Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › FARMVILLE › SOUTHSIDE COMMUNITY HOSPITAL, INC.

SOUTHSIDE COMMUNITY HOSPITAL, INC.

NPI: 1518952761 · FARMVILLE, VA 23901 · General Acute Care Hospital · NPI assigned 09/14/2005

$26.64M
Total Medicaid Paid
749,048
Total Claims
598,079
Beneficiaries
250
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDAVENPORT, DOUG (CFO)
NPI Enumeration Date09/14/2005

Related Entities

Other providers sharing the same authorized official: DAVENPORT, DOUG

ProviderCityStateTotal Paid
HEALTHEAST CARE SYSTEM SAINT PAUL MN $3.53M
HEALTHEAST OUTPATIENT SERVICES, LLC SAINT PAUL MN $1.44M
BEDFORD MEMORIAL HOSPITAL BEDFORD VA $517K
SOUTHSIDE COMMUNITY HOSPITAL INC. FARMVILLE VA $361K
SOUTHSIDE COMMUNITY HOSPITAL, INC. FARMVILLE VA $19K
CENTRA PACE - FARMVILLE FARMVILLE VA $16K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 88,884 $2.00M
2019 120,100 $3.02M
2020 102,146 $3.62M
2021 120,839 $4.26M
2022 113,735 $4.37M
2023 119,926 $5.23M
2024 83,418 $4.14M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96361 Intravenous infusion, hydration; each additional hour 15,379 12,056 $4.37M
99284 Emergency department visit for the evaluation and management, high severity 28,006 23,658 $4.22M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 27,336 22,819 $3.95M
99283 Emergency department visit for the evaluation and management, moderate severity 26,963 23,518 $3.87M
74177 Computed tomography, abdomen and pelvis; with contrast material 6,238 5,479 $1.35M
70450 Computed tomography, head or brain; without contrast material 5,843 4,999 $765K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 7,782 6,002 $696K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 11,326 10,442 $629K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,963 3,600 $541K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,223 3,640 $448K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,487 1,764 $390K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,294 1,956 $386K
G0378 Hospital observation service, per hour 2,619 2,103 $359K
71275 Computed tomographic angiography, chest, with contrast material 1,579 1,421 $331K
59025 Fetal non-stress test 1,499 1,043 $289K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 6,642 5,635 $283K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,172 2,895 $245K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 3,599 2,787 $209K
80053 Comprehensive metabolic panel 36,880 29,442 $203K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 568 493 $192K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 393 367 $191K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,932 1,745 $169K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,476 1,334 $154K
36415 Collection of venous blood by venipuncture 13,703 9,378 $151K
71046 Radiologic examination, chest; 2 views 9,213 7,949 $135K
93971 1,519 1,326 $119K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 442 400 $95K
70496 422 385 $88K
77067 Screening mammography, bilateral, including computer-aided detection 2,062 2,020 $84K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 647 562 $84K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 481 425 $82K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 639 348 $81K
71250 1,190 1,094 $73K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,118 2,693 $69K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 42,071 31,584 $63K
99281 Emergency department visit for the evaluation and management, self-limited or minor 611 557 $61K
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 2,014 1,810 $54K
Q9957 Injection, perflutren lipid microspheres, per ml 1,635 1,129 $53K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 13,832 11,524 $49K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,267 1,108 $43K
72125 Computed tomography, cervical spine; without contrast material 2,039 1,803 $41K
83880 5,441 4,551 $41K
45380 Colonoscopy, flexible; with biopsy, single or multiple 110 99 $37K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 181 174 $37K
77063 Screening digital breast tomosynthesis, bilateral 692 684 $36K
76801 825 675 $36K
71271 334 320 $35K
80048 Basic metabolic panel (calcium, ionized) 6,938 5,422 $32K
71045 Radiologic examination, chest; single view 13,694 11,562 $31K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 56 50 $29K
74018 1,439 1,287 $28K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 29 26 $22K
80329 2,028 1,281 $20K
73564 2,367 1,970 $20K
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 2,650 2,196 $20K
87040 3,243 2,221 $20K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,226 1,949 $20K
90715 1,179 1,091 $18K
73610 1,922 1,694 $18K
93017 150 130 $18K
29125 128 112 $17K
76641 105 101 $16K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 67 65 $16K
84484 17,018 12,857 $16K
73630 1,905 1,644 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 95 87 $13K
85380 3,071 2,692 $13K
93000 5,808 4,694 $12K
96375 Therapeutic injection; each additional sequential IV push 14,824 11,484 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 11,287 8,027 $11K
73030 1,595 1,369 $11K
70498 379 347 $11K
81001 28,156 23,070 $11K
76700 Ultrasound, abdominal, real time with image documentation; complete 66 65 $10K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 15,239 12,259 $10K
80320 2,387 2,036 $9K
72100 1,077 946 $9K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 25 25 $9K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 18,477 15,215 $9K
77066 Tomosynthesis, mammo 220 209 $8K
76770 104 93 $8K
76830 Ultrasound, transvaginal 87 79 $8K
76642 69 67 $8K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 16,574 10,709 $7K
73130 1,217 1,073 $7K
86900 2,148 1,821 $7K
J3490 Unclassified drugs 8,029 4,352 $7K
12001 29 26 $6K
80047 1,020 871 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,274 1,956 $6K
87086 Culture, bacterial; quantitative colony count, urine 7,774 6,656 $6K
73502 552 476 $5K
83605 7,012 5,562 $5K
73110 561 503 $5K
87081 5,949 5,373 $5K
82962 9,504 4,807 $4K
96367 1,837 1,181 $4K
85027 8,982 7,366 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 138 98 $4K
70551 Magnetic resonance imaging, brain; without contrast material 28 25 $4K
82565 1,197 1,076 $4K
93970 28 24 $3K
80361 156 129 $3K
94726 95 94 $3K
J7030 Infusion, normal saline solution , 1000 cc 6,028 4,583 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7,604 6,903 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 8,894 7,137 $3K
74021 77 75 $3K
99070 1,212 955 $3K
85610 7,437 6,172 $3K
83690 12,408 10,329 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg 12,555 9,686 $2K
93976 99 93 $2K
J7120 Ringers lactate infusion, up to 1000 cc 8,819 6,316 $2K
84443 Thyroid stimulating hormone (TSH) 5,490 4,703 $2K
J0561 Injection, penicillin g benzathine, 100,000 units 79 77 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,924 4,138 $2K
76536 28 27 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 299 271 $2K
80061 Lipid panel 439 373 $2K
81025 2,176 1,966 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 100 96 $2K
93246 30 27 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,495 1,305 $2K
Q3014 Telehealth originating site facility fee 434 367 $2K
73140 190 179 $2K
96376 4,147 2,861 $2K
83735 9,236 7,178 $1K
99215 Prolong outpt/office vis 19 17 $1K
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use) 50 27 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 13 12 $1K
87186 2,162 1,858 $1K
82803 3,145 2,479 $1K
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 486 410 $1K
73590 150 135 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 12,450 10,356 $1K
77065 Tomosynthesis, mammo 42 36 $1K
72131 25 24 $1K
94729 60 59 $958.86
0012A 43 43 $933.53
86850 1,617 1,375 $899.81
94664 513 384 $880.15
86901 2,142 1,821 $869.90
J3010 Injection, fentanyl citrate, 0.1 mg 5,595 4,615 $860.09
96523 16 13 $857.94
90686 55 51 $839.89
87210 2,113 1,839 $810.67
80069 473 298 $780.83
84702 2,273 1,882 $776.29
0011A 42 42 $729.06
83036 Hemoglobin; glycosylated (A1C) 772 665 $658.00
J1170 Injection, hydromorphone, up to 4 mg 3,621 2,427 $634.21
S0164 Injection, pantoprazole sodium, 40 mg 478 328 $610.52
85014 1,228 1,039 $536.88
82550 1,503 1,270 $455.87
85730 2,305 1,993 $422.71
36600 230 182 $418.64
73080 48 42 $392.66
J2270 Injection, morphine sulfate, up to 10 mg 5,087 3,755 $366.48
J0696 Injection, ceftriaxone sodium, per 250 mg 3,322 2,599 $347.69
84703 750 676 $339.62
87807 1,027 865 $314.61
J1100 Injection, dexamethasone sodium phosphate, 1 mg 5,654 4,476 $314.31
84145 319 295 $301.12
81003 1,210 979 $295.71
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 3,365 2,781 $280.21
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 1,521 1,233 $271.61
J2250 Injection, midazolam hydrochloride, per 1 mg 3,068 2,676 $224.64
J0171 Injection, adrenalin, epinephrine, 0.1 mg 65 55 $207.86
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,129 2,565 $193.11
85007 145 123 $169.74
96368 44 39 $167.55
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 2,731 2,117 $163.14
72170 60 51 $152.46
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,647 1,346 $150.58
87147 1,537 1,357 $148.93
70486 25 25 $146.98
84100 989 803 $142.51
51702 26 25 $134.28
87088 1,120 943 $119.59
85651 706 621 $112.69
J1815 Injection, insulin, per 5 units 1,757 569 $111.19
87077 1,057 919 $98.62
J1644 Injection, heparin sodium, per 1000 units 1,546 573 $95.39
J0690 Injection, cefazolin sodium, 500 mg 1,276 998 $93.80
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 1,340 1,010 $93.70
J2550 Injection, promethazine hcl, up to 50 mg 1,152 882 $92.89
G0008 Administration of influenza virus vaccine 16 16 $90.56
86140 440 404 $85.39
88305 Level IV - Surgical pathology, gross and microscopic examination 182 140 $83.90
J0780 Injection, prochlorperazine, up to 10 mg 1,020 859 $79.95
S0020 Injection, bupivicaine hydrochloride, 30 ml 17 12 $78.89
J2060 Injection, lorazepam, 2 mg 797 650 $78.16
S0028 Injection, famotidine, 20 mg 33 27 $78.12
80076 29 27 $75.51
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 241 160 $74.58
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 56 50 $74.15
J3475 Injection, magnesium sulfate, per 500 mg 1,228 950 $73.68
J7050 Infusion, normal saline solution, 250 cc 945 515 $65.09
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 25 25 $63.76
73090 31 24 $61.48
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 707 578 $57.64
84132 397 329 $54.27
J7060 5% dextrose/water (500 ml = 1 unit) 614 257 $51.06
82330 91 77 $36.72
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 295 209 $36.15
85018 93 36 $35.28
82947 147 124 $33.34
94760 1,941 1,312 $32.34
J2765 Injection, metoclopramide hcl, up to 10 mg 334 254 $32.07
87070 181 152 $25.89
J7510 Prednisolone oral, per 5 mg 41 38 $22.12
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 2,271 894 $22.02
J1790 Injection, droperidol, up to 5 mg 562 482 $18.13
C9113 Injection, pantoprazole sodium, per vial 528 385 $16.63
J1650 Injection, enoxaparin sodium, 10 mg 417 187 $14.99
85652 196 181 $14.97
J0330 Injection, succinylcholine chloride, up to 20 mg 151 124 $14.65
87205 172 141 $12.93
82728 26 13 $12.68
A9585 Injection, gadobutrol, 0.1 ml 514 472 $12.41
J2704 Injection, propofol, 10 mg 5,050 4,392 $11.69
87184 331 261 $8.78
84295 92 78 $8.19
J3480 Injection, potassium chloride, per 2 meq 100 64 $5.89
83615 20 15 $5.39
J8540 Dexamethasone, oral, 0.25 mg 294 264 $2.60
J3370 Injection, vancomycin hcl, 500 mg 40 26 $2.60
J0360 Injection, hydralazine hcl, up to 20 mg 16 12 $2.36
J1630 Injection, haloperidol, up to 5 mg 17 14 $1.67
J2003 Injection, lidocaine hydrochloride, 1 mg 15 14 $0.00
J7799 Noc drugs, other than inhalation drugs, administered through dme 69 48 $0.00
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 261 205 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 31 26 $0.00
G1011 Clinical decision support mechanism, qualified tool not otherwise specified, as defined by the medicare appropriate use criteria program 15 14 $0.00
J1940 Injection, furosemide, up to 20 mg 53 37 $0.00
P9612 Catheterization for collection of specimen, single patient, all places of service 34 26 $0.00
C1889 Implantable/insertable device, not otherwise classified 12 12 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 15 13 $0.00
99292 12 12 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 570 455 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 261 234 $0.00
80179 114 105 $0.00
84439 49 41 $0.00
80143 113 105 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 151 114 $0.00
82272 16 12 $0.00
J1171 Injection, hydromorphone, 0.1 mg 60 45 $0.00
84550 40 27 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 14 13 $0.00