Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › WINSLOW › WINSLOW MEMORIAL HOSPITAL INC

WINSLOW MEMORIAL HOSPITAL INC

NPI: 1477653889 · WINSLOW, AZ 86047 · Rural Health Clinic/Center · NPI assigned 09/25/2006

$38.01M
Total Medicaid Paid
420,831
Total Claims
352,964
Beneficiaries
183
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialUDALL, TRAVIS (CEO)
NPI Enumeration Date09/25/2006

Related Entities

Other providers sharing the same authorized official: UDALL, TRAVIS

ProviderCityStateTotal Paid
WINSLOW MEMORIAL HOSPITAL INC WINSLOW AZ $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 51,789 $3.76M
2019 55,712 $4.85M
2020 52,737 $4.81M
2021 67,196 $6.04M
2022 75,636 $7.39M
2023 67,945 $6.35M
2024 49,816 $4.81M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 17,631 15,015 $6.92M
99283 Emergency department visit for the evaluation and management, moderate severity 16,594 15,220 $5.85M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 9,901 8,667 $5.03M
74177 Computed tomography, abdomen and pelvis; with contrast material 2,926 2,718 $4.59M
T1015 Clinic visit/encounter, all-inclusive 15,271 12,018 $4.09M
96361 Intravenous infusion, hydration; each additional hour 10,731 7,712 $2.24M
70450 Computed tomography, head or brain; without contrast material 4,731 4,320 $2.08M
72125 Computed tomography, cervical spine; without contrast material 2,106 1,973 $2.01M
74176 Computed tomography, abdomen and pelvis; without contrast material 714 688 $1.09M
G0378 Hospital observation service, per hour 5,750 2,090 $746K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 772 725 $660K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,115 2,972 $467K
71275 Computed tomographic angiography, chest, with contrast material 323 290 $436K
G0390 Trauma response team associated with hospital critical care service 2,083 1,944 $322K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,627 1,937 $236K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,729 964 $209K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 139 133 $117K
70486 465 436 $116K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 6,652 6,070 $100K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,364 1,279 $81K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,236 7,149 $78K
71046 Radiologic examination, chest; 2 views 1,658 1,568 $45K
71260 Computed tomography, thorax, diagnostic; with contrast material 330 311 $40K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 667 651 $38K
80053 Comprehensive metabolic panel 22,401 18,646 $33K
99281 Emergency department visit for the evaluation and management, self-limited or minor 291 284 $29K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 39 39 $23K
J2704 Injection, propofol, 10 mg 2,381 2,279 $21K
88305 Level IV - Surgical pathology, gross and microscopic examination 604 489 $17K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 696 579 $15K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,720 3,432 $13K
71045 Radiologic examination, chest; single view 7,484 6,672 $13K
83036 Hemoglobin; glycosylated (A1C) 1,996 1,932 $13K
84443 Thyroid stimulating hormone (TSH) 4,283 4,017 $13K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 682 189 $13K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,539 2,384 $13K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 6,517 5,623 $12K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,074 4,601 $11K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 12 12 $11K
84439 860 819 $11K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 27 25 $10K
80061 Lipid panel 1,612 1,571 $8K
86850 757 705 $8K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 278 210 $8K
82607 170 164 $6K
71250 14 14 $6K
73030 220 205 $6K
94002 15 15 $6K
96367 1,081 923 $5K
96375 Therapeutic injection; each additional sequential IV push 8,911 7,140 $5K
73564 73 66 $5K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 634 621 $5K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 145 140 $5K
87088 4,092 3,829 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 21,594 17,961 $5K
83880 2,410 2,079 $4K
12001 25 25 $4K
83690 6,881 6,121 $4K
73130 187 168 $4K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 8,194 7,272 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,789 3,525 $4K
73630 150 138 $3K
36415 Collection of venous blood by venipuncture 23,497 17,727 $3K
81000 9,592 8,675 $3K
86900 1,047 978 $2K
A9270 Non-covered item or service 2,932 1,659 $2K
73610 94 86 $2K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 6,049 5,597 $2K
84484 6,406 5,336 $2K
80048 Basic metabolic panel (calcium, ionized) 4,303 3,637 $2K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 717 675 $2K
73562 57 51 $1K
85610 5,915 5,312 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,615 4,694 $1K
85007 3,606 3,128 $921.22
83605 4,213 3,659 $854.15
81025 2,246 2,134 $843.42
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 827 765 $823.55
84703 2,620 2,390 $803.96
94760 413 319 $801.92
83735 7,077 6,181 $749.81
87086 Culture, bacterial; quantitative colony count, urine 799 760 $737.73
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 157 39 $733.72
73110 29 25 $694.66
72100 14 14 $690.63
85027 3,950 3,460 $611.12
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 130 121 $581.60
99232 Subsequent hospital care, per day, moderate complexity 25 12 $563.47
85730 4,340 3,928 $549.51
90715 990 953 $484.18
85379 1,301 1,183 $436.65
J7120 Ringers lactate infusion, up to 1000 cc 5,121 4,368 $405.18
87081 256 247 $399.94
J1885 Injection, ketorolac tromethamine, per 15 mg 5,126 4,535 $395.56
80320 6,951 5,973 $370.67
80329 4,019 1,917 $366.96
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 236 204 $350.75
J3010 Injection, fentanyl citrate, 0.1 mg 3,133 2,491 $335.74
J7030 Infusion, normal saline solution , 1000 cc 7,288 6,003 $308.43
82140 505 432 $293.66
87040 1,631 1,330 $259.62
G0379 Direct admission of patient for hospital observation care 75 73 $234.45
J2405 Injection, ondansetron hydrochloride, per 1 mg 7,566 6,190 $232.54
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,456 1,420 $226.07
82150 205 186 $223.76
J2270 Injection, morphine sulfate, up to 10 mg 2,573 1,867 $218.57
82550 679 586 $202.69
J3360 Injection, diazepam, up to 5 mg 338 248 $176.37
86780 47 46 $167.72
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 1,900 1,751 $153.80
96376 3,764 2,618 $146.34
84702 102 84 $139.64
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,445 1,303 $130.92
82805 640 554 $108.61
86140 12 12 $86.09
87070 28 26 $83.44
J1170 Injection, hydromorphone, up to 4 mg 310 263 $82.40
86901 1,090 1,019 $77.15
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 4,604 3,088 $56.31
88304 122 92 $50.54
J7050 Infusion, normal saline solution, 250 cc 2,292 1,953 $45.97
J3475 Injection, magnesium sulfate, per 500 mg 375 303 $43.07
82553 212 180 $41.29
J2060 Injection, lorazepam, 2 mg 1,751 1,431 $38.24
J0696 Injection, ceftriaxone sodium, per 250 mg 2,140 1,736 $38.06
87486 603 574 $36.65
87581 604 574 $36.65
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 759 630 $32.13
J2250 Injection, midazolam hydrochloride, per 1 mg 911 733 $32.05
J1200 Injection, diphenhydramine hcl, up to 50 mg 741 678 $21.26
J2550 Injection, promethazine hcl, up to 50 mg 216 179 $18.71
J3411 Injection, thiamine hcl, 100 mg 881 787 $16.91
A4217 Sterile water/saline, 500 ml 19 16 $16.16
83615 228 203 $14.55
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,002 1,783 $13.43
87077 139 133 $11.32
90472 Immunization administration, each additional vaccine (list separately) 57 41 $11.17
S0164 Injection, pantoprazole sodium, 40 mg 60 46 $9.46
82948 461 299 $6.26
81002 154 144 $5.09
85651 197 180 $4.42
J3480 Injection, potassium chloride, per 2 meq 2,043 1,424 $4.00
86592 44 41 $3.18
81001 124 120 $2.83
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 85 61 $0.12
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,181 1,068 $0.00
J1630 Injection, haloperidol, up to 5 mg 82 74 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,603 1,361 $0.00
3044F 252 248 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 161 140 $0.00
J0690 Injection, cefazolin sodium, 500 mg 281 217 $0.00
94762 72 54 $0.00
0011A 49 35 $0.00
96368 73 70 $0.00
82746 12 12 $0.00
0012A 81 59 $0.00
94644 58 49 $0.00
J1790 Injection, droperidol, up to 5 mg 26 24 $0.00
J1815 Injection, insulin, per 5 units 92 65 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 28 27 $0.00
0064A 14 13 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 28 15 $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 12 12 $0.00
85018 13 12 $0.00
J8540 Dexamethasone, oral, 0.25 mg 13 13 $0.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 367 354 $0.00
82009 46 39 $0.00
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 107 103 $0.00
87186 101 97 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 42 42 $0.00
74018 26 26 $0.00
J3370 Injection, vancomycin hcl, 500 mg 17 15 $0.00
87641 28 25 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 58 49 $0.00
84145 29 29 $0.00
86703 26 26 $0.00
83540 15 15 $0.00
Q0177 Hydroxyzine pamoate, 25 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 12 12 $0.00
86922 16 13 $0.00
J7510 Prednisolone oral, per 5 mg 19 16 $0.00
99442 83 54 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 46 31 $0.00
94664 28 13 $0.00