CARROLL COUNTY MEMORIAL HOSPITAL
NPI: 1528067113
· CARROLLTON, MO 64633
· 275N00000X
$1.24M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,633 |
$443K |
| 2019 |
1,240 |
$100K |
| 2020 |
1,039 |
$39K |
| 2021 |
1,387 |
$51K |
| 2022 |
2,945 |
$173K |
| 2023 |
3,853 |
$232K |
| 2024 |
3,419 |
$202K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Y7506 |
|
846 |
400 |
$391K |
| G0463 |
Hospital outpt clinic visit |
5,711 |
4,138 |
$333K |
| 99283 |
|
1,382 |
1,152 |
$192K |
| 97597 |
|
853 |
282 |
$63K |
| 99284 |
|
291 |
238 |
$56K |
| 80053 |
|
1,155 |
975 |
$41K |
| X4003 |
|
849 |
769 |
$41K |
| 87804 |
|
565 |
392 |
$32K |
| 85025 |
|
919 |
781 |
$30K |
| 87428 |
|
440 |
431 |
$12K |
| 80307 |
|
375 |
326 |
$11K |
| 95117 |
|
349 |
164 |
$8K |
| X4011 |
|
52 |
32 |
$6K |
| 87880 |
|
409 |
400 |
$6K |
| 99212 |
|
521 |
465 |
$5K |
| 99213 |
|
162 |
147 |
$4K |
| C9803 |
Hopd covid-19 spec collect |
265 |
240 |
$4K |
| 87635 |
|
113 |
109 |
$1K |
| 93005 |
|
16 |
13 |
$763.76 |
| 87807 |
|
35 |
35 |
$451.63 |
| 88305 |
|
12 |
12 |
$307.42 |
| J3490 |
Drugs unclassified injection |
107 |
54 |
$240.25 |
| 81003 |
|
44 |
36 |
$120.40 |
| 83036 |
|
14 |
13 |
$86.33 |
| A4216 |
Sterile water/saline, 10 ml |
16 |
12 |
$74.00 |
| 36415 |
|
15 |
12 |
$50.44 |