Hospital
Bolivar General Hospital, INC.
Bolivar General Hospital, INC. was paid $2.36M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 99283, emergency room visit (moderate) — 44% of everything it billed.
33Billing provider infoBOLIVAR GENERAL HOSPITAL, INC.
BOLIVAR, TN 38008
BOLIVAR, TN 38008
33aNPI1518957950assigned 10/26/2005
33bProvider typeMedicare Defined Swing Bed Hospital Unit
28Total paid$2.36M
24GClaims63,428
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Medicare Defined Swing Bed Hospital Unit providers in Tennessee
Rank by total paid#2 of 5
Median peer was paid$1.63M
This provider vs. median1.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official PRESCOTT, TINA controls 17+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 14,696 | $499K | |
| 2019 | 12,340 | $430K | |
| 2020 | 7,067 | $274K | |
| 2021 | 7,132 | $285K | |
| 2022 | 9,275 | $368K | |
| 2023 | 8,403 | $303K | |
| 2024incomplete | 4,515 | $199K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 44% | 10,476 | 9,172 | $1.03M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 36% | 5,188 | 4,438 | $858K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 7.0% | 1,116 | 913 | $165K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 3.7% | 1,210 | 1,107 | $87K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.7% | 1,695 | 1,606 | $40K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.6% | 9,381 | 7,734 | $37K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,915 | 3,160 | $22K |
| 80053 | Comprehensive metabolic panel | <1% | 6,042 | 4,992 | $18K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,460 | 2,208 | $16K |
| 36415 | Collection of venous blood by venipuncture | <1% | 9,232 | 7,507 | $12K |
| G0378 | Hospital observation service, per hour | <1% | 90 | 60 | $12K |
| 84484 | <1% | 1,333 | 1,057 | $12K |
31 more codes
| 71045 | Radiologic examination, chest; single view | <1% | 1,978 | $5K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 141 | $5K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 1,443 | $5K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 537 | $4K |
| 87430 | <1% | 1,067 | $4K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 166 | $3K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 877 | $3K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 120 | $2K |
| 81001 | <1% | 2,896 | $2K | |
| 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 | <1% | 144 | $2K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 205 | $2K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 32 | $2K |
| 83605 | <1% | 170 | $1K | |
| 83690 | <1% | 240 | $812.39 | |
| 83880 | <1% | 152 | $747.00 | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 131 | $672.84 |
| 81025 | <1% | 205 | $593.38 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 137 | $562.75 |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 16 | $546.56 |
| 87081 | <1% | 149 | $445.98 | |
| 87807 | <1% | 70 | $272.14 | |
| 83735 | <1% | 50 | $159.12 | |
| 80305 | <1% | 56 | $139.24 | |
| 80076 | <1% | 31 | $93.54 | |
| 80061 | Lipid panel | <1% | 48 | $79.77 |
| 82150 | <1% | 18 | $68.72 | |
| 84100 | <1% | 34 | $58.56 | |
| 84550 | <1% | 20 | $3.82 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 15 | $0.00 |
| A9270 | Non-covered item or service | 0% | 126 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 16 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPRESCOTT, TINA (PRESIDENT AND CEO)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.