Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WV › WESTON › STONEWALL JACKSON MEMORIAL HOSPITAL COMPANY

STONEWALL JACKSON MEMORIAL HOSPITAL COMPANY

NPI: 1477559433 · WESTON, WV 26452 · Rural Acute Care Hospital · NPI assigned 06/24/2005

$12.97M
Total Medicaid Paid
322,327
Total Claims
253,229
Beneficiaries
206
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSCHERICH, C (VP OF FINANCE)
NPI Enumeration Date06/24/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 51,945 $3.51M
2019 39,924 $2.50M
2020 64,643 $3.35M
2021 61,219 $1.29M
2022 35,236 $785K
2023 40,681 $854K
2024 28,679 $682K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 12,831 10,875 $2.33M
99283 Emergency department visit for the evaluation and management, moderate severity 17,416 15,280 $1.87M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,058 1,778 $804K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 8,342 1,983 $449K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,221 5,841 $364K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 26,317 20,236 $356K
80053 Comprehensive metabolic panel 21,203 16,497 $332K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,550 4,224 $321K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,613 2,333 $276K
G0378 Hospital observation service, per hour 2,620 1,055 $222K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,619 3,930 $195K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,161 1,431 $185K
36415 Collection of venous blood by venipuncture 20,684 15,827 $184K
59025 Fetal non-stress test 2,789 1,002 $176K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,928 1,701 $167K
74177 Computed tomography, abdomen and pelvis; with contrast material 554 475 $162K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 5,060 2,867 $150K
96375 Therapeutic injection; each additional sequential IV push 3,707 2,868 $133K
84443 Thyroid stimulating hormone (TSH) 3,928 3,567 $131K
96361 Intravenous infusion, hydration; each additional hour 3,644 2,862 $125K
71046 Radiologic examination, chest; 2 views 3,130 2,834 $123K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 1,000 844 $111K
70450 Computed tomography, head or brain; without contrast material 2,529 2,287 $108K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,864 4,935 $107K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,208 1,960 $93K
71045 Radiologic examination, chest; single view 4,404 3,797 $93K
84484 6,288 4,369 $93K
83735 3,391 2,408 $92K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,940 1,773 $88K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,935 1,769 $88K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,172 995 $86K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,337 742 $81K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,441 1,065 $80K
81001 7,182 6,090 $78K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 9,917 7,691 $77K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,617 1,488 $73K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,776 2,945 $69K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,488 1,301 $66K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,899 1,699 $66K
81025 2,155 1,786 $65K
76819 Fetal biophysical profile; without non-stress testing 964 428 $65K
83690 3,188 2,744 $59K
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 970 911 $58K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,015 885 $54K
J1885 Injection, ketorolac tromethamine, per 15 mg 4,406 3,626 $51K
J7120 Ringers lactate infusion, up to 1000 cc 2,642 2,092 $51K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 158 152 $50K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 93 88 $48K
82150 2,622 2,287 $47K
80048 Basic metabolic panel (calcium, ionized) 2,968 2,547 $47K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 240 223 $47K
88305 Level IV - Surgical pathology, gross and microscopic examination 667 550 $46K
82550 4,697 3,977 $45K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,408 1,331 $42K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 2,412 2,051 $40K
87070 1,636 1,449 $39K
J2704 Injection, propofol, 10 mg 2,423 1,995 $39K
81003 3,617 3,170 $39K
97164 629 565 $37K
83880 1,503 1,258 $37K
87086 Culture, bacterial; quantitative colony count, urine 2,542 2,278 $36K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,002 747 $34K
71260 Computed tomography, thorax, diagnostic; with contrast material 101 79 $33K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 881 806 $33K
85610 2,960 2,343 $33K
93017 207 198 $33K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,341 377 $32K
80305 1,584 1,350 $31K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 159 153 $31K
J3010 Injection, fentanyl citrate, 0.1 mg 1,195 944 $31K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4,743 4,216 $31K
80061 Lipid panel 2,055 1,949 $30K
93225 543 264 $29K
97014 1,300 329 $29K
71250 345 328 $27K
J0696 Injection, ceftriaxone sodium, per 250 mg 707 537 $27K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 26 15 $27K
77067 Screening mammography, bilateral, including computer-aided detection 275 263 $27K
85730 1,586 1,413 $26K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 872 775 $26K
93976 214 205 $25K
87040 1,235 643 $24K
82553 1,209 1,041 $24K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 230 144 $23K
J2785 Injection, regadenoson, 0.1 mg 113 109 $23K
87077 1,127 1,025 $22K
82948 2,311 966 $22K
87186 1,035 937 $22K
83605 1,284 980 $21K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 184 167 $21K
J2250 Injection, midazolam hydrochloride, per 1 mg 983 805 $20K
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 1,071 997 $20K
83036 Hemoglobin; glycosylated (A1C) 1,970 1,893 $19K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 118 113 $18K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 577 542 $18K
73562 433 358 $16K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 499 447 $15K
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 290 254 $15K
73610 226 197 $15K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 288 273 $13K
84702 388 282 $11K
85379 528 468 $11K
82607 712 660 $11K
73030 304 266 $11K
86850 666 611 $10K
85027 855 729 $10K
86803 497 479 $10K
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 368 231 $10K
87634 168 158 $10K
73130 117 103 $10K
74018 238 203 $10K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 384 324 $10K
86900 822 748 $9K
96376 228 144 $9K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 1,748 1,023 $9K
84439 319 279 $9K
J2270 Injection, morphine sulfate, up to 10 mg 339 233 $8K
97161 158 147 $7K
73630 178 157 $7K
J7030 Infusion, normal saline solution , 1000 cc 2,861 2,100 $6K
83655 389 376 $6K
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 192 174 $6K
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 193 175 $6K
96523 186 141 $6K
74019 130 112 $5K
72125 Computed tomography, cervical spine; without contrast material 95 89 $5K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 15 13 $5K
87481 59 24 $5K
87581 65 61 $5K
87205 328 266 $5K
87486 64 61 $5K
87420 150 119 $5K
74022 39 39 $5K
82728 344 322 $5K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 59 44 $5K
72100 92 88 $5K
76830 Ultrasound, transvaginal 85 80 $4K
86592 438 412 $4K
J0690 Injection, cefazolin sodium, 500 mg 105 82 $4K
82746 292 260 $4K
86901 671 611 $4K
87340 248 233 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 32 26 $4K
A4212 Non-coring needle or stylet with or without catheter 295 216 $4K
97162 81 75 $4K
86762 178 170 $4K
93970 25 24 $3K
73502 99 93 $3K
83540 359 332 $3K
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 249 170 $3K
12001 26 26 $3K
82803 118 97 $3K
82565 144 123 $3K
A4221 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) 530 263 $2K
86140 304 260 $2K
85651 66 56 $2K
87075 92 83 $2K
88304 48 37 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 41 41 $2K
11721 213 210 $2K
J2360 Injection, orphenadrine citrate, up to 60 mg 46 42 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 15 15 $2K
J3475 Injection, magnesium sulfate, per 500 mg 108 62 $1K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 90 26 $1K
84520 106 89 $961.24
84703 57 42 $813.34
36591 96 52 $773.56
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 36 27 $717.28
94799 34 24 $710.48
84145 171 149 $668.12
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 17 13 $590.27
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 16 13 $590.27
76700 Ultrasound, abdominal, real time with image documentation; complete 15 14 $581.77
82950 97 91 $528.02
73110 30 29 $481.50
G0008 Administration of influenza virus vaccine 141 139 $449.41
73560 12 12 $437.23
J1815 Injection, insulin, per 5 units 47 27 $435.84
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 24 22 $419.89
A6530 Gradient compression stocking, below knee, 18-30 mmhg, each 97 91 $412.82
80074 13 12 $390.85
82043 85 76 $379.66
90715 26 24 $306.47
J1170 Injection, hydromorphone, up to 4 mg 44 28 $300.99
J2550 Injection, promethazine hcl, up to 50 mg 26 12 $258.56
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 118 112 $253.77
94010 318 307 $238.96
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 247 231 $217.73
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 2,828 2,502 $191.81
84153 12 12 $155.98
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16 14 $154.32
73620 13 13 $103.39
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 12 12 $85.12
36600 13 12 $84.33
85045 25 24 $73.05
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 32 28 $53.90
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg 26 12 $25.92
A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) 21 17 $24.21
J1200 Injection, diphenhydramine hcl, up to 50 mg 18 16 $10.60
J2765 Injection, metoclopramide hcl, up to 10 mg 12 12 $6.72
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25 24 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 41 40 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 14 12 $0.00
90662 32 32 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 16 13 $0.00
90653 25 25 $0.00