1538178660

1538178660 was paid $1.09M by Medicaid between Jan 2018 and Nov 2024, across 82 billing codes. Its largest line is G0378, Hospital observation service, per hour — 31% of everything it billed.

33Billing provider info1538178660

33aNPI1538178660

33bProvider type—

28Total paid$1.09M

24GClaims88,156

24DCodes billed82

24AFirst – last monthJan 2018 – Nov 2024

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	10,766	$24K
2019	11,501	$29K
2020	12,048	$70K
2021	18,659	$281K
2022	15,779	$353K
2023	6,845	$271K
2024incomplete	12,558	$57K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G0378	Hospital observation service, per hour	31%	3,444	1,826	$334K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	19%	5,089	2,873	$203K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	14%	2,649	2,102	$155K
58558		12%	149	142	$125K
J3490	Unclassified drugs	6.9%	624	345	$75K
J7030	Infusion, normal saline solution , 1000 cc	5.8%	2,229	1,565	$63K
80048	Basic metabolic panel (calcium, ionized)	2.5%	9,230	3,871	$27K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	2.0%	3,384	2,424	$22K
96361	Intravenous infusion, hydration; each additional hour	1.7%	595	489	$19K
74176	Computed tomography, abdomen and pelvis; without contrast material	1.4%	693	541	$15K
70450	Computed tomography, head or brain; without contrast material	1.0%	1,149	877	$11K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	11,510	4,666	$4K

70 more codes

99283	Emergency room visit (moderate)	<1%	157	$3K
J3010	Injection, fentanyl citrate, 0.1 mg	<1%	307	$3K
84702		<1%	425	$2K
36415	Collection of venous blood by venipuncture	<1%	4,955	$2K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	3,196	$2K
80053	Comprehensive metabolic panel	<1%	2,093	$2K
94762		<1%	1,529	$2K
71045	Radiologic examination, chest; single view	<1%	4,226	$2K
82550		<1%	3,084	$1K
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	1,324	$1K
81025		<1%	529	$1K
81001		<1%	3,148	$1K
87086	Culture, bacterial; quantitative colony count, urine	<1%	778	$1K
82553		<1%	2,347	$1K
82962		<1%	1,668	$954.25
Q0222	Injection, bebtelovimab, 175 mg	<1%	62	$614.88
85610		<1%	1,508	$542.92
80076		<1%	1,176	$498.31
84484		<1%	1,406	$479.69
J0690	Injection, cefazolin sodium, 500 mg	<1%	286	$421.40
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	1,328	$417.60
M0222	Intravenous injection, bebtelovimab, includes injection and post administration monitoring	<1%	63	$397.40
85730		<1%	996	$337.33
93041		<1%	969	$328.12
J2060	Injection, lorazepam, 2 mg	<1%	980	$320.98
87400		<1%	98	$314.66
M0247	Intravenous infusion, sotrovimab, includes infusion and post administration monitoring	<1%	17	$305.68
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	12	$302.45
96375	Therapeutic injection; each additional sequential IV push	<1%	557	$289.16
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	528	$280.31
83690		<1%	946	$245.37
71250		<1%	18	$217.00
82140		<1%	119	$208.28
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	114	$159.23
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	818	$115.68
J2405	Injection, ondansetron hydrochloride, per 1 mg	<1%	1,262	$109.80
86901		<1%	225	$88.61
J2250	Injection, midazolam hydrochloride, per 1 mg	<1%	817	$79.33
88307		<1%	42	$67.15
J2704	Injection, propofol, 10 mg	<1%	805	$51.82
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	<1%	32	$50.22
J0131	Injection, acetaminophen, not otherwise specified,10 mg	<1%	184	$46.49
86850		<1%	183	$41.22
J7120	Ringers lactate infusion, up to 1000 cc	<1%	229	$33.55
J1630	Injection, haloperidol, up to 5 mg	<1%	37	$33.29
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%	19	$19.43
J8499	Prescription drug, oral, non chemotherapeutic, nos	<1%	156	$14.19
86900		<1%	207	$13.66
85027		<1%	139	$5.44
85007		<1%	92	$3.31
J2001	Injection, lidocaine hcl for intravenous infusion, 10 mg	<1%	116	$0.98
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	97	$0.75
J1645	Injection, dalteparin sodium, per 2500 iu	<1%	43	$0.66
J7050	Infusion, normal saline solution, 250 cc	<1%	27	$0.44
36000		<1%	66	$0.33
82150		<1%	311	$0.15
83615		0%	41	$0.00
85379		0%	51	$0.00
J2175	Injection, meperidine hydrochloride, per 100 mg	0%	74	$0.00
83605		0%	112	$0.00
87040		0%	65	$0.00
Q0247	Injection, sotrovimab, 500 mg	0%	18	$0.00
84443	Thyroid stimulating hormone (TSH)	0%	37	$0.00
82607		0%	17	$0.00
82746		0%	17	$0.00
J1170	Injection, hydromorphone, up to 4 mg	0%	18	$0.00
83520		0%	15	$0.00
J1200	Injection, diphenhydramine hcl, up to 50 mg	0%	34	$0.00
82948		0%	40	$0.00
J2710	Injection, neostigmine methylsulfate, up to 0.5 mg	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.