Medicaid Provider Spending

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

ADVENTIST HEALTHCARE, INC.

NPI: 1487650024 · SILVER SPRING, MD 20904 · General Acute Care Hospital · NPI assigned 06/27/2005

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

Authorized official LEE, JAMES controls 15+ related entities in our dataset. Read more

$4.50M
Total Medicaid Paid
136,388
Total Claims
107,202
Beneficiaries
103
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEE, JAMES (EVP/CFO)
NPI Enumeration Date06/27/2005

Related Entities

Other providers sharing the same authorized official: LEE, JAMES

ProviderCityStateTotal Paid
KONA HOSPITAL KEALAKEKUA HI $22.27M
ADVENTIST HEALTHCARE, INC. ROCKVILLE MD $9.70M
ADVENTIST HEALTHCARE URGENT CARE CENTERS INC ROCKVILLE MD $1.56M
PURE DENTAL, PC FLUSHING NY $1.24M
ACCESS HOME MEDICAL LLC SUMTER SC $520K
ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC ROCKVILLE MD $470K
JAMES LEE MD PC COLORADO SPRINGS CO $450K
PEAK SURGERY CENTER LLC COLORADO SPRINGS CO $36K
ASCENSION BEHAVIORAL HEALTHCARE, P.A. ROCK HILL SC $23K
HEARTCARE, PC CULLMAN AL $8K
DR KEITH LEE-INTEGRATIVE MENTAL HEALTH, LLC OWENSBORO KY $6K
ENT & ALLERGY SPECIALISTS OF VIRGINIA PC ASHBURN VA $1K
OUTPATIENT BIOPSY CENTER ALHAMBRA CA $430.63
ADVENTIST HEALTHCARE, INC. ROCKVILLE MD $0.00
VASCULAR CENTER OF INTERVENTION, INC. FRESNO CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 32,308 $1.14M
2019 33,594 $1.30M
2020 17,241 $599K
2021 17,750 $509K
2022 15,464 $436K
2023 12,521 $344K
2024 7,510 $178K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 5,944 5,172 $1.16M
G0378 Hospital observation service, per hour 1,940 1,467 $1.12M
99283 Emergency department visit for the evaluation and management, moderate severity 7,229 6,138 $893K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,031 1,808 $332K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,501 7,205 $110K
99281 Emergency department visit for the evaluation and management, self-limited or minor 518 406 $85K
84484 7,893 4,790 $82K
80053 Comprehensive metabolic panel 9,626 7,603 $71K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 15,319 11,163 $63K
71045 Radiologic examination, chest; single view 4,308 3,796 $52K
87040 443 383 $44K
99282 Emergency department visit for the evaluation and management, low to moderate severity 480 414 $34K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 478 320 $26K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 331 312 $25K
70450 Computed tomography, head or brain; without contrast material 1,600 1,469 $25K
74177 Computed tomography, abdomen and pelvis; with contrast material 416 386 $24K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,084 914 $24K
87070 429 389 $23K
80048 Basic metabolic panel (calcium, ionized) 6,443 4,593 $23K
84702 714 582 $20K
71046 Radiologic examination, chest; 2 views 816 749 $19K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 863 671 $18K
87086 Culture, bacterial; quantitative colony count, urine 796 710 $17K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 327 309 $16K
82962 4,712 1,985 $14K
83690 3,231 2,756 $12K
J7030 Infusion, normal saline solution , 1000 cc 5,047 4,040 $12K
0202U Oncology (prostate), multianalyte, gene expression profiling 268 230 $11K
87486 347 317 $11K
87581 331 312 $11K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 72 39 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 246 228 $8K
82553 1,376 770 $8K
81001 2,672 2,375 $7K
93971 44 40 $7K
74176 Computed tomography, abdomen and pelvis; without contrast material 198 189 $7K
J1650 Injection, enoxaparin sodium, 10 mg 375 152 $7K
93307 121 117 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 156 132 $5K
90791 Psychiatric diagnostic evaluation 58 53 $5K
93458 125 121 $4K
83880 533 475 $4K
82550 1,580 893 $4K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 15 15 $4K
81003 1,713 1,549 $3K
87210 40 38 $3K
J2270 Injection, morphine sulfate, up to 10 mg 1,701 1,024 $3K
83605 310 250 $3K
85610 2,940 2,630 $3K
83735 1,956 1,494 $3K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 357 177 $2K
86850 2,037 1,881 $2K
85730 2,193 2,040 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 180 115 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 886 723 $2K
87088 292 262 $1K
84443 Thyroid stimulating hormone (TSH) 317 288 $1K
86900 2,314 1,907 $1K
85378 101 97 $1K
80061 Lipid panel 310 285 $1K
83036 Hemoglobin; glycosylated (A1C) 265 242 $1K
97161 13 13 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,492 1,932 $1K
86901 2,064 1,896 $1K
71275 Computed tomographic angiography, chest, with contrast material 27 25 $1K
94760 344 217 $985.55
C1769 Guide wire 664 636 $880.46
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 680 616 $735.58
82077 37 27 $711.02
J1644 Injection, heparin sodium, per 1000 units 2,403 1,482 $675.81
94664 145 130 $672.11
0223U 54 50 $639.00
J0360 Injection, hydralazine hcl, up to 20 mg 60 48 $482.33
87400 21 20 $457.74
81015 178 154 $445.40
J2765 Injection, metoclopramide hcl, up to 10 mg 285 226 $431.84
85027 192 130 $357.40
J1200 Injection, diphenhydramine hcl, up to 50 mg 184 122 $353.47
J0690 Injection, cefazolin sodium, 500 mg 560 335 $241.90
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 16 14 $226.83
J3010 Injection, fentanyl citrate, 0.1 mg 2,876 2,511 $211.16
87641 12 12 $194.24
J2060 Injection, lorazepam, 2 mg 136 97 $176.75
J7050 Infusion, normal saline solution, 250 cc 250 182 $167.45
84100 198 137 $161.12
J2704 Injection, propofol, 10 mg 906 821 $140.14
87186 27 25 $87.21
80076 13 12 $83.08
84439 12 12 $79.73
J2250 Injection, midazolam hydrochloride, per 1 mg 2,154 2,017 $67.80
J1100 Injection, dexamethasone sodium phosphate, 1 mg 132 125 $29.84
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 44 27 $16.43
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 110 97 $10.99
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 17 14 $0.12
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 53 51 $0.10
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 39 38 $0.05
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 690 658 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 240 213 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 19 13 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 15 12 $0.00
84132 13 12 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 43 41 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 22 12 $0.00