Medicaid Provider Spending

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

NASON MEDICAL CENTER LLC

NPI: 1497708473 · ROARING SPRING, PA 16673 · General Acute Care Hospital · NPI assigned 05/18/2006

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

Authorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more

$1.63M
Total Medicaid Paid
55,947
Total Claims
51,662
Beneficiaries
123
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date05/18/2006

Related Entities

Other providers sharing the same authorized official: LAWRENCE, CHARLOTTE

ProviderCityStateTotal Paid
LAKE CUMBERLAND REGIONAL HOSPITAL LLC SOMERSET KY $77.77M
DANVILLE REGIONAL MEDICAL CENTER, LLC DANVILLE VA $65.11M
PHC-LAS CRUCES INC LAS CRUCES NM $64.77M
GEORGETOWN COMMUNITY HOSPITAL LLC GEORGETOWN KY $44.03M
PINELAKE REGIONAL HOSPITAL LLC MAYFIELD KY $43.34M
RALEIGH GENERAL HOSPITAL LLC BECKLEY WV $36.44M
LOURDES HOSPITAL LLC PASCO WA $33.94M
RCHP-SIERRA VISTA INC SIERRA VISTA AZ $29.77M
CLINCH VALLEY MEDICAL CENTER INC. RICHLANDS VA $26.28M
SPRING VIEW HOSPITAL LLC LEBANON KY $23.35M
HAVASU REGIONAL MEDICAL CENTER LLC LAKE HAVASU CITY AZ $23.19M
LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM $22.78M
MEADOWVIEW REGIONAL MEDICAL CENTER LLC MAYSVILLE KY $22.57M
LOURDES HOSPITAL LLC RICHLAND WA $22.38M
DANVILLE REGIONAL MEDICAL CENTER LLC MARTINSVILLE VA $21.09M
PHC-FORT MOHAVE INC FORT MOHAVE AZ $19.95M
WYTHE COUNTY COMMUNITY HOSPITAL LLC WYTHEVILLE VA $18.30M
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC JOHNSTOWN PA $18.22M
BOURBON COMMUNITY HOSPITAL LLC PARIS KY $18.14M
WILLAMETTE VALLEY MEDICAL CENTER LLC MCMINNVILLE OR $17.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 183 $3K
2019 26 $670.62
2020 4,476 $93K
2021 28,578 $613K
2022 9,227 $375K
2023 8,172 $305K
2024 5,285 $238K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,138 3,038 $469K
99283 Emergency department visit for the evaluation and management, moderate severity 4,448 4,366 $324K
99284 Emergency department visit for the evaluation and management, high severity 2,902 2,829 $309K
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 789 758 $60K
80053 Comprehensive metabolic panel 3,588 3,365 $34K
99282 Emergency department visit for the evaluation and management, low to moderate severity 798 788 $30K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 411 396 $30K
X0621 135 42 $29K
74177 Computed tomography, abdomen and pelvis; with contrast material 163 156 $25K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 909 878 $22K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 707 691 $22K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,229 3,908 $21K
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 927 896 $16K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,353 1,301 $13K
80050 General health panel 288 280 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,003 510 $11K
84443 Thyroid stimulating hormone (TSH) 518 507 $10K
70450 Computed tomography, head or brain; without contrast material 165 159 $9K
80061 Lipid panel 666 656 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 630 619 $8K
84484 889 696 $7K
80048 Basic metabolic panel (calcium, ionized) 851 777 $7K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 915 835 $6K
96361 Intravenous infusion, hydration; each additional hour 464 449 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 169 166 $5K
T1015 Clinic visit/encounter, all-inclusive 145 101 $5K
77067 Screening mammography, bilateral, including computer-aided detection 70 70 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 210 209 $5K
71046 Radiologic examination, chest; 2 views 377 362 $5K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 14 14 $5K
G0378 Hospital observation service, per hour 12 12 $5K
74176 Computed tomography, abdomen and pelvis; without contrast material 70 67 $4K
96375 Therapeutic injection; each additional sequential IV push 305 293 $4K
83735 693 626 $4K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 129 125 $4K
83036 Hemoglobin; glycosylated (A1C) 548 540 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 149 143 $3K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 84 83 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 147 141 $3K
87040 270 168 $3K
84703 355 343 $3K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 72 67 $3K
84702 176 136 $3K
85027 366 333 $2K
85610 821 728 $2K
84439 314 307 $2K
81001 955 893 $2K
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 147 139 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 83 82 $2K
83690 549 523 $2K
82607 178 176 $2K
85730 368 345 $2K
87086 Culture, bacterial; quantitative colony count, urine 262 246 $2K
84100 314 305 $2K
81003 653 635 $2K
87077 274 255 $2K
87088 267 247 $2K
87186 207 193 $1K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 28 26 $1K
59025 Fetal non-stress test 223 78 $1K
36415 Collection of venous blood by venipuncture 6,294 5,649 $1K
83605 242 214 $1K
71045 Radiologic examination, chest; single view 179 172 $1K
76830 Ultrasound, transvaginal 30 28 $1K
85379 156 143 $1K
82570 181 174 $1K
80305 118 114 $1K
87070 183 175 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 170 167 $1K
87081 228 224 $1K
86762 52 51 $1K
83880 48 46 $1K
86803 59 59 $1K
0002A 31 31 $956.77
86900 229 212 $888.57
82043 124 120 $872.96
82728 79 75 $868.38
85007 207 185 $794.55
85652 308 285 $779.65
86850 104 93 $771.51
86885 97 94 $770.25
99281 Emergency department visit for the evaluation and management, self-limited or minor 41 41 $768.70
87340 54 52 $740.22
80076 80 78 $693.79
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 12 12 $647.70
84481 29 28 $609.42
87807 46 45 $596.38
0001A 33 33 $570.77
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 28 27 $558.06
86901 139 131 $552.45
88305 Level IV - Surgical pathology, gross and microscopic examination 104 96 $539.08
83540 61 59 $500.46
87205 126 119 $489.75
93000 26 25 $450.80
82150 113 109 $429.00
86140 161 150 $424.34
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 169 161 $394.25
86592 90 89 $373.00
82950 56 56 $370.11
73610 26 25 $359.60
84550 44 43 $228.44
86780 12 12 $167.00
81025 73 73 $160.00
82746 15 14 $148.92
83655 13 13 $132.00
73130 14 13 $114.71
73630 12 12 $87.40
J7030 Infusion, normal saline solution , 1000 cc 560 504 $68.78
J1885 Injection, ketorolac tromethamine, per 15 mg 764 698 $61.99
J2704 Injection, propofol, 10 mg 440 268 $57.64
82948 64 39 $47.20
85018 14 14 $44.97
85014 14 14 $44.97
J1170 Injection, hydromorphone, up to 4 mg 69 55 $17.13
J7120 Ringers lactate infusion, up to 1000 cc 321 293 $15.11
J2405 Injection, ondansetron hydrochloride, per 1 mg 848 733 $11.28
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $11.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 368 336 $10.84
J7050 Infusion, normal saline solution, 250 cc 152 135 $6.58
J3010 Injection, fentanyl citrate, 0.1 mg 385 356 $2.59
J2250 Injection, midazolam hydrochloride, per 1 mg 293 262 $1.26
J2795 Injection, ropivacaine hydrochloride, 1 mg 26 13 $0.00
J0690 Injection, cefazolin sodium, 500 mg 31 26 $0.00