Medicaid Provider Spending

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

JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC

NPI: 1538232244 · BROKEN BOW, NE 68822 · Critical Access Hospital · NPI assigned 11/17/2006

$721K
Total Medicaid Paid
11,191
Total Claims
8,222
Beneficiary Records
20
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialKELLUM, KYLE (CEO AND PRESIDENT)
NPI Enumeration Date11/17/2006

Related Entities

Other providers sharing the same authorized official: KELLUM, KYLE

ProviderCityStateTotal Paid
JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC BROKEN BOW NE $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,077 $62K
2019 2,098 $136K
2020 1,776 $122K
2021 3,307 $191K
2022 2,252 $132K
2023 408 $33K
2024 273 $46K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,373 1,600 $312K
99283 Emergency department visit for the evaluation and management, moderate severity 1,108 747 $217K
80053 Comprehensive metabolic panel 1,351 1,030 $61K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,789 1,365 $53K
36415 Collection of venous blood by venipuncture 1,991 1,479 $19K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 156 142 $15K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 809 688 $14K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 353 303 $6K
81000 394 343 $6K
87400 51 49 $3K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 232 146 $3K
71046 Radiologic examination, chest; 2 views 30 27 $3K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 37 26 $3K
71045 Radiologic examination, chest; single view 17 17 $3K
99281 Emergency department visit for the evaluation and management, self-limited or minor 19 16 $2K
J8499 Prescription drug, oral, non chemotherapeutic, nos 386 161 $1K
87275 15 15 $409.84
87276 15 15 $409.84
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 12 12 $197.37
J3490 Unclassified drugs 53 41 $153.83