Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › WASHINGTON COURT HOUSE › ADENA FAYETTE MEDICAL CENTER

ADENA FAYETTE MEDICAL CENTER

NPI: 1508978677 · WASHINGTON COURT HOUSE, OH 43160 · Medicare Defined Swing Bed Hospital Unit · NPI assigned 08/31/2006

$14.39M
Total Medicaid Paid
428,523
Total Claims
306,422
Beneficiaries
244
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARLSON, LISA (CFO)
NPI Enumeration Date08/31/2006

Related Entities

Other providers sharing the same authorized official: CARLSON, LISA

ProviderCityStateTotal Paid
ADENA FAYETTE MEDICAL CENTER WASHINGTON COURT HOUSE OH $1.64M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 41,609 $994K
2019 54,898 $1.17M
2020 36,695 $1.40M
2021 35,991 $1.35M
2022 34,967 $1.42M
2023 123,627 $3.88M
2024 100,736 $4.17M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 17,257 15,409 $2.11M
99284 Emergency department visit for the evaluation and management, high severity 12,665 10,587 $1.61M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 11,054 8,099 $1.25M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 10,266 7,709 $1.02M
96361 Intravenous infusion, hydration; each additional hour 3,373 2,266 $657K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 8,072 2,269 $623K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,577 6,249 $565K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 5,879 1,874 $549K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,841 3,356 $539K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 4,946 3,976 $516K
70450 Computed tomography, head or brain; without contrast material 1,780 1,289 $392K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,294 949 $390K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,459 4,130 $371K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,208 846 $328K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,214 1,468 $272K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,838 1,626 $264K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,763 991 $240K
80053 Comprehensive metabolic panel 25,664 19,771 $231K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,578 2,128 $205K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 866 408 $204K
71275 Computed tomographic angiography, chest, with contrast material 595 409 $180K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,573 2,419 $126K
G0378 Hospital observation service, per hour 3,975 1,690 $120K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,204 840 $107K
84443 Thyroid stimulating hormone (TSH) 4,570 3,891 $85K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 34,890 24,972 $81K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,898 681 $67K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 766 643 $59K
80048 Basic metabolic panel (calcium, ionized) 8,490 5,331 $59K
36415 Collection of venous blood by venipuncture 38,984 25,236 $58K
80061 Lipid panel 3,260 2,858 $44K
97162 878 737 $44K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,016 1,689 $43K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,317 1,812 $42K
83036 Hemoglobin; glycosylated (A1C) 3,442 2,937 $41K
71046 Radiologic examination, chest; 2 views 912 779 $38K
87081 1,387 1,260 $31K
82607 1,529 1,271 $30K
20611 169 136 $30K
84484 11,125 6,574 $29K
87088 3,123 2,304 $29K
20610 224 166 $29K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 507 493 $21K
76705 Ultrasound, abdominal, real time with image documentation; limited 138 105 $18K
95886 64 54 $17K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 919 795 $16K
71250 173 142 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 138 117 $15K
83605 4,389 2,784 $15K
83655 395 392 $13K
96367 213 130 $13K
77063 Screening digital breast tomosynthesis, bilateral 203 188 $13K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 81 51 $12K
73630 806 645 $12K
83735 4,715 3,119 $12K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 47 40 $12K
71045 Radiologic examination, chest; single view 10,479 7,867 $12K
82728 749 647 $12K
85027 2,190 1,548 $12K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 53 37 $11K
73562 599 481 $11K
72100 238 193 $11K
82570 898 727 $11K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 128 54 $10K
85610 4,568 2,513 $10K
84439 611 504 $10K
73610 574 482 $10K
70496 36 27 $10K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 465 383 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 104 84 $9K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 411 358 $9K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 13,033 9,787 $9K
84466 956 752 $9K
73130 462 356 $8K
81001 11,021 8,672 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,791 2,914 $8K
J3490 Unclassified drugs 2,586 1,515 $8K
73030 429 331 $7K
72125 Computed tomography, cervical spine; without contrast material 514 372 $7K
83540 993 778 $7K
87086 Culture, bacterial; quantitative colony count, urine 3,235 2,709 $7K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 14 14 $7K
64493 17 15 $7K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,633 4,933 $6K
86803 293 267 $6K
87186 1,309 872 $6K
97032 110 42 $6K
82248 2,906 2,003 $6K
82043 661 619 $6K
86780 260 224 $6K
73110 377 294 $5K
86140 1,914 1,394 $5K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,703 2,608 $5K
97535 Self-care/home management training, each 15 minutes 109 73 $5K
84702 390 290 $5K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 17 15 $5K
80361 518 514 $5K
77067 Screening mammography, bilateral, including computer-aided detection 203 188 $5K
82140 473 291 $5K
83970 153 134 $4K
80069 223 188 $4K
87147 347 194 $4K
84153 185 173 $4K
84703 2,099 1,497 $4K
83880 1,520 1,039 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,413 1,217 $4K
85018 421 412 $4K
85014 405 400 $3K
99215 Prolong outpt/office vis 22 17 $3K
J7030 Infusion, normal saline solution , 1000 cc 2,370 1,608 $3K
94060 15 12 $3K
97035 50 14 $3K
74018 61 53 $3K
86850 146 112 $3K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 52 38 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 526 310 $2K
80346 520 516 $2K
80324 520 516 $2K
80353 520 516 $2K
80358 518 514 $2K
80373 520 516 $2K
80372 518 514 $2K
80355 522 518 $2K
80349 521 517 $2K
0352U 138 111 $2K
80356 518 514 $2K
80365 518 514 $2K
80362 519 515 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 93 81 $2K
80354 516 512 $2K
17000 18 13 $2K
80164 233 163 $2K
93971 62 54 $2K
86900 209 168 $2K
96375 Therapeutic injection; each additional sequential IV push 5,082 3,439 $2K
85652 680 467 $2K
83690 5,034 3,757 $2K
72131 13 12 $2K
81003 1,676 1,289 $2K
82565 203 139 $2K
84100 548 333 $2K
86592 56 55 $2K
82746 304 252 $2K
82077 927 667 $1K
85379 1,438 1,031 $1K
72110 30 24 $1K
82803 1,162 633 $1K
G0483 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; 22 or more drug class(es), including metabolite(s) if performed 266 193 $1K
J7050 Infusion, normal saline solution, 250 cc 694 352 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,907 2,059 $1K
82948 1,433 597 $1K
85730 2,264 1,567 $1K
90715 76 60 $1K
82550 494 315 $1K
87210 89 85 $1K
92523 12 12 $1K
73502 54 40 $1K
84550 213 184 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 36 36 $1K
82553 124 79 $974.20
96376 1,248 577 $849.63
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $833.76
80076 63 54 $815.34
87077 183 139 $807.05
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 29 28 $743.75
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 587 431 $721.38
87040 1,164 507 $720.13
81015 60 47 $719.78
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 80 65 $700.84
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 18 12 $636.28
80177 39 25 $610.19
84156 112 104 $602.09
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 441 270 $581.41
80143 599 452 $554.78
86901 209 168 $497.38
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 26 25 $488.12
P9603 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled 254 137 $472.89
87503 60 43 $432.16
82150 294 207 $402.29
97116 32 13 $398.42
82947 147 91 $392.16
73140 19 12 $380.50
80074 13 13 $359.58
J1030 Injection, methylprednisolone acetate, 40 mg 782 629 $335.30
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 233 191 $331.98
87205 30 27 $313.61
J1650 Injection, enoxaparin sodium, 10 mg 559 149 $304.85
80179 567 433 $299.22
81025 668 570 $295.44
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,713 1,184 $291.27
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 182 145 $267.50
87070 30 24 $255.99
97161 30 30 $222.31
94761 6,231 4,967 $218.64
J1170 Injection, hydromorphone, up to 4 mg 467 264 $181.25
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,858 1,439 $171.99
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 44 38 $142.08
36416 259 127 $141.04
J1644 Injection, heparin sodium, per 1000 units 423 164 $121.33
84145 88 72 $109.01
82962 469 204 $101.91
84460 16 13 $92.75
J7120 Ringers lactate infusion, up to 1000 cc 978 664 $85.44
11721 13 12 $85.33
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 75 25 $73.48
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 13 12 $73.26
36600 19 14 $72.50
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 21 15 $71.79
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 473 315 $59.34
J0696 Injection, ceftriaxone sodium, per 250 mg 1,195 671 $56.19
J1200 Injection, diphenhydramine hcl, up to 50 mg 447 269 $55.60
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,076 1,992 $51.76
J2765 Injection, metoclopramide hcl, up to 10 mg 326 220 $41.59
J2919 Injection, methylprednisolone sodium succinate, 5 mg 175 127 $32.19
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 342 203 $30.19
J1100 Injection, dexamethasone sodium phosphate, 1 mg 730 502 $22.19
C9113 Injection, pantoprazole sodium, per vial 18 13 $20.55
J1040 Injection, methylprednisolone acetate, 80 mg 202 154 $17.28
J2270 Injection, morphine sulfate, up to 10 mg 88 50 $15.47
J2704 Injection, propofol, 10 mg 1,033 725 $15.31
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 249 195 $14.32
J2060 Injection, lorazepam, 2 mg 246 139 $11.70
J3475 Injection, magnesium sulfate, per 500 mg 178 120 $11.25
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 278 122 $8.64
J2795 Injection, ropivacaine hydrochloride, 1 mg 163 154 $5.07
J3010 Injection, fentanyl citrate, 0.1 mg 354 231 $4.58
P9612 Catheterization for collection of specimen, single patient, all places of service 98 77 $4.50
94760 1,049 197 $4.31
J2003 Injection, lidocaine hydrochloride, 1 mg 52 49 $3.21
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 131 99 $1.44
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 83 52 $1.40
J2250 Injection, midazolam hydrochloride, per 1 mg 192 139 $0.36
36000 246 226 $0.00
A9270 Non-covered item or service 1,455 417 $0.00
70498 15 14 $0.00
A9585 Injection, gadobutrol, 0.1 ml 30 24 $0.00
64494 16 14 $0.00
G2024 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source 20 14 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 382 208 $0.00
J3370 Injection, vancomycin hcl, 500 mg 40 15 $0.00
93041 78 77 $0.00
73590 29 24 $0.00
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 17 14 $0.00
J1171 Injection, hydromorphone, 0.1 mg 15 12 $0.00