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

Mercy Health - Fairfield Hospital LLC

Mercy Health - Fairfield Hospital LLC was paid $25.17M by Medicaid between Jan 2018 and Dec 2024, across 294 billing codes. Its largest line is 99283, emergency room visit (moderate) — 22% of everything it billed.

33Billing provider infoMERCY HEALTH - FAIRFIELD HOSPITAL LLC
FAIRFIELD, OH 45014
33aNPI1467552471assigned 09/22/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$25.17M
24GClaims739,565
24DCodes billed294
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Ohio

Rank by total paid#47 of 101
Median peer was paid$22.32M
This provider vs. median1.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official RALSTON, KIMBERLY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
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
201891,289$2.76M
201970,724$2.47M
202051,580$2.16M
202149,087$2.12M
202259,676$2.45M
2023248,439$7.71M
2024incomplete168,770$5.50M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 22% 46,073 42,815 $5.42M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 13% 28,805 25,665 $3.39M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 8.8% 17,273 14,596 $2.20M
96361 Intravenous infusion, hydration; each additional hour 5.3% 6,641 5,401 $1.34M
70450 Computed tomography, head or brain; without contrast material 5.2% 6,247 5,334 $1.30M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4.6% 23,595 6,453 $1.17M
74177 Computed tomography, abdomen and pelvis; with contrast material 4.6% 4,823 4,055 $1.16M
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.8% 7,154 6,788 $701K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2.2% 1,244 1,070 $548K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2.2% 11,604 3,442 $547K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2.1% 8,293 5,519 $540K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.8% 1,826 1,534 $446K
282 more codes
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1.7% 2,124 $432K
G0378 Hospital observation service, per hour 1.3% 4,702 $319K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1.2% 2,891 $310K
80053 Comprehensive metabolic panel 1.2% 42,359 $301K
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 1.2% 1,671 $298K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.1% 3,005 $274K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,716 $248K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 11,014 $245K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 615 $227K
95811 <1% 345 $184K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 7,975 $177K
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 1,974 $174K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 887 $173K
64483 <1% 276 $135K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 219 $122K
70496 <1% 591 $120K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 4,432 $106K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 621 $96K
97161 <1% 2,694 $94K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 720 $90K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,412 $87K
76642 <1% 636 $76K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,624 $72K
84484 <1% 19,228 $70K
71046 Radiologic examination, chest; 2 views <1% 11,054 $69K
80048 Basic metabolic panel (calcium, ionized) <1% 10,606 $63K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 598 $56K
93017 <1% 724 $56K
70551 Magnetic resonance imaging, brain; without contrast material <1% 386 $54K
71250 <1% 743 $52K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 53,185 $48K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 24,678 $47K
97113 <1% 735 $44K
84443 Thyroid stimulating hormone (TSH) <1% 2,243 $43K
80061 Lipid panel <1% 2,244 $42K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 256 $39K
76536 <1% 350 $37K
47563 <1% 13 $35K
94726 <1% 481 $35K
97016 <1% 1,225 $35K
83880 <1% 6,116 $35K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 71 $35K
59025 Fetal non-stress test <1% 212 $34K
86900 <1% 1,903 $32K
71045 Radiologic examination, chest; single view <1% 12,303 $30K
36415 Collection of venous blood by venipuncture <1% 32,481 $28K
93975 <1% 219 $27K
71271 <1% 164 $24K
72100 <1% 755 $24K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,148 $23K
97165 <1% 571 $23K
94729 <1% 465 $23K
72125 Computed tomography, cervical spine; without contrast material <1% 1,681 $23K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,748 $23K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 88 $21K
93971 <1% 305 $21K
76770 <1% 125 $21K
99213 Doctor's office visit, returning patient (routine) <1% 307 $19K
83036 Hemoglobin; glycosylated (A1C) <1% 2,155 $19K
97116 <1% 947 $18K
97162 <1% 709 $18K
72131 <1% 227 $17K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,570 $17K
76830 Ultrasound, transvaginal <1% 404 $16K
70486 <1% 349 $15K
77065 Tomosynthesis, mammo <1% 468 $15K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 85 $14K
94060 <1% 165 $14K
83605 <1% 4,202 $14K
71275 Computed tomographic angiography, chest, with contrast material <1% 80 $14K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 64 $13K
80069 <1% 902 $13K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,686 $13K
85027 <1% 2,698 $13K
73562 <1% 589 $12K
73030 <1% 899 $12K
86850 <1% 1,440 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 8,439 $12K
99152 <1% 1,915 $12K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography <1% 62 $12K
77066 Tomosynthesis, mammo <1% 357 $11K
64493 <1% 14 $11K
84703 <1% 19,082 $11K
97535 Self-care/home management training, each 15 minutes <1% 691 $10K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 455 $10K
96375 Therapeutic injection; each additional sequential IV push <1% 12,280 $10K
81001 <1% 21,387 $10K
73630 <1% 900 $10K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 18,014 $9K
12001 <1% 62 $9K
90714 <1% 646 $9K
95806 <1% 14 $8K
82607 <1% 862 $8K
97150 Therapeutic procedure(s), group (2 or more individuals) <1% 434 $8K
88307 <1% 73 $8K
73130 <1% 629 $8K
82570 <1% 959 $8K
83690 <1% 15,333 $8K
74018 <1% 279 $7K
73560 <1% 432 $7K
87086 Culture, bacterial; quantitative colony count, urine <1% 7,850 $7K
70491 <1% 28 $6K
11045 <1% 27 $6K
85610 <1% 6,129 $6K
73502 <1% 381 $6K
73610 <1% 699 $6K
70498 <1% 596 $6K
77080 <1% 105 $6K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 659 $6K
84439 <1% 554 $6K
83540 <1% 752 $6K
87040 <1% 1,886 $6K
80076 <1% 1,210 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 8,650 $6K
83550 <1% 710 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 2,159 $5K
82746 <1% 778 $5K
83735 <1% 4,009 $5K
72141 <1% 44 $5K
J8501 Aprepitant, oral, 5 mg <1% 450 $5K
J1756 Injection, iron sucrose, 1 mg <1% 112 $5K
82728 <1% 415 $5K
86901 <1% 1,894 $4K
96376 <1% 1,957 $4K
84702 <1% 1,534 $4K
86140 <1% 682 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,686 $4K
82565 <1% 535 $4K
81003 <1% 6,838 $4K
73110 <1% 386 $4K
96367 <1% 310 $4K
86701 <1% 134 $3K
72040 <1% 85 $3K
87081 <1% 1,885 $3K
82077 <1% 1,448 $3K
82043 <1% 465 $3K
83970 <1% 128 $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 <1% 1,228 $3K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 19 $3K
C1769 Guide wire <1% 761 $3K
99153 Mod sedat endo service >5yrs <1% 271 $3K
84156 <1% 501 $3K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 13 $3K
85379 <1% 1,856 $2K
85730 <1% 1,621 $2K
87390 <1% 125 $2K
20560 <1% 93 $2K
J3490 Unclassified drugs <1% 312 $2K
12011 <1% 12 $2K
72110 <1% 29 $2K
86702 <1% 125 $2K
85652 <1% 722 $2K
00731 <1% 1,257 $2K
12002 <1% 13 $2K
84425 <1% 125 $1K
82550 <1% 619 $1K
86803 <1% 77 $1K
92610 <1% 46 $1K
84100 <1% 581 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 673 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,203 $1K
87807 <1% 788 $1K
97166 <1% 74 $1K
64447 <1% 22 $992.49
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,332 $943.65
84145 <1% 964 $917.25
76801 <1% 18 $900.54
80143 <1% 659 $891.08
J1650 Injection, enoxaparin sodium, 10 mg <1% 2,127 $887.24
76870 <1% 14 $838.57
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 255 $832.74
87077 <1% 1,275 $814.35
82803 <1% 1,098 $804.63
J1170 Injection, hydromorphone, up to 4 mg <1% 2,078 $786.97
20561 <1% 38 $778.49
73140 <1% 72 $761.98
92526 <1% 18 $743.96
94150 <1% 18 $731.67
J0735 Injection, clonidine hydrochloride, 1 mg <1% 106 $692.78
84446 <1% 53 $689.19
87210 <1% 952 $682.39
87186 <1% 1,058 $638.91
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,106 $625.04
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 10,590 $605.98
73590 <1% 99 $605.91
84590 <1% 41 $545.16
93325 <1% 15 $459.76
80179 <1% 637 $456.89
72050 <1% 15 $425.25
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 617 $405.04
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 11,475 $381.67
73564 <1% 31 $360.44
88342 <1% 339 $343.49
J7030 Infusion, normal saline solution , 1000 cc <1% 3,278 $339.02
84550 <1% 58 $294.92
J2704 Injection, propofol, 10 mg <1% 7,043 $292.62
80320 <1% 18 $287.92
73080 <1% 55 $283.56
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 491 $271.82
90715 <1% 16 $269.88
J2800 Injection, methocarbamol, up to 10 ml <1% 79 $257.70
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 10,534 $246.53
J0690 Injection, cefazolin sodium, 500 mg <1% 2,214 $169.85
94761 <1% 1,020 $168.98
J2785 Injection, regadenoson, 0.1 mg <1% 306 $149.30
87070 <1% 182 $146.51
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,583 $142.43
J3010 Injection, fentanyl citrate, 0.1 mg <1% 4,892 $140.50
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 324 $129.94
J1644 Injection, heparin sodium, per 1000 units <1% 1,494 $129.45
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 561 $126.48
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,045 $125.19
J3370 Injection, vancomycin hcl, 500 mg <1% 419 $122.38
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 285 $121.17
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 4,225 $110.40
J3475 Injection, magnesium sulfate, per 500 mg <1% 1,426 $109.47
73090 <1% 14 $103.59
87205 <1% 220 $102.98
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,184 $88.40
J2060 Injection, lorazepam, 2 mg <1% 713 $76.90
84132 <1% 53 $65.43
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 477 $61.39
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 305 $54.28
J1790 Injection, droperidol, up to 5 mg <1% 298 $53.33
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 4,464 $51.28
94760 <1% 1,354 $51.00
87088 <1% 123 $50.32
J0360 Injection, hydralazine hcl, up to 20 mg <1% 61 $42.57
82010 <1% 125 $39.24
94664 <1% 82 $30.52
82140 <1% 32 $29.13
J1940 Injection, furosemide, up to 20 mg <1% 163 $24.79
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 180 $24.12
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 888 $20.26
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 979 $16.69
85018 <1% 30 $16.43
J7050 Infusion, normal saline solution, 250 cc <1% 229 $16.38
J1040 Injection, methylprednisolone acetate, 80 mg <1% 165 $13.36
82962 <1% 109 $9.28
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% 15 $9.02
J2470 Injection, pantoprazole sodium, 40 mg <1% 151 $7.80
J0780 Injection, prochlorperazine, up to 10 mg <1% 77 $6.96
J1171 Injection, hydromorphone, 0.1 mg <1% 133 $5.49
J3411 Injection, thiamine hcl, 100 mg <1% 35 $4.56
J1630 Injection, haloperidol, up to 5 mg <1% 149 $4.12
J2550 Injection, promethazine hcl, up to 50 mg <1% 154 $2.36
J1596 Injection, glycopyrrolate, 0.1 mg <1% 329 $0.51
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 100 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 0% 73 $0.00
C9399 Unclassified drugs or biologicals 0% 82 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 0% 127 $0.00
J1920 Injection, labetalol hydrochloride, 5 mg 0% 41 $0.00
88304 0% 209 $0.00
64494 0% 14 $0.00
C1889 Implantable/insertable device, not otherwise classified 0% 28 $0.00
86308 0% 31 $0.00
82150 0% 34 $0.00
01480 0% 39 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 16 $0.00
00813 0% 16 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 24 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 55 $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 0% 15 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 13 $0.00
00790 0% 18 $0.00
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml 0% 25 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 244 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 0% 150 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 0% 73 $0.00
00840 0% 52 $0.00
H1003 Prenatal care, at-risk enhanced service; education 0% 30 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 0% 36 $0.00
J2720 Injection, protamine sulfate, per 10 mg 0% 16 $0.00
85014 0% 33 $0.00
J1953 Injection, levetiracetam, 10 mg 0% 18 $0.00
00812 0% 89 $0.00
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 0% 13 $0.00
85347 0% 25 $0.00
J1956 Injection, levofloxacin, 250 mg 0% 57 $0.00
C1760 Closure device, vascular (implantable/insertable) 0% 17 $0.00
74300 0% 13 $0.00
C1776 Joint device (implantable) 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 officialRALSTON, KIMBERLY (VP REIMBURSEMENT)
Same official

Other billing entities under RALSTON, KIMBERLY

Full network →
ProviderLocationPaid
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ST Francis Hospital INCGreenville, SC$17.81M
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Mercy Health - Tiffin Hospital LLCTiffin, OH$12.99M
Mercy Health - Defiance Hospital LLCDefiance, OH$11.90M
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Chesapeake Hospital LLCKilmarnock, VA$6.00M
Maryview Hospital, LLCSuffolk, VA$3.48M
Roper ST Francis Ancillary ServicesLadson, SC$3.33M
Mercy Health Youngstown LLCYoungstown, OH$3.23M

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