Medicaid Provider Spending

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

DOWN EAST COMMUNITY HOSPITAL

NPI: 1528087004 · MACHIAS, ME 04654 · Critical Access Hospital · NPI assigned 07/18/2006

$4.46M
Total Medicaid Paid
522,051
Total Claims
400,406
Beneficiaries
256
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBROWN, VICKI (PFS DIRECTOR)
NPI Enumeration Date07/18/2006

Related Entities

Other providers sharing the same authorized official: BROWN, VICKI

ProviderCityStateTotal Paid
DOWN EAST COMMUNITY HOSPITAL JONESPORT ME $2.09M
DOWN EAST COMMUNITY HOSPITAL MILBRIDGE ME $1.81M
DOWN EAST COMMUNITY HOSPITAL MACHIAS ME $67K
DOWN EAST COMMUNITY HOSPITAL CALAIS ME $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 71,092 $616K
2019 72,964 $574K
2020 75,118 $714K
2021 79,995 $739K
2022 74,748 $615K
2023 77,418 $590K
2024 70,716 $615K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 31,908 26,542 $674K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 52,184 41,352 $601K
74177 Computed tomography, abdomen and pelvis; with contrast material 4,200 1,994 $335K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 10,322 6,777 $249K
99284 Emergency department visit for the evaluation and management, high severity 18,088 11,518 $225K
70450 Computed tomography, head or brain; without contrast material 4,054 1,919 $200K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,804 2,311 $147K
99283 Emergency department visit for the evaluation and management, moderate severity 21,181 12,391 $135K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,448 5,568 $112K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,841 1,774 $98K
96361 Intravenous infusion, hydration; each additional hour 3,943 3,410 $85K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 11,560 3,832 $83K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 453 420 $79K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 7,612 4,686 $76K
71046 Radiologic examination, chest; 2 views 6,375 3,078 $74K
71045 Radiologic examination, chest; single view 6,899 3,203 $74K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 11,396 3,995 $67K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,036 1,932 $64K
96375 Therapeutic injection; each additional sequential IV push 3,766 3,250 $62K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,127 4,866 $61K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,098 1,070 $60K
74176 Computed tomography, abdomen and pelvis; without contrast material 809 410 $58K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,638 3,259 $45K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15,675 13,642 $44K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,857 1,177 $42K
45384 596 391 $42K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,777 3,269 $36K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,231 2,059 $32K
90472 Immunization administration, each additional vaccine (list separately) 2,810 2,593 $28K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 557 366 $27K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,085 3,278 $27K
73030 1,905 883 $26K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,785 1,200 $21K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 371 359 $19K
71260 Computed tomography, thorax, diagnostic; with contrast material 414 206 $19K
59025 Fetal non-stress test 3,007 1,214 $18K
96376 947 790 $17K
80053 Comprehensive metabolic panel 26,267 22,424 $16K
72125 Computed tomography, cervical spine; without contrast material 345 187 $15K
73564 682 330 $14K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,416 2,482 $14K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 24,082 20,076 $12K
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,578 1,280 $10K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 132 90 $10K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,983 751 $10K
J3475 Injection, magnesium sulfate, per 500 mg 1,578 758 $9K
71275 Computed tomographic angiography, chest, with contrast material 225 110 $8K
99215 Prolong outpt/office vis 587 492 $8K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,813 2,408 $8K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 553 502 $8K
J2250 Injection, midazolam hydrochloride, per 1 mg 2,388 2,201 $7K
20610 516 433 $7K
83036 Hemoglobin; glycosylated (A1C) 6,438 6,183 $7K
99406 884 628 $7K
97161 873 803 $6K
80305 694 421 $6K
73630 717 350 $5K
82728 3,929 3,746 $5K
J0696 Injection, ceftriaxone sodium, per 250 mg 520 434 $5K
72275 312 144 $5K
99000 1,441 1,251 $5K
90686 994 958 $5K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 532 283 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 592 562 $4K
90837 Psychotherapy, 53 minutes with patient 85 49 $4K
84484 4,017 3,345 $4K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 59 43 $4K
90474 877 840 $4K
84443 Thyroid stimulating hormone (TSH) 7,215 6,920 $4K
D1206 Topical application of fluoride varnish 357 346 $4K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 5,191 2,780 $4K
J3490 Unclassified drugs 6,307 2,980 $4K
73110 464 213 $4K
97530 Therapeutic activities, direct patient contact, each 15 minutes 882 452 $4K
76775 241 126 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,084 1,858 $4K
87086 Culture, bacterial; quantitative colony count, urine 5,902 5,363 $4K
85027 4,376 4,071 $3K
82607 2,965 2,848 $3K
97162 388 361 $3K
73502 449 210 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,069 741 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited 191 96 $3K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 69 37 $3K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,354 1,227 $3K
77067 Screening mammography, bilateral, including computer-aided detection 4,183 2,084 $3K
76642 204 100 $3K
71250 25 13 $3K
80048 Basic metabolic panel (calcium, ionized) 3,993 3,034 $3K
83880 1,573 1,331 $3K
81025 3,118 2,884 $3K
J2704 Injection, propofol, 10 mg 331 306 $3K
83605 2,089 1,817 $3K
36415 Collection of venous blood by venipuncture 13,106 10,481 $3K
73610 612 286 $2K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 77 72 $2K
90715 52 50 $2K
76536 98 52 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,236 3,135 $2K
90473 525 523 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 247 237 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,680 4,966 $2K
99460 37 37 $2K
73562 181 87 $2K
82803 740 599 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 190 176 $2K
87040 927 833 $2K
83735 8,248 5,879 $2K
36592 461 177 $2K
84145 505 434 $2K
76830 Ultrasound, transvaginal 189 114 $2K
83540 3,820 3,654 $1K
83690 3,225 2,841 $1K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,325 1,219 $1K
36416 658 633 $1K
80306 3,893 3,219 $1K
90670 1,345 1,287 $1K
81001 5,300 4,761 $1K
85018 502 489 $1K
73130 179 84 $1K
94760 548 480 $1K
J1756 Injection, iron sucrose, 1 mg 447 142 $1K
85610 3,324 2,548 $1K
95806 157 80 $1K
84439 1,558 1,507 $1K
99238 Hospital discharge day management, 30 minutes or less 27 26 $1K
80061 Lipid panel 8,676 8,399 $1K
76857 79 43 $948.78
J1100 Injection, dexamethasone sodium phosphate, 1 mg 392 358 $942.23
99308 Subsequent nursing facility care, per day, straightforward 33 33 $924.46
83550 3,585 3,426 $921.05
85652 1,774 1,646 $918.64
J7120 Ringers lactate infusion, up to 1000 cc 716 518 $861.06
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 1,339 1,195 $854.99
87077 2,350 2,133 $846.61
62323 26 14 $813.28
00812 176 172 $795.72
87186 1,411 1,310 $750.80
96367 93 71 $677.91
84153 462 431 $675.34
82043 703 675 $669.22
76819 Fetal biophysical profile; without non-stress testing 283 52 $649.60
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 84 82 $640.67
J1170 Injection, hydromorphone, up to 4 mg 211 148 $637.95
A4221 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) 317 104 $637.69
J0131 Injection, acetaminophen, not otherwise specified,10 mg 332 300 $625.14
J3010 Injection, fentanyl citrate, 0.1 mg 341 275 $570.90
86140 2,041 1,851 $557.80
81003 3,895 3,607 $537.66
J1030 Injection, methylprednisolone acetate, 40 mg 49 44 $489.12
93971 24 13 $471.53
85730 766 683 $423.22
96523 40 28 $420.93
86850 1,073 978 $412.08
J7050 Infusion, normal saline solution, 250 cc 229 175 $411.97
51702 26 25 $410.33
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 41 25 $399.41
86900 1,140 1,038 $385.73
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 42 37 $348.66
72100 28 15 $321.07
99462 15 12 $318.50
85378 583 539 $295.36
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 12 12 $274.34
94060 30 13 $272.49
90662 117 116 $265.06
97535 Self-care/home management training, each 15 minutes 64 42 $263.21
87070 948 914 $262.04
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 498 169 $243.61
86803 829 789 $226.59
69210 25 24 $218.28
83921 447 438 $215.44
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 233 230 $195.08
77063 Screening digital breast tomosynthesis, bilateral 1,204 604 $190.39
82746 218 211 $180.61
90710 27 26 $162.26
80320 203 176 $159.75
00731 13 12 $158.48
87807 12 12 $140.52
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 839 813 $138.85
J2060 Injection, lorazepam, 2 mg 67 53 $128.58
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,294 1,213 $124.26
J0690 Injection, cefazolin sodium, 500 mg 30 28 $120.63
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 45 27 $119.86
81002 140 130 $114.88
00813 12 12 $114.59
99442 20 20 $109.20
86618 181 176 $107.44
76000 22 14 $89.65
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,825 2,704 $88.20
J2270 Injection, morphine sulfate, up to 10 mg 193 150 $79.32
86901 218 195 $74.20
86038 13 12 $72.82
87205 920 886 $70.54
11721 15 14 $60.27
71271 25 13 $59.50
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 89 70 $51.43
J1010 Injection, methylprednisolone acetate, 1 mg 15 14 $48.20
82550 161 147 $47.14
86431 26 25 $45.84
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 2,085 2,013 $42.82
99281 Emergency department visit for the evaluation and management, self-limited or minor 58 56 $41.34
J1200 Injection, diphenhydramine hcl, up to 50 mg 120 105 $38.35
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 75 65 $32.69
82565 17 13 $32.24
Q2039 Influenza virus vaccine, not otherwise specified 198 198 $31.12
84520 14 12 $29.72
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 18 15 $24.26
99201 33 33 $22.68
G0008 Administration of influenza virus vaccine 327 326 $15.89
82140 20 14 $15.26
84100 96 81 $14.76
80329 15 13 $12.60
83655 802 781 $12.37
84702 327 224 $11.21
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 336 172 $9.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 109 108 $6.69
85007 105 100 $5.15
90680 968 924 $4.45
90648 828 792 $3.14
90660 534 524 $2.79
90633 494 474 $2.22
J2765 Injection, metoclopramide hcl, up to 10 mg 31 26 $2.20
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 607 579 $1.71
90723 435 411 $1.61
90716 54 52 $0.35
90656 28 28 $0.27
90700 54 53 $0.24
90698 49 48 $0.22
90696 43 42 $0.20
90734 43 41 $0.20
90707 32 31 $0.19
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 87 38 $0.00
90697 106 100 $0.00
87081 330 318 $0.00
86762 117 115 $0.00
87467 45 42 $0.00
86592 226 210 $0.00
82950 52 51 $0.00
87340 168 164 $0.00
87522 Neg quan hep c or qual rna 116 109 $0.00
80055 34 32 $0.00
90694 31 31 $0.00
G0009 Administration of pneumococcal vaccine 21 21 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 16 14 $0.00
99205 Prolong outpt/office vis 13 12 $0.00
92567 13 13 $0.00
87631 222 218 $0.00
86703 424 404 $0.00
90649 115 113 $0.00
84466 60 59 $0.00
77003 41 37 $0.00
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 15 14 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 25 25 $0.00
84550 55 49 $0.00
84403 27 25 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 25 25 $0.00