Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Trigg County Hospital, INC

Trigg County Hospital, INC was paid $7.96M by Medicaid between Jan 2018 and Nov 2024, across 118 billing codes. Its largest line is 99283, emergency room visit (moderate) — 10% of everything it billed.

33Billing provider infoTRIGG COUNTY HOSPITAL, INC
CADIZ, KY 42211
33aNPI1538218680assigned 01/09/2007
33bProvider typeClinical Social Worker
28Total paid$7.96M
24GClaims159,257
24DCodes billed118
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Clinical Social Worker providers in Kentucky

Rank by total paid#8 of 275
Median peer was paid$57K
This provider vs. median139×

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.

Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
201833,811$1.26M
201923,067$1.13M
202019,180$1.00M
202126,676$1.21M
202221,437$1.27M
202319,672$1.19M
2024incomplete15,414$884K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 10% 8,397 6,385 $817K
99282 Emergency department visit for the evaluation and management, low to moderate severity 9.7% 10,674 8,883 $770K
74177 Computed tomography, abdomen and pelvis; with contrast material 9.2% 493 427 $733K
80053 Comprehensive metabolic panel 7.8% 10,958 8,817 $618K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5.8% 6,760 1,060 $462K
74176 Computed tomography, abdomen and pelvis; without contrast material 5.6% 617 479 $447K
70450 Computed tomography, head or brain; without contrast material 4.4% 1,129 826 $353K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3.4% 1,916 1,315 $269K
90853 Group psychotherapy (other than of a multiple-family group) 3.2% 10,230 974 $258K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.7% 10,222 7,783 $212K
96375 Therapeutic injection; each additional sequential IV push 2.6% 2,684 1,651 $204K
71046 Radiologic examination, chest; 2 views 2.4% 2,442 1,893 $187K
106 more codes
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2.3% 3,344 $179K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2.1% 2,436 $167K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.9% 2,420 $152K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.9% 2,492 $151K
36415 Collection of venous blood by venipuncture 1.7% 18,587 $134K
96361 Intravenous infusion, hydration; each additional hour 1.6% 2,573 $125K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 1.6% 1,205 $124K
71045 Radiologic examination, chest; single view 1.4% 2,249 $115K
80061 Lipid panel 1.4% 3,230 $113K
77067 Screening mammography, bilateral, including computer-aided detection 1.3% 730 $104K
90837 Psychotherapy session, about an hour 1.1% 2,382 $85K
99285 Emergency room visit (most serious) <1% 486 $75K
80306 <1% 2,036 $72K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,107 $72K
84484 <1% 2,279 $71K
99284 Emergency room visit (serious) <1% 821 $70K
87088 <1% 2,597 $70K
99213 Doctor's office visit, returning patient (routine) <1% 2,946 $59K
83036 Hemoglobin; glycosylated (A1C) <1% 2,510 $56K
80048 Basic metabolic panel (calcium, ionized) <1% 1,825 $51K
81001 <1% 3,561 $44K
77063 Screening digital breast tomosynthesis, bilateral <1% 826 $41K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 2,399 $36K
99214 Doctor's office visit, returning patient (more involved) <1% 1,106 $29K
83735 <1% 1,584 $27K
83690 <1% 1,898 $25K
81003 <1% 3,253 $22K
81025 <1% 878 $22K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,450 $19K
72100 <1% 185 $18K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 702 $18K
84443 Thyroid stimulating hormone (TSH) <1% 493 $16K
82150 <1% 751 $16K
97161 <1% 255 $15K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 129 $14K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,809 $14K
73630 <1% 133 $13K
87077 <1% 625 $13K
87186 <1% 490 $11K
87086 Culture, bacterial; quantitative colony count, urine <1% 470 $11K
85610 <1% 718 $10K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 2,263 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 611 $9K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 835 $8K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,075 $7K
73610 <1% 59 $6K
85730 <1% 316 $5K
83880 <1% 102 $5K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 23 $5K
82607 <1% 184 $5K
0012A <1% 262 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 173 $5K
73030 <1% 53 $4K
85378 <1% 72 $4K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 17 $4K
J2704 Injection, propofol, 10 mg <1% 253 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 135 $4K
0011A <1% 287 $4K
99203 Doctor's office visit, new patient (routine) <1% 117 $3K
80305 <1% 146 $3K
84439 <1% 152 $3K
82043 <1% 285 $3K
72110 <1% 20 $3K
87634 <1% 52 $3K
83605 <1% 125 $2K
90734 <1% 17 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 40 $2K
86757 <1% 24 $2K
85652 <1% 91 $2K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 143 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 326 $2K
0013A <1% 60 $1K
73130 <1% 17 $1K
83874 <1% 29 $1K
90688 <1% 86 $1K
80320 <1% 53 $1K
Q3014 Telehealth originating site facility fee <1% 44 $1K
90633 <1% 27 $1K
87807 <1% 28 $991.28
0002A <1% 33 $974.77
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 122 $955.04
90694 <1% 14 $929.68
90832 Psychotherapy session, about 30 minutes <1% 59 $914.18
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 67 $883.14
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 13 $795.13
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 13 $792.13
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 27 $774.34
90674 <1% 23 $759.32
84702 <1% 15 $734.11
86738 <1% 21 $559.31
J7050 Infusion, normal saline solution, 250 cc <1% 184 $444.84
96376 <1% 20 $426.30
99204 Doctor's office visit, new patient (more involved) <1% 13 $385.45
0001A <1% 25 $338.14
82803 <1% 19 $306.98
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 57 $297.74
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 170 $266.05
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 17 $265.41
36600 <1% 19 $204.18
J2270 Injection, morphine sulfate, up to 10 mg <1% 21 $178.28
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 36 $32.04
91301 <1% 705 $20.34
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg <1% 18 $4.17
A9270 Non-covered item or service 0% 371 $0.00
Q0243 Injection, casirivimab and imdevimab, 2400 mg 0% 15 $0.00
91300 0% 66 $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 officialSUMNER, JOHN (CEO)
Same official

Other billing entities under SUMNER, JOHN

Full network →
ProviderLocationPaid
Trigg County Hospital INC.Cadiz, KY$231K
Trigg County Hospital, INCCadiz, KY$21K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.