Medicaid Provider Spending

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

HOULTON REGIONAL HOSPITAL

NPI: 1508823741 · HOULTON, ME 04730 · Critical Access Hospital · NPI assigned 05/01/2006

$4.18M
Total Medicaid Paid
466,654
Total Claims
356,216
Beneficiaries
223
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialZEWE, JEFF (CEO)
NPI Enumeration Date05/01/2006

Related Entities

Other providers sharing the same authorized official: ZEWE, JEFF

ProviderCityStateTotal Paid
HOULTON REGIONAL HOSPITAL HOULTON ME $6.99M
HOULTON REGIONAL HOSPITAL HOULTON ME $3.10M
HOULTON REGIONAL HOSPITAL HOULTON ME $32K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 62,372 $581K
2019 65,136 $570K
2020 57,266 $572K
2021 69,727 $694K
2022 73,135 $673K
2023 73,545 $570K
2024 65,473 $518K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 18,078 11,022 $675K
74177 Computed tomography, abdomen and pelvis; with contrast material 3,920 1,851 $325K
70450 Computed tomography, head or brain; without contrast material 5,231 2,413 $278K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 7,515 5,371 $272K
99284 Emergency department visit for the evaluation and management, high severity 21,052 15,710 $272K
74176 Computed tomography, abdomen and pelvis; without contrast material 3,162 1,507 $245K
99283 Emergency department visit for the evaluation and management, moderate severity 16,811 13,088 $194K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,488 1,216 $155K
96361 Intravenous infusion, hydration; each additional hour 5,842 4,844 $151K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,737 7,446 $118K
71046 Radiologic examination, chest; 2 views 11,939 5,510 $111K
99282 Emergency department visit for the evaluation and management, low to moderate severity 11,844 10,057 $110K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,635 1,220 $96K
G0378 Hospital observation service, per hour 676 480 $95K
80053 Comprehensive metabolic panel 27,892 22,767 $69K
96375 Therapeutic injection; each additional sequential IV push 5,684 4,692 $66K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 5,269 4,371 $62K
71250 1,132 541 $61K
96367 1,408 1,184 $44K
71045 Radiologic examination, chest; single view 9,734 4,273 $41K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,259 4,429 $40K
73630 3,320 1,580 $40K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,401 2,843 $34K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,233 1,080 $32K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 34,414 26,705 $32K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4,036 1,220 $31K
73030 1,825 877 $31K
J0585 Injection, onabotulinumtoxina, 1 unit 374 353 $29K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,581 2,323 $29K
71275 Computed tomographic angiography, chest, with contrast material 402 185 $27K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,041 505 $25K
71260 Computed tomography, thorax, diagnostic; with contrast material 284 141 $21K
73502 1,085 519 $18K
84443 Thyroid stimulating hormone (TSH) 7,445 7,183 $18K
72125 Computed tomography, cervical spine; without contrast material 408 196 $17K
73610 1,931 927 $17K
80048 Basic metabolic panel (calcium, ionized) 8,780 6,956 $16K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,112 2,888 $16K
96376 1,357 1,132 $15K
73564 972 462 $14K
88305 Level IV - Surgical pathology, gross and microscopic examination 238 221 $11K
36415 Collection of venous blood by venipuncture 29,371 23,985 $9K
83735 8,061 6,830 $9K
83036 Hemoglobin; glycosylated (A1C) 6,087 5,999 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,209 914 $8K
84484 5,857 4,603 $8K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,138 1,068 $8K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 165 80 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,093 3,013 $6K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 448 420 $6K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 541 120 $5K
72100 253 127 $5K
82607 3,070 3,005 $5K
80061 Lipid panel 5,651 5,541 $5K
84439 1,834 1,775 $5K
J7030 Infusion, normal saline solution , 1000 cc 3,909 2,952 $5K
82043 1,490 1,457 $4K
87086 Culture, bacterial; quantitative colony count, urine 5,933 5,161 $4K
95886 160 157 $4K
82728 2,645 2,530 $4K
87631 3,361 3,037 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 673 458 $4K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 7,934 6,863 $3K
87186 3,116 2,828 $3K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 3,636 3,342 $3K
81001 7,963 6,859 $3K
J7120 Ringers lactate infusion, up to 1000 cc 2,608 2,157 $3K
70551 Magnetic resonance imaging, brain; without contrast material 50 26 $3K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 67 37 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,203 1,112 $3K
85610 3,144 2,013 $3K
86140 3,085 2,737 $3K
87040 2,737 2,244 $2K
83880 1,928 1,650 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 443 438 $2K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 50 26 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 340 102 $2K
77067 Screening mammography, bilateral, including computer-aided detection 3,717 1,858 $2K
93971 95 47 $2K
93017 97 91 $2K
81003 5,755 5,293 $2K
80076 1,405 1,292 $2K
83605 3,519 2,918 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,214 3,320 $2K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,584 1,158 $2K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,499 950 $2K
76830 Ultrasound, transvaginal 210 143 $2K
82803 1,408 1,173 $2K
73562 226 104 $1K
76642 120 60 $1K
70498 23 12 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 3,531 2,976 $1K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,106 1,897 $1K
J3010 Injection, fentanyl citrate, 0.1 mg 1,413 1,196 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,844 1,337 $1K
94729 189 98 $1K
94726 191 98 $1K
83550 2,136 2,054 $1K
73110 111 51 $1K
83540 2,217 2,130 $1K
99223 Prolong inpt eval add15 m 210 190 $991.51
74178 23 20 $967.68
85652 1,538 1,423 $920.23
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 26 13 $901.53
73130 138 67 $896.62
77063 Screening digital breast tomosynthesis, bilateral 1,606 793 $829.84
97161 114 112 $771.39
87077 2,899 2,643 $766.58
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 391 315 $742.96
72110 27 12 $730.98
77065 Tomosynthesis, mammo 57 29 $692.42
77080 272 135 $625.91
83690 2,969 2,591 $622.31
87070 1,582 1,499 $595.26
85378 1,120 1,054 $560.72
93226 83 79 $546.51
73140 66 29 $531.93
93225 83 79 $529.59
J2270 Injection, morphine sulfate, up to 10 mg 930 614 $507.23
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 8,106 1,881 $496.93
85651 1,058 993 $482.02
99222 Initial hospital care, per day, moderate complexity 106 102 $469.55
82248 422 312 $451.32
81002 2,897 2,286 $447.63
86850 994 833 $420.60
A9270 Non-covered item or service 1,900 1,046 $402.79
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 129 118 $400.42
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,790 2,548 $392.92
J7050 Infusion, normal saline solution, 250 cc 435 360 $380.41
J2250 Injection, midazolam hydrochloride, per 1 mg 523 444 $379.42
36600 34 29 $352.04
94200 71 54 $321.43
97162 28 28 $317.92
74018 98 40 $270.29
83921 95 92 $226.26
99239 Hospital discharge day management, more than 30 minutes 41 40 $220.71
99070 429 342 $219.42
J1100 Injection, dexamethasone sodium phosphate, 1 mg 470 396 $198.91
87205 1,192 1,122 $186.54
82550 232 202 $186.06
87340 137 123 $184.75
84550 348 310 $184.61
J2060 Injection, lorazepam, 2 mg 463 273 $168.61
86901 940 775 $157.84
86900 887 735 $155.30
87088 190 178 $147.72
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 110 108 $143.85
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,372 1,320 $137.20
93246 14 14 $131.24
97597 27 12 $120.17
80320 263 236 $119.80
81025 2,056 1,899 $113.90
99219 17 14 $107.70
82784 13 12 $94.85
85027 104 93 $93.40
85018 174 153 $90.10
85014 103 89 $85.80
85730 68 53 $83.16
82746 87 85 $79.13
80047 35 30 $74.10
99217 37 36 $74.01
93016 73 67 $71.79
86038 102 101 $70.00
84156 125 117 $65.27
G0103 Prostate cancer screening; prostate specific antigen test (psa) 91 91 $63.89
J2765 Injection, metoclopramide hcl, up to 10 mg 128 109 $59.73
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 70 62 $55.61
83655 100 98 $52.19
86255 178 121 $52.14
93227 42 41 $48.57
Q9957 Injection, perflutren lipid microspheres, per ml 15 13 $47.89
83970 55 51 $45.01
93018 72 67 $44.92
G0481 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; 8-14 drug class(es), including metabolite(s) if performed 155 135 $39.44
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 55 29 $31.84
82570 12 12 $28.84
93248 13 13 $27.82
84100 44 40 $27.56
84481 12 12 $26.98
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 971 858 $26.20
87220 143 135 $24.92
86803 48 43 $23.68
J2919 Injection, methylprednisolone sodium succinate, 5 mg 17 14 $22.10
86618 12 12 $20.36
J2550 Injection, promethazine hcl, up to 50 mg 27 25 $19.98
82565 123 113 $16.43
84703 310 296 $16.31
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening 97 96 $10.40
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $9.84
J3480 Injection, potassium chloride, per 2 meq 71 53 $9.83
77061 25 13 $8.54
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 103 97 $7.93
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 128 124 $6.15
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 129 125 $6.15
82805 90 72 $5.23
84132 17 14 $4.54
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 13 12 $3.76
87081 379 368 $3.70
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 256 243 $2.05
86592 246 228 $0.46
J1200 Injection, diphenhydramine hcl, up to 50 mg 50 25 $0.36
99000 77 76 $0.16
82150 60 48 $0.16
87147 96 95 $0.10
0031A 319 292 $0.00
J3490 Unclassified drugs 617 257 $0.00
0012A 357 352 $0.00
91301 205 192 $0.00
86701 114 106 $0.00
0011A 345 334 $0.00
99024 183 94 $0.00
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 44 38 $0.00
0001A 46 43 $0.00
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 45 39 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 21 13 $0.00
91303 58 58 $0.00
J1815 Injection, insulin, per 5 units 19 14 $0.00
85007 13 12 $0.00
0002A 13 13 $0.00
59025 Fetal non-stress test 283 179 $0.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 52 43 $0.00
84520 27 26 $0.00
87653 12 12 $0.00