Medicaid Provider Spending

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

PHC-FORT MORGAN INC

NPI: 1477638971 · FORT MORGAN, CO 80701 · Rural Acute Care Hospital · NPI assigned 10/25/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DILLON, TERRANCE controls 20+ related entities in our dataset. Read more

$1.30M
Total Medicaid Paid
23,857
Total Claims
22,009
Beneficiaries
50
Codes Billed
2018-01
First Month
2022-04
Last Month

Provider Details

Authorized OfficialDILLON, TERRANCE (ASSISTANT SECRETARY)
NPI Enumeration Date10/25/2006

Related Entities

Other providers sharing the same authorized official: DILLON, TERRANCE

ProviderCityStateTotal Paid
RCHP BILLINGS - MISSOULA LLC MISSOULA MT $13.10M
LAKE CUMBERLAND SURGERY CENTER LP SOMERSET KY $8.72M
CROCKETT HOSPITAL LLC LAWRENCEBURG TN $4.56M
LOHMAN ENDOSCOPY CENTER, LLC LAS CRUCES NM $4.45M
DODGE CITY HEALTHCARE GROUP LLC DODGE CITY KS $737K
KERSHAW HOSPITAL LLC ELGIN SC $695K
KENTUCKY HOSPITAL, LLC STANTON KY $431K
PINELAKE PHYSICIAN PRACTICE LLC HICKMAN KY $263K
REHABCARE GROUP EAST, LLC GREENFIELD WI $208K
ST. MARY'S SPECIALTY LLC RUSSELLVILLE AR $136K
REHABCARE GROUP EAST LLC KIRKWOOD MO $29K
REHABCARE GROUP EAST, LLC ASHEVILLE NC $23K
DLP MARQUETTE GENERAL HOSPITAL LLC MARQUETTE MI $23K
SJRMC INTERVENTIONAL RADIOLOGY SERVICES LLC LEWISTON ID $19K
DLP MARQUETTE GENERAL HOSPITAL LLC MARQUETTE MI $16K
THE THERAPY GROUP, LLC HOUMA LA $10K
HAVASU REGIONAL MEDICAL CENTER LLC LAKE HAVASU CITY AZ $6K
PEOPLEFIRST VIRGINIA, LLC TIMONIUM MD $3K
AMG-SOUTHERN TENNESSEE LLC ESTILL SPRINGS TN $1K
REHABCARE GROUP EAST, LLC SHALIMAR FL $471.77

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,364 $330K
2019 5,783 $323K
2020 3,403 $176K
2021 5,912 $324K
2022 2,395 $149K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 4,660 4,457 $579K
99284 Emergency department visit for the evaluation and management, high severity 4,540 4,311 $423K
80053 Comprehensive metabolic panel 2,517 2,327 $66K
99282 Emergency department visit for the evaluation and management, low to moderate severity 496 471 $59K
96361 Intravenous infusion, hydration; each additional hour 161 147 $37K
87086 Culture, bacterial; quantitative colony count, urine 682 642 $25K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 313 288 $21K
36415 Collection of venous blood by venipuncture 2,936 2,596 $12K
0011A 109 97 $9K
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 122 110 $8K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 71 26 $8K
0012A 90 83 $7K
84443 Thyroid stimulating hormone (TSH) 486 467 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,331 3,041 $7K
86701 108 105 $4K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 68 65 $4K
83036 Hemoglobin; glycosylated (A1C) 126 124 $4K
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 77 72 $4K
87070 80 76 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 58 57 $3K
59025 Fetal non-stress test 16 15 $3K
86803 124 117 $2K
80055 55 54 $2K
87653 18 15 $1K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 66 64 $858.60
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 396 367 $597.33
80306 25 24 $579.30
87081 34 30 $569.36
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 13 13 $297.55
80061 Lipid panel 13 13 $252.36
97530 Therapeutic activities, direct patient contact, each 15 minutes 33 12 $175.47
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 46 45 $170.16
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 430 222 $153.72
71046 Radiologic examination, chest; 2 views 43 42 $133.69
96375 Therapeutic injection; each additional sequential IV push 58 54 $109.96
82950 12 12 $48.20
J7030 Infusion, normal saline solution , 1000 cc 312 289 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 12 12 $0.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 123 116 $0.00
81003 28 27 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 13 13 $0.00
81001 592 553 $0.00
71045 Radiologic examination, chest; single view 86 78 $0.00
87430 49 46 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 51 50 $0.00
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 40 39 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 14 14 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 59 52 $0.00
83690 46 43 $0.00
G0378 Hospital observation service, per hour 19 16 $0.00