Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › SULLIVAN › SULLIVAN COUNTY COMMUNITY HOSPITAL

SULLIVAN COUNTY COMMUNITY HOSPITAL

NPI: 1497759260 · SULLIVAN, IN 47882 · 282NC0060X

$10.25M
Total Medicaid Paid
293,942
Total Claims
195,931
Beneficiaries
174
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 29,535 $311K
2019 28,819 $804K
2020 28,304 $738K
2021 51,403 $1.68M
2022 72,062 $2.55M
2023 48,380 $2.43M
2024 35,439 $1.74M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 22,780 14,121 $1.42M
99213 32,329 18,184 $1.36M
99283 9,465 7,816 $1.31M
99284 11,928 8,756 $907K
64493 1,055 439 $559K
64635 524 153 $511K
11042 591 128 $226K
71045 1,682 1,247 $209K
20610 2,238 800 $205K
0241U 1,931 1,528 $186K
80307 5,901 4,694 $184K
64494 625 290 $173K
64483 400 146 $157K
90837 1,697 467 $157K
93005 3,041 2,143 $156K
U0003 Cov-19 amp prb hgh thruput 2,095 1,814 $139K
36000 2,474 1,753 $136K
20553 1,687 681 $135K
80053 22,891 15,608 $129K
64636 261 81 $128K
74176 629 465 $128K
96360 1,950 1,326 $117K
36415 48,381 30,335 $101K
96374 3,827 2,693 $101K
11721 2,469 987 $91K
85025 21,308 14,166 $91K
99282 538 445 $88K
96372 2,059 1,389 $87K
99204 1,076 844 $72K
87651 2,664 2,316 $72K
94760 953 699 $63K
G0378 Hospital observation per hr 312 105 $63K
Q3014 Telehealth facility fee 1,047 766 $60K
64484 145 61 $57K
84443 4,007 3,464 $46K
70450 367 282 $38K
64490 75 26 $37K
90834 429 149 $36K
87631 386 332 $24K
99203 526 403 $23K
73630 990 532 $22K
71046 272 203 $22K
59426 296 125 $21K
59425 278 211 $20K
84484 2,765 1,560 $20K
64491 36 12 $17K
29580 434 79 $17K
99395 235 105 $15K
81001 7,632 5,961 $14K
27096 249 154 $14K
62323 28 13 $13K
80061 1,542 1,351 $13K
96375 1,293 812 $12K
87591 417 326 $12K
83036 2,021 1,723 $12K
87491 417 326 $12K
83605 1,622 1,107 $9K
93041 741 539 $9K
90832 140 53 $9K
99285 221 131 $9K
81002 5,462 3,972 $8K
76815 85 61 $8K
87624 324 250 $8K
88175 709 526 $8K
76942 522 397 $8K
87086 1,721 1,231 $7K
85027 2,148 1,579 $7K
76816 50 38 $7K
76856 30 28 $6K
82570 3,321 2,732 $6K
82306 414 365 $6K
99212 79 45 $6K
83721 1,522 1,344 $5K
81003 2,635 1,696 $5K
83690 1,667 1,170 $5K
81015 1,719 1,036 $4K
82150 1,215 869 $4K
83986 3,244 2,664 $4K
80048 918 712 $4K
87430 336 270 $4K
73610 126 78 $3K
72100 1,590 990 $3K
87428 85 80 $3K
87400 393 350 $3K
76830 14 12 $2K
81025 945 630 $2K
84439 309 271 $2K
72020 1,033 731 $2K
87040 362 135 $2K
99281 13 12 $2K
P9603 One-way allow prorated miles 790 425 $2K
83880 61 40 $2K
99205 Prolong outpt/office vis 18 13 $2K
85379 246 179 $2K
72202 58 38 $1K
84702 155 113 $1K
87625 86 55 $1K
96361 41 26 $1K
82947 1,837 1,139 $1K
84703 558 370 $1K
87798 15 12 $1K
83735 276 170 $663.37
87070 110 80 $612.13
87801 15 12 $611.60
86592 170 139 $529.09
J1030 Methylprednisolone 40 mg inj 5,075 3,276 $500.84
72040 179 118 $448.18
82607 39 37 $422.24
81000 535 329 $401.78
87661 15 12 $374.44
99291 19 14 $362.88
96127 240 213 $342.29
G0444 Depression screen annual 302 200 $341.60
87280 25 17 $301.56
84144 16 12 $256.58
85610 100 81 $255.11
87660 15 14 $234.60
87480 15 14 $234.60
87510 15 14 $234.60
83970 14 14 $222.40
P9604 One-way allow prorated trip 268 156 $215.47
83540 47 39 $213.51
87420 16 16 $206.55
99000 24 21 $155.60
83550 28 27 $148.58
83655 12 12 $145.32
86308 34 25 $138.54
86160 15 12 $123.56
76000 18 12 $108.84
J1010 Inj, methylpred acetate 1 mg 170 137 $98.00
85730 21 13 $96.15
G0480 Drug test def 1-7 classes 38 31 $74.81
82043 56 50 $69.36
82950 15 13 $52.25
86901 46 25 $50.54
96160 105 103 $45.36
86850 28 12 $41.68
82962 102 56 $37.31
J1885 Ketorolac tromethamine inj 931 668 $35.62
86900 28 12 $23.92
J2001 Lidocaine injection 1,138 741 $13.45
96365 17 12 $9.77
J2405 Ondansetron hcl injection 1,635 1,091 $9.61
G0476 Hpv combo assay ca screen 216 163 $0.00
G8482 Flu immunize order/admin 71 69 $0.00
99310 Prolong nursin fac eval 15m 33 28 $0.00
1090F 172 162 $0.00
3078F 180 171 $0.00
J2270 Morphine sulfate injection 219 123 $0.00
0518F 191 181 $0.00
G8598 Asa/antiplat ther used 15 15 $0.00
G0260 Inj for sacroiliac jt anesth 152 88 $0.00
J2930 Methylprednisolone injection 88 54 $0.00
G8417 Calc bmi abv up param f/u 107 98 $0.00
4040F 66 64 $0.00
J3301 Triamcinolone acet inj nos 48 25 $0.00
G8783 Bp scrn perf rec interval 25 25 $0.00
G8510 Scr dep neg, no plan reqd 127 123 $0.00
Q0162 Ondansetron oral 53 24 $0.00
J0696 Ceftriaxone sodium injection 380 264 $0.00
G0439 Ppps, subseq visit 449 329 $0.00
1101F 225 210 $0.00
3074F 246 233 $0.00
J2250 Inj midazolam hydrochloride 267 171 $0.00
J1100 Dexamethasone sodium phos 324 219 $0.00
1036F 440 418 $0.00
J1170 Hydromorphone injection 245 135 $0.00
J0690 Cefazolin sodium injection 18 12 $0.00
3008F 259 244 $0.00
99309 32 29 $0.00
A9270 Non-covered item or service 27 24 $0.00
1125F 31 31 $0.00
G9664 Taking statin or rec'd order 15 15 $0.00
0509F 26 25 $0.00