluation and management, moderate severity 6,107 5,798 $199K
99232 Subsequent hospital care, per day, moderate complexity 7,225 3,354 $194K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 301 283 $181K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,823 2,769 $106K
99223 Prolong inpt eval add15 m 1,072 1,032 $80K
0001A 1,675 1,668 $66K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,559 2,381 $63K
99222 Initial hospital care, per day, moderate complexity 1,169 1,064 $62K
76820 3,075 2,211 $61K
0002A 1,543 1,540 $60K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,083 1,905 $54K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,301 1,228 $33K
99238 Hospital discharge day management, 30 minutes or less 940 889 $29K
99233 Prolong inpt eval add15 m 689 256 $24K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,284 616 $21K
59430 246 227 $12K
76801 370 364 $11K
59514 14 13 $9K
76818 254 181 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 167 159 $7K
0012A 223 218 $7K
76819 Fetal biophysical profile; without non-stress testing 233 186 $6K
99219 94 92 $5K
99282 Emergency department visit for the evaluation and management, low to moderate severity 290 265 $5K
0011A 248 236 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 63 51 $3K
0031A 42 42 $2K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 24 15 $2K
99226 61 60 $2K
99221 49 48 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 339 320 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 43 40 $1K
99464 18 14 $704.22
99241 44 44 $603.83
99218 15 14 $474.00
99217 12 12 $385.76
99024 15 15 $0.00