Medicaid Provider Spending

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

MEMORIAL HOSPITAL, INC.

NPI: 1558665752 · BEVERLY, KY 40913 · Family Medicine Physician · NPI assigned 01/03/2011

$480K
Total Medicaid Paid
46,026
Total Claims
39,273
Beneficiary Records
37
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJACOB, SISSEL (CEO)
NPI Enumeration Date01/03/2011

Related Entities

Other providers sharing the same authorized official: JACOB, SISSEL

ProviderCityStateTotal Paid
MEMORIAL HOSPITAL INC. MANCHESTER KY $12.43M
MEMORIAL HOSPITAL, INC. MANCHESTER KY $2.68M
MEMORIAL HOSPITAL, INC. ONEIDA KY $399K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,345 $71K
2019 2,591 $67K
2020 4,263 $65K
2021 6,103 $41K
2022 11,956 $72K
2023 8,841 $88K
2024 9,927 $77K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,794 6,686 $232K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,870 4,207 $190K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,143 1,591 $27K
99442 250 222 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 360 325 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 308 277 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 176 163 $2K
90674 116 105 $2K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 86 61 $2K
99441 58 52 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 42 37 $920.64
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 92 82 $802.77
J1040 Injection, methylprednisolone acetate, 80 mg 66 53 $530.96
83036 Hemoglobin; glycosylated (A1C) 60 52 $381.74
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15 15 $352.18
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 93 87 $238.00
J0696 Injection, ceftriaxone sodium, per 250 mg 51 41 $174.54
90472 Immunization administration, each additional vaccine (list separately) 15 12 $75.72
36415 Collection of venous blood by venipuncture 12 12 $6.34
81003 13 12 $3.60
3079F 1,635 1,448 $0.00
3080F 183 166 $0.00
1125F 1,926 1,689 $0.00
3075F 993 888 $0.00
3008F 2,573 2,212 $0.00
3074F 2,825 2,408 $0.00
1170F 972 845 $0.00
1036F 3,107 2,596 $0.00
1101F 823 722 $0.00
1035F 13 12 $0.00
1159F 3,053 2,572 $0.00
3288F 901 785 $0.00
1160F 3,249 2,737 $0.00
1090F 2,552 2,189 $0.00
3078F 2,826 2,372 $0.00
3725F 936 808 $0.00
3077F 839 732 $0.00