NPI: 1497859789 · MOUNTAIN CITY, TN 37683 · Critical Access Hospital · NPI assigned 09/08/2006
Authorized official HILTON, SHANE controls 20+ related entities in our dataset. Read more
| Authorized Official | HILTON, SHANE (EVP/CFO) |
| NPI Enumeration Date | 09/08/2006 |
Other providers sharing the same authorized official: HILTON, SHANE
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,591 | $303K |
| 2019 | 6,751 | $302K |
| 2020 | 3,319 | $169K |
| 2021 | 3,136 | $293K |
| 2022 | 7,577 | $601K |
| 2023 | 13,305 | $724K |
| 2024 | 9,526 | $637K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99284 | Emergency department visit for the evaluation and management, high severity | 9,255 | 8,181 | $1.49M |
| 99283 | Emergency department visit for the evaluation and management, moderate severity | 7,723 | 7,197 | $672K |
| 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2,211 | 1,785 | $416K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 2,889 | 2,538 | $226K |
| 80053 | Comprehensive metabolic panel | 5,514 | 4,431 | $36K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4,544 | 3,679 | $25K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 662 | 626 | $24K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1,223 | 997 | $20K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1,375 | 666 | $16K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 342 | 329 | $15K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 1,512 | 1,066 | $13K |
| 36415 | Collection of venous blood by venipuncture | 6,621 | 4,988 | $11K |
| 84484 | 985 | 659 | $10K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 181 | 152 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 428 | 410 | $5K |
| 83735 | 995 | 751 | $5K | |
| 71046 | Radiologic examination, chest; 2 views | 303 | 266 | $4K |
| 96375 | Therapeutic injection; each additional sequential IV push | 300 | 225 | $4K |
| 71045 | Radiologic examination, chest; single view | 421 | 326 | $4K |
| 85027 | 983 | 821 | $4K | |
| 96361 | Intravenous infusion, hydration; each additional hour | 229 | 166 | $3K |
| 87077 | 382 | 360 | $2K | |
| 81001 | 903 | 758 | $2K | |
| 84443 | Thyroid stimulating hormone (TSH) | 249 | 211 | $2K |
| 80048 | Basic metabolic panel (calcium, ionized) | 257 | 203 | $1K |
| 70450 | Computed tomography, head or brain; without contrast material | 14 | 12 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 86 | 77 | $1K |
| 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 | 14 | 12 | $830.00 |
| 80061 | Lipid panel | 179 | 155 | $804.81 |
| 83036 | Hemoglobin; glycosylated (A1C) | 417 | 336 | $714.54 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 39 | 28 | $686.40 |
| 83690 | 130 | 113 | $671.49 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 144 | 122 | $560.27 |
| 82043 | 115 | 97 | $539.57 | |
| 81025 | 57 | 52 | $317.80 | |
| 74018 | 14 | 12 | $244.82 | |
| 82570 | 115 | 97 | $183.14 | |
| 83880 | 14 | 13 | $168.92 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 17 | 14 | $148.77 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 78 | 64 | $143.04 |
| 81003 | 114 | 92 | $141.44 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 30 | 24 | $137.29 |
| 87070 | 13 | 12 | $127.94 | |
| 83605 | 45 | 25 | $122.16 | |
| 87081 | 17 | 14 | $110.83 | |
| 94761 | 16 | 12 | $83.16 | |
| 94760 | 17 | 14 | $33.84 | |
| J7030 | Infusion, normal saline solution , 1000 cc | 18 | 15 | $31.36 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 15 | 12 | $14.08 |