Medicaid Provider Spending

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

CARTHAGE HOSPITAL, LLC

NPI: 1538667035 · CARTHAGE, TX 75633 · General Acute Care Hospital · NPI assigned 01/30/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PETROVICH, STEPHEN controls 20+ related entities in our dataset. Read more

$1.73M
Total Medicaid Paid
22,749
Total Claims
20,854
Beneficiaries
44
Codes Billed
2018-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPETROVICH, STEPHEN (EVP)
Parent OrganizationAHS EAST TEXAS HEALTH SYSTEM, LLC
NPI Enumeration Date01/30/2018

Related Entities

Other providers sharing the same authorized official: PETROVICH, STEPHEN

ProviderCityStateTotal Paid
LOVELACE HEALTH SYSTEM, LLC ALBUQUERQUE NM $57.71M
LOVELACE HEALTH SYSTEM LLC ALBUQUERQUE NM $45.27M
SOUTHWEST MEDICAL ASSOCIATES, LLC ALBUQUERQUE NM $41.40M
LOVELACE HEALTH SYSTEM, LLC ALBUQUERQUE NM $31.24M
LOVELACE HEALTH SYSTEM LLC ROSWELL NM $20.13M
JACKSONVILLE HOSPITAL LLC JACKSONVILLE TX $9.41M
HENDERSON HOSPITAL, LLC HENDERSON TX $8.52M
ATHENS HOSPITAL, LLC ATHENS TX $8.32M
ETMC PHYSICIAN GROUP INC. TYLER TX $8.03M
TYLER REGIONAL HOSPITAL LLC TYLER TX $7.94M
LOVELACE UNM REHABILITATION HOSPITAL LLC ALBUQUERQUE NM $6.30M
POCATELLO HOSPITAL LLC POCATELLO ID $6.11M
JACKSONVILLE HOSPITAL LLC JACKSONVILLE TX $5.93M
AHS PRYOR HOSPITAL, LLC PRYOR OK $5.61M
BSA HOSPITAL LLC AMARILLO TX $4.96M
PITTSBURG HOSPITAL LLC PITTSBURG TX $4.83M
AHS CLAREMORE REGIONAL HOSPITAL, LLC. CLAREMORE OK $4.81M
AHS HENRYETTA HOSPITAL LLC HENRYETTA OK $4.27M
PITTSBURG HOSPITAL LLC PITTSBURG TX $3.98M
TOPEKA HOSPITAL, LLC TOPEKA KS $3.94M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 397 $7K
2020 401 $16K
2021 7,567 $350K
2022 7,543 $633K
2023 4,496 $478K
2024 2,345 $250K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 1,752 1,606 $755K
99283 Emergency department visit for the evaluation and management, moderate severity 3,767 3,605 $506K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 380 338 $196K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 324 314 $56K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,305 2,868 $30K
80053 Comprehensive metabolic panel 2,470 2,235 $29K
80061 Lipid panel 765 747 $18K
71045 Radiologic examination, chest; single view 231 205 $18K
84443 Thyroid stimulating hormone (TSH) 680 659 $16K
99282 Emergency department visit for the evaluation and management, low to moderate severity 107 101 $14K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 170 164 $13K
87430 325 312 $13K
87400 125 119 $9K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 184 177 $9K
83036 Hemoglobin; glycosylated (A1C) 585 556 $8K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 59 54 $8K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 119 94 $7K
81000 1,461 1,348 $6K
82728 172 169 $4K
87086 Culture, bacterial; quantitative colony count, urine 245 230 $3K
87420 76 75 $2K
81002 458 441 $2K
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 13 13 $2K
83655 71 71 $2K
83550 76 74 $1K
85651 163 160 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 131 130 $791.36
83540 44 42 $645.16
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 36 36 $606.24
84439 31 30 $576.13
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 27 26 $547.41
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 25 13 $463.81
87081 53 50 $449.16
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 78 70 $314.33
85027 25 25 $232.28
J7030 Infusion, normal saline solution , 1000 cc 30 26 $196.22
85045 32 32 $187.75
81025 14 12 $178.75
84703 15 14 $140.97
85007 25 25 $136.43
J2405 Injection, ondansetron hydrochloride, per 1 mg 94 69 $101.35
36415 Collection of venous blood by venipuncture 3,980 3,495 $79.26
80048 Basic metabolic panel (calcium, ionized) 13 12 $45.30
83880 13 12 $16.73