Medicaid Provider Spending

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

NPI: 1528099041 · MARION, IN 46952 · Internal Medicine Physician · NPI assigned 07/05/2006

$18.85M
Total Medicaid Paid
488,257
Total Claims
383,528
Beneficiaries
132
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHILTON-SIEBERT, STEPHANIE (PRESIDENT/CEO)
NPI Enumeration Date07/05/2006

Related Entities

Other providers sharing the same authorized official: HILTON-SIEBERT, STEPHANIE

ProviderCityStateTotal Paid
MARION GENERAL HOSPITAL MARION IN $2.70M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 66,235 $1.01M
2019 67,287 $2.00M
2020 54,858 $1.88M
2021 73,714 $3.15M
2022 81,783 $3.88M
2023 83,370 $3.89M
2024 61,010 $3.04M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 114,527 89,298 $6.11M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 70,858 59,244 $3.38M
99284 Emergency department visit for the evaluation and management, high severity 18,787 16,633 $1.29M
99283 Emergency department visit for the evaluation and management, moderate severity 26,925 24,323 $1.17M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 8,004 7,000 $733K
59426 9,089 4,499 $686K
59425 9,925 7,616 $649K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,023 4,209 $416K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 4,405 3,885 $399K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,460 3,687 $362K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 6,899 6,093 $261K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,096 2,689 $250K
99282 Emergency department visit for the evaluation and management, low to moderate severity 7,782 7,006 $219K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,726 3,122 $190K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14,931 12,398 $151K
90472 Immunization administration, each additional vaccine (list separately) 8,849 7,348 $142K
99232 Subsequent hospital care, per day, moderate complexity 8,107 2,749 $136K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,653 1,456 $133K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,762 3,959 $129K
99215 Prolong outpt/office vis 1,965 1,420 $123K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,719 1,543 $119K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 10,197 8,699 $117K
99349 5,872 4,030 $115K
99223 Prolong inpt eval add15 m 2,075 1,566 $110K
59430 943 817 $109K
99309 Subsequent nursing facility care, per day, low to moderate complexity 12,764 7,982 $108K
87428 3,842 3,500 $107K
99233 Prolong inpt eval add15 m 2,447 1,021 $97K
99239 Hospital discharge day management, more than 30 minutes 2,768 2,124 $87K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,595 1,408 $87K
81002 25,052 15,736 $67K
J1050 Injection, medroxyprogesterone acetate, 1 mg 2,025 1,683 $66K
87430 4,883 4,469 $62K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,072 2,334 $61K
81025 6,124 5,034 $37K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,405 1,302 $36K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 324 241 $36K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,561 2,776 $34K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,120 411 $29K
71046 Radiologic examination, chest; 2 views 2,145 1,831 $28K
99238 Hospital discharge day management, 30 minutes or less 813 702 $26K
J3490 Unclassified drugs 163 130 $26K
95886 618 496 $26K
90474 2,339 1,909 $25K
90791 Psychiatric diagnostic evaluation 275 240 $23K
90682 1,213 966 $22K
87420 1,939 1,776 $20K
99381 265 223 $19K
20553 671 540 $18K
99221 477 404 $17K
99222 Initial hospital care, per day, moderate complexity 268 207 $13K
87400 933 578 $13K
99220 191 163 $12K
81003 10,119 7,756 $11K
99308 Subsequent nursing facility care, per day, straightforward 1,991 1,081 $11K
99406 1,188 953 $11K
94726 1,874 1,499 $9K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 88 78 $9K
99460 143 132 $9K
94729 1,883 1,503 $7K
90686 2,884 2,419 $6K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 983 780 $6K
99305 398 277 $5K
99462 185 138 $5K
99350 Prolong home eval add 15m 138 107 $5K
99217 248 222 $4K
87807 452 421 $4K
51701 212 148 $3K
99281 Emergency department visit for the evaluation and management, self-limited or minor 197 174 $3K
99336 303 221 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 274 129 $3K
94060 630 482 $3K
17110 45 36 $3K
36415 Collection of venous blood by venipuncture 1,670 1,326 $2K
90670 3,409 2,779 $2K
87210 834 700 $2K
95912 15 13 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 38 34 $1K
99205 Prolong outpt/office vis 36 27 $1K
99385 61 56 $1K
59025 Fetal non-stress test 32 13 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 191 171 $1K
99219 21 15 $899.20
99442 160 61 $889.17
90715 596 504 $682.16
90698 3,033 2,470 $652.19
99417 Prolong home eval add 15m 16 12 $493.88
99348 63 33 $485.52
90677 390 361 $467.85
99310 Prolong nursin fac eval 15m 61 31 $467.48
96137 13 13 $444.60
96131 13 13 $421.75
99307 108 59 $393.22
90673 49 43 $381.20
90680 2,202 1,779 $354.50
90649 210 166 $334.78
90656 84 80 $279.42
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 39 36 $278.51
90716 360 300 $235.60
96130 13 13 $231.68
90710 427 374 $215.66
84153 66 56 $211.62
99441 85 32 $211.02
51798 36 24 $194.12
80305 54 33 $159.93
90633 2,160 1,818 $144.14
99326 33 14 $134.20
86580 101 62 $128.51
90734 649 564 $104.56
96136 13 13 $80.52
90707 373 311 $74.99
94010 18 13 $70.88
82962 30 28 $60.49
90696 335 291 $53.15
90662 54 38 $45.84
86308 16 12 $42.33
90744 1,073 896 $23.89
90685 135 121 $19.43
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 2,061 1,444 $13.40
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 12 12 $0.58
90671 480 430 $0.00
90681 116 97 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 77 63 $0.00
90648 40 36 $0.00
99225 23 16 $0.00
90697 687 557 $0.00
G0008 Administration of influenza virus vaccine 827 655 $0.00
90620 72 59 $0.00
90619 277 235 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 44 33 $0.00
90723 44 39 $0.00
90651 16 13 $0.00