Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › BATAVIA › MERCY HEALTH - CLERMONT HOSPITAL LLC

MERCY HEALTH - CLERMONT HOSPITAL LLC

NPI: 1568562551 · BATAVIA, OH 45103 · General Acute Care Hospital · NPI assigned 09/22/2006

$25.87M
Total Medicaid Paid
709,186
Total Claims
568,682
Beneficiaries
291
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRESTRIDGE, TIMOTHY (PRESIDENT MH CLERMONT)
NPI Enumeration Date09/22/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 78,879 $2.84M
2019 63,517 $2.45M
2020 51,876 $2.21M
2021 54,651 $2.30M
2022 67,779 $2.61M
2023 227,851 $7.79M
2024 164,633 $5.67M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 49,276 46,180 $5.90M
99284 Emergency department visit for the evaluation and management, high severity 36,088 32,851 $4.59M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 24,066 21,073 $3.24M
96361 Intravenous infusion, hydration; each additional hour 6,989 5,719 $1.57M
74177 Computed tomography, abdomen and pelvis; with contrast material 5,059 4,299 $1.30M
70450 Computed tomography, head or brain; without contrast material 4,668 4,000 $1.07M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 13,709 3,966 $733K
99282 Emergency department visit for the evaluation and management, low to moderate severity 6,335 6,062 $641K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,950 2,812 $445K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,754 1,055 $395K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,544 1,281 $391K
80053 Comprehensive metabolic panel 53,432 46,973 $372K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 7,389 2,227 $355K
G0378 Hospital observation service, per hour 4,859 2,058 $314K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,768 1,501 $233K
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 1,129 1,105 $216K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,838 1,778 $176K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 414 320 $167K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,431 648 $158K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 374 304 $150K
95813 222 212 $148K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 7,977 2,309 $138K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 622 540 $133K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,211 683 $126K
70496 606 500 $119K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 961 773 $117K
29581 1,522 555 $114K
97597 1,924 931 $106K
71250 1,170 1,073 $101K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,060 935 $100K
76642 741 669 $91K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 6,448 5,611 $90K
71046 Radiologic examination, chest; 2 views 9,044 8,258 $84K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 513 435 $84K
71271 545 508 $80K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,500 4,701 $72K
97161 1,781 1,501 $59K
84484 19,153 13,281 $58K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 58,811 49,909 $56K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,927 798 $56K
97016 1,857 511 $55K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 100 81 $53K
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 605 600 $52K
77067 Screening mammography, bilateral, including computer-aided detection 1,100 1,017 $52K
70491 165 137 $49K
12001 319 294 $49K
93017 514 433 $42K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 262 241 $37K
H2020 Therapeutic behavioral services, per diem 273 61 $37K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 22,970 19,510 $35K
74018 810 712 $33K
71045 Radiologic examination, chest; single view 11,621 10,238 $31K
72100 739 675 $29K
76536 255 222 $26K
36415 Collection of venous blood by venipuncture 38,175 29,636 $25K
70551 Magnetic resonance imaging, brain; without contrast material 156 142 $24K
80061 Lipid panel 1,401 1,276 $24K
80048 Basic metabolic panel (calcium, ionized) 4,460 3,200 $23K
84443 Thyroid stimulating hormone (TSH) 1,810 1,592 $22K
77065 Tomosynthesis, mammo 528 431 $18K
77066 Tomosynthesis, mammo 540 493 $18K
93798 330 39 $17K
73630 1,334 1,196 $15K
72125 Computed tomography, cervical spine; without contrast material 1,098 944 $15K
94618 189 172 $15K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 750 680 $14K
73030 972 854 $14K
70486 266 222 $13K
87522 Neg quan hep c or qual rna 292 233 $13K
86900 882 612 $13K
85610 4,028 3,202 $13K
80069 735 556 $13K
80320 813 733 $12K
73610 1,200 1,070 $12K
77063 Screening digital breast tomosynthesis, bilateral 1,065 986 $12K
73560 605 542 $12K
94060 418 373 $12K
94726 547 498 $12K
93975 157 128 $12K
93971 146 127 $12K
83036 Hemoglobin; glycosylated (A1C) 1,367 1,219 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,910 5,029 $12K
83605 6,201 4,349 $11K
90715 806 654 $11K
73130 1,063 925 $11K
73562 679 607 $11K
76830 Ultrasound, transvaginal 416 344 $10K
64721 13 13 $10K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 19,029 16,599 $10K
96375 Therapeutic injection; each additional sequential IV push 12,507 10,406 $10K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 757 739 $10K
72131 176 148 $10K
83690 11,881 10,263 $10K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 959 839 $10K
95810 Polysomnography; sleep staging with 4 or more additional parameters 14 13 $10K
90853 Group psychotherapy (other than of a multiple-family group) 208 39 $9K
86140 1,001 708 $9K
84703 15,951 14,041 $9K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 42 39 $9K
76770 69 63 $9K
97116 299 142 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,190 3,748 $8K
84439 519 467 $8K
73502 444 384 $8K
80076 1,025 795 $8K
81001 17,887 15,898 $7K
12002 43 38 $7K
82607 492 441 $7K
83880 3,226 2,749 $7K
94729 582 527 $7K
73110 800 699 $7K
12011 40 38 $7K
87086 Culture, bacterial; quantitative colony count, urine 3,605 3,175 $6K
82077 3,430 2,702 $6K
72040 148 133 $6K
74174 30 25 $6K
82565 801 662 $6K
70498 587 490 $6K
83735 4,790 3,580 $6K
87506 78 64 $6K
96368 203 161 $6K
10060 35 29 $6K
85027 1,456 1,173 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 873 731 $6K
96367 728 472 $5K
83550 500 456 $5K
86850 718 481 $5K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 29 29 $5K
80074 248 206 $5K
82728 373 318 $5K
36430 55 37 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 11,682 5,494 $5K
86701 131 112 $4K
76870 56 42 $4K
97162 226 185 $4K
83970 139 124 $4K
73140 322 284 $4K
81003 8,965 7,976 $4K
83540 518 470 $4K
73080 385 344 $4K
82570 426 356 $3K
85652 874 679 $3K
73590 369 331 $3K
80329 446 234 $3K
84702 609 464 $3K
96376 1,981 1,218 $3K
87040 2,308 1,039 $3K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 310 284 $3K
83516 109 84 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 858 718 $3K
97535 Self-care/home management training, each 15 minutes 106 74 $3K
17250 129 66 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 901 697 $3K
71101 169 148 $3K
87390 126 110 $2K
87081 3,344 2,994 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor 14 13 $2K
86702 128 111 $2K
80143 1,913 1,604 $2K
85379 1,855 1,616 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 44 42 $2K
97166 55 50 $2K
82746 384 342 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,379 1,344 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 12 12 $2K
00731 295 232 $2K
72141 12 12 $2K
76801 17 13 $2K
87324 140 116 $1K
86706 59 43 $1K
85730 709 567 $1K
82803 2,515 1,968 $1K
82784 70 55 $1K
86901 881 612 $1K
93970 13 12 $1K
80179 1,862 1,570 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,254 3,852 $1K
J0500 Injection, dicyclomine hcl, up to 20 mg 56 38 $1K
84156 232 203 $1K
97165 13 13 $1K
87186 1,059 844 $990.17
87077 1,204 906 $943.16
87449 193 151 $898.89
82550 567 414 $892.28
87210 603 499 $883.03
72070 20 15 $880.57
87340 47 30 $862.70
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 14 13 $855.74
73090 208 182 $799.95
87070 558 388 $782.61
J1650 Injection, enoxaparin sodium, 10 mg 1,695 746 $747.43
97014 22 12 $721.41
84520 94 65 $658.07
82105 70 58 $608.71
84145 816 658 $589.09
86480 13 12 $583.91
83013 14 12 $562.51
86038 35 30 $541.75
87336 57 48 $530.45
J1885 Injection, ketorolac tromethamine, per 15 mg 11,212 9,467 $522.14
87328 57 48 $472.79
J1170 Injection, hydromorphone, up to 4 mg 1,505 934 $459.78
84550 103 80 $433.56
87205 559 346 $433.06
J2270 Injection, morphine sulfate, up to 10 mg 1,542 960 $407.38
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 10,184 8,803 $387.41
87807 369 310 $271.19
J1953 Injection, levetiracetam, 10 mg 24 15 $269.13
82785 19 15 $264.19
82103 14 12 $254.97
87088 191 163 $216.05
82653 17 12 $206.18
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 124 117 $204.24
86803 15 12 $198.06
82140 108 84 $196.20
J2405 Injection, ondansetron hydrochloride, per 1 mg 10,220 8,108 $192.60
J7030 Infusion, normal saline solution , 1000 cc 2,499 2,101 $182.71
J0780 Injection, prochlorperazine, up to 10 mg 506 386 $164.44
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,578 1,200 $145.63
00910 60 50 $128.72
J2704 Injection, propofol, 10 mg 4,840 2,876 $126.00
82043 18 13 $111.95
J3370 Injection, vancomycin hcl, 500 mg 643 362 $107.90
84100 67 42 $104.83
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 243 199 $104.10
85048 13 12 $99.77
83993 19 12 $99.51
85018 97 50 $95.71
J1644 Injection, heparin sodium, per 1000 units 700 389 $93.89
J0131 Injection, acetaminophen, not otherwise specified,10 mg 17 15 $84.40
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,241 1,728 $82.86
85014 65 38 $79.29
J2785 Injection, regadenoson, 0.1 mg 256 210 $73.51
J0696 Injection, ceftriaxone sodium, per 250 mg 1,176 802 $72.37
88304 439 349 $70.02
82270 156 133 $68.14
J2765 Injection, metoclopramide hcl, up to 10 mg 720 550 $67.73
J2060 Injection, lorazepam, 2 mg 743 561 $63.01
J3010 Injection, fentanyl citrate, 0.1 mg 2,585 2,029 $62.09
J3475 Injection, magnesium sulfate, per 500 mg 643 465 $55.25
J1790 Injection, droperidol, up to 5 mg 420 343 $54.69
J2919 Injection, methylprednisolone sodium succinate, 5 mg 277 179 $53.36
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 47 26 $51.64
J3490 Unclassified drugs 46 15 $47.65
J0690 Injection, cefazolin sodium, 500 mg 974 670 $44.83
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 846 636 $39.50
84450 15 13 $39.03
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 415 312 $35.10
J7120 Ringers lactate infusion, up to 1000 cc 543 457 $31.68
J7050 Infusion, normal saline solution, 250 cc 275 203 $30.82
J0692 Injection, cefepime hydrochloride, 500 mg 169 73 $30.18
J2470 Injection, pantoprazole sodium, 40 mg 95 62 $26.75
84460 13 13 $26.00
84132 121 101 $25.85
94761 735 295 $20.52
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 562 494 $18.82
C1769 Guide wire 59 45 $16.94
J3480 Injection, potassium chloride, per 2 meq 210 111 $14.62
J1171 Injection, hydromorphone, 0.1 mg 90 66 $13.75
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 328 274 $11.70
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 461 322 $11.66
J2360 Injection, orphenadrine citrate, up to 60 mg 31 26 $9.50
82010 95 80 $8.01
J1630 Injection, haloperidol, up to 5 mg 33 26 $6.75
J2250 Injection, midazolam hydrochloride, per 1 mg 1,491 1,112 $5.63
J1940 Injection, furosemide, up to 20 mg 37 25 $3.68
J8540 Dexamethasone, oral, 0.25 mg 28 24 $1.97
J0456 Injection, azithromycin, 500 mg 38 25 $1.79
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 382 354 $0.12
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 34 26 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 637 551 $0.00
A4648 Tissue marker, implantable, any type, each 42 26 $0.00
88342 156 111 $0.00
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 15 13 $0.00
94760 75 67 $0.00
C1819 Surgical tissue localization and excision device (implantable) 39 24 $0.00
00790 15 13 $0.00
C9399 Unclassified drugs or biologicals 16 14 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 14 13 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 35 33 $0.00
82150 19 15 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 14 13 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 13 13 $0.00
29125 136 121 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 72 63 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 63 35 $0.00
01810 46 43 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 12 12 $0.00
00811 13 12 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 12 12 $0.00
00812 15 12 $0.00