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

Lexington Regional Health Center

Lexington Regional Health Center was paid $4.22M by Medicaid between Jan 2018 and Nov 2024, across 106 billing codes. Its largest line is 99284, emergency room visit (serious) — 16% of everything it billed.

33Billing provider infoLEXINGTON REGIONAL HEALTH CENTER
LEXINGTON, NE 68850
33aNPI1467417352assigned 04/20/2006
33bProvider typeCritical Access Hospital
28Total paid$4.22M
24GClaims75,325
24DCodes billed106
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Critical Access Hospital providers in Nebraska

Rank by total paid#2 of 53
Median peer was paid$593K
This provider vs. median7.1×

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$100K$200K2018201920202021202220232024
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
20187,442$283K
201911,099$622K
20209,310$612K
202124,499$1.25M
202216,855$1.05M
20235,278$335K
2024incomplete842$67K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 16% 2,238 1,706 $680K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 13% 2,841 2,272 $549K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7.1% 8,739 6,832 $299K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6.4% 4,716 1,167 $268K
80053 Comprehensive metabolic panel 6.2% 5,153 3,861 $263K
G0378 Hospital observation service, per hour 5.1% 942 580 $216K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 4.6% 573 441 $195K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.4% 4,314 3,154 $103K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 2.1% 485 476 $89K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.0% 589 476 $83K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1.8% 2,644 1,922 $76K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.7% 709 533 $73K
94 more codes
36415 Collection of venous blood by venipuncture 1.6% 6,781 $70K
80048 Basic metabolic panel (calcium, ionized) 1.6% 1,445 $69K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.6% 651 $67K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.4% 4,110 $57K
87400 1.3% 700 $54K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1.2% 810 $49K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1.1% 810 $48K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1.1% 139 $45K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.0% 806 $43K
97161 <1% 593 $37K
J3490 Unclassified drugs <1% 3,043 $35K
59025 Fetal non-stress test <1% 213 $35K
83036 Hemoglobin; glycosylated (A1C) <1% 1,186 $31K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 733 $31K
84443 Thyroid stimulating hormone (TSH) <1% 1,254 $30K
87086 Culture, bacterial; quantitative colony count, urine <1% 909 $28K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 479 $28K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 230 $26K
71046 Radiologic examination, chest; 2 views <1% 163 $24K
96361 Intravenous infusion, hydration; each additional hour <1% 364 $24K
81001 <1% 1,567 $23K
87631 <1% 141 $22K
71045 Radiologic examination, chest; single view <1% 243 $22K
87081 <1% 599 $22K
81025 <1% 822 $21K
96375 Therapeutic injection; each additional sequential IV push <1% 130 $21K
86141 <1% 688 $21K
87088 <1% 477 $19K
85027 <1% 657 $18K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 395 $18K
80305 <1% 461 $17K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 647 $17K
J7120 Ringers lactate infusion, up to 1000 cc <1% 426 $16K
87210 <1% 662 $15K
80061 Lipid panel <1% 742 $15K
84484 <1% 304 $14K
87420 <1% 216 $14K
81003 <1% 805 $11K
81002 <1% 732 $11K
84702 <1% 280 $9K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 69 $9K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 193 $8K
85610 <1% 670 $8K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 40 $7K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 242 $7K
83690 <1% 330 $7K
76801 <1% 28 $7K
J2704 Injection, propofol, 10 mg <1% 170 $6K
73630 <1% 34 $6K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 31 $6K
J7030 Infusion, normal saline solution , 1000 cc <1% 183 $6K
85730 <1% 198 $5K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 92 $5K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 159 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 246 $4K
99203 Doctor's office visit, new patient (routine) <1% 143 $4K
80055 <1% 28 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 135 $3K
85007 <1% 121 $3K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 319 $3K
88142 <1% 87 $2K
77067 Screening mammography, bilateral, including computer-aided detection <1% 15 $2K
82950 <1% 96 $2K
87077 <1% 86 $2K
85379 <1% 71 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 27 $2K
87186 <1% 65 $2K
84703 <1% 65 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 74 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 13 $2K
86780 <1% 54 $2K
86901 <1% 97 $1K
82570 <1% 42 $1K
99201 <1% 93 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 63 $1K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 18 $942.80
83880 <1% 14 $936.04
84145 <1% 21 $875.15
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 <1% 32 $832.06
86900 <1% 33 $749.38
83605 <1% 70 $737.07
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel <1% 14 $733.02
86850 <1% 18 $705.83
84439 <1% 26 $671.00
77063 Screening digital breast tomosynthesis, bilateral <1% 14 $543.51
87340 <1% 12 $504.17
82150 <1% 13 $481.64
86140 <1% 12 $352.80
86762 <1% 12 $345.07
A9270 Non-covered item or service <1% 226 $340.93
83735 <1% 14 $284.80
85018 <1% 15 $186.11
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 12 $172.80
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 0% 14 $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 officialDOUGLAS, JASON (ADMINISTRATOR & CEO)
Same official

Other billing entities under DOUGLAS, JASON

Full network →
ProviderLocationPaid
Peace of Mind Home Care, LLCSaint Joseph, MO$39.81M
Memorial Medical Center INCAshland, WI$22.57M
Lexington Regional Health CenterLexington, NE$3.17M
Lexington Regional Health CenterLexington, NE$459K
Lexington Regional Health CenterLexington, NE$293K
Lexington Regional Health CenterLexington, NE$1K

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