Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › UPPER SANDUSKY › WYANDOT MEMORIAL HOSPITAL

WYANDOT MEMORIAL HOSPITAL

NPI: 1477554475 · UPPER SANDUSKY, OH 43351 · Urgent Care Clinic/Center · NPI assigned 08/02/2005

$7.11M
Total Medicaid Paid
208,373
Total Claims
156,820
Beneficiaries
183
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNOYES, KENDRA (PRESIDENT AND CEO)
Parent OrganizationWYANDOT MEMORIAL HOSPITAL
NPI Enumeration Date08/02/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,330 $277K
2019 10,454 $242K
2020 5,736 $176K
2021 16,803 $318K
2022 30,335 $859K
2023 75,704 $3.16M
2024 56,011 $2.07M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 12,463 8,809 $1.28M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,266 22,330 $905K
99283 Emergency department visit for the evaluation and management, moderate severity 4,597 4,093 $659K
99284 Emergency department visit for the evaluation and management, high severity 2,964 2,342 $509K
96361 Intravenous infusion, hydration; each additional hour 1,256 801 $447K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,121 1,709 $356K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,650 8,204 $349K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,317 815 $276K
70450 Computed tomography, head or brain; without contrast material 510 424 $170K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,031 1,871 $160K
74177 Computed tomography, abdomen and pelvis; with contrast material 518 384 $148K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,296 357 $142K
74176 Computed tomography, abdomen and pelvis; without contrast material 321 233 $117K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,301 612 $115K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 454 229 $111K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 796 510 $111K
80053 Comprehensive metabolic panel 7,065 5,442 $100K
0240U 581 486 $93K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 590 497 $71K
97530 Therapeutic activities, direct patient contact, each 15 minutes 917 300 $68K
41899 Unlisted procedure, dentoalveolar structures 43 40 $67K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12,364 8,864 $64K
84443 Thyroid stimulating hormone (TSH) 2,268 1,935 $49K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 738 700 $43K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 206 165 $38K
36415 Collection of venous blood by venipuncture 13,719 9,879 $32K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 944 290 $30K
99215 Prolong outpt/office vis 696 556 $29K
80061 Lipid panel 1,554 1,367 $27K
83036 Hemoglobin; glycosylated (A1C) 1,614 1,409 $26K
80048 Basic metabolic panel (calcium, ionized) 2,784 2,122 $26K
71046 Radiologic examination, chest; 2 views 528 443 $23K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,346 3,535 $23K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 769 539 $19K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 664 582 $18K
87086 Culture, bacterial; quantitative colony count, urine 1,421 1,143 $17K
97016 400 99 $16K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 395 334 $16K
0202U Oncology (prostate), multianalyte, gene expression profiling 67 48 $15K
J1050 Injection, medroxyprogesterone acetate, 1 mg 172 88 $15K
97162 337 297 $15K
84439 726 632 $13K
82728 572 492 $13K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 100 87 $12K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,553 2,000 $12K
81001 3,308 2,741 $12K
82607 447 391 $11K
73630 277 229 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,846 1,046 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 866 676 $10K
77063 Screening digital breast tomosynthesis, bilateral 206 184 $9K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 395 334 $8K
76830 Ultrasound, transvaginal 58 54 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 808 645 $8K
99281 Emergency department visit for the evaluation and management, self-limited or minor 277 250 $8K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,754 1,190 $7K
87077 588 471 $7K
83735 1,616 1,044 $7K
83540 511 440 $6K
74018 110 85 $6K
85027 557 476 $6K
73610 90 65 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 138 128 $5K
76705 Ultrasound, abdominal, real time with image documentation; limited 27 25 $5K
96375 Therapeutic injection; each additional sequential IV push 1,508 905 $4K
73030 93 73 $4K
96127 195 164 $4K
83550 432 371 $4K
87070 170 148 $4K
87186 585 471 $4K
82570 380 337 $4K
77067 Screening mammography, bilateral, including computer-aided detection 206 184 $3K
73564 22 14 $3K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 109 90 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 77 63 $3K
80069 181 153 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 27 24 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 56 54 $3K
80320 175 135 $2K
80305 362 288 $2K
86803 68 51 $2K
97164 70 63 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 369 202 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 20 13 $2K
90836 91 75 $2K
85610 976 744 $2K
99205 Prolong outpt/office vis 50 44 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 231 75 $2K
83655 48 42 $2K
82746 164 143 $2K
84484 1,235 845 $2K
71045 Radiologic examination, chest; single view 1,112 881 $2K
97014 45 12 $2K
87210 83 65 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 55 43 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 277 221 $2K
00170 Anesthesia for intraoral procedures, including biopsy 98 79 $2K
59430 38 31 $1K
83690 838 597 $1K
85652 199 169 $1K
81025 668 482 $1K
83970 60 52 $1K
84550 239 205 $1K
0071A 20 19 $1K
J1030 Injection, methylprednisolone acetate, 40 mg 771 576 $1K
83880 377 292 $956.08
86140 62 51 $941.08
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 118 97 $915.58
99244 Office or other outpatient consultation, moderate to high complexity 18 17 $911.23
85018 139 96 $886.48
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 14 12 $829.67
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 38 27 $797.67
85730 330 256 $778.25
99238 Hospital discharge day management, 30 minutes or less 30 28 $720.42
J7030 Infusion, normal saline solution , 1000 cc 192 184 $659.37
99243 16 13 $606.20
87081 46 37 $594.13
99335 35 30 $490.32
72100 14 14 $459.16
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 147 79 $425.23
80076 33 25 $395.93
73110 12 12 $375.94
0352U 12 12 $364.80
84100 53 36 $363.45
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 16 13 $325.09
82248 26 13 $321.52
99336 85 82 $321.13
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 332 102 $256.62
99442 13 13 $244.31
85379 333 253 $209.06
84703 160 118 $191.72
84156 45 40 $176.32
86038 16 13 $171.79
51798 40 31 $168.45
82043 15 13 $167.77
82150 15 14 $166.25
J7050 Infusion, normal saline solution, 250 cc 199 105 $159.99
73562 12 12 $146.17
94761 184 151 $138.31
99152 96 67 $135.63
11721 26 24 $131.33
84155 16 12 $122.65
82948 114 53 $103.67
83605 545 376 $100.33
87040 347 168 $84.88
84165 16 12 $79.05
J1885 Injection, ketorolac tromethamine, per 15 mg 1,245 804 $78.96
96376 74 50 $74.92
87205 14 13 $63.36
80329 14 12 $60.21
J2704 Injection, propofol, 10 mg 1,730 827 $58.51
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,740 1,081 $43.69
99309 Subsequent nursing facility care, per day, low to moderate complexity 23 16 $41.58
99173 12 12 $19.68
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,967 1,085 $10.99
J0690 Injection, cefazolin sodium, 500 mg 286 173 $9.94
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 2,749 1,776 $7.80
J2270 Injection, morphine sulfate, up to 10 mg 108 61 $3.34
J3010 Injection, fentanyl citrate, 0.1 mg 1,001 624 $0.84
91301 19 16 $0.13
91307 39 33 $0.08
G8484 Influenza immunization was not administered, reason not given 13,483 10,860 $0.00
4004F 1,593 1,367 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 11,248 9,050 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 3,813 3,057 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 472 342 $0.00
G8421 Bmi not documented and no reason is given 83 78 $0.00
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 12 12 $0.00
0502F 19 13 $0.00
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 17 13 $0.00
3078F 17 13 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 18 12 $0.00
1036F 4,224 3,302 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 22 13 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 16 14 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 764 539 $0.00
3017F 365 326 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 219 197 $0.00
A9270 Non-covered item or service 129 71 $0.00
3079F 18 14 $0.00
J1170 Injection, hydromorphone, up to 4 mg 40 25 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 147 129 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 20 16 $0.00