Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › GA › AMERICUS › PHOEBE SUMTER MEDICAL CENTER, INC.

PHOEBE SUMTER MEDICAL CENTER, INC.

NPI: 1609001312 · AMERICUS, GA 31719 · General Acute Care Hospital · NPI assigned 05/26/2009

$16.49M
Total Medicaid Paid
588,776
Total Claims
468,395
Beneficiaries
248
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOUDERMILK, KERRY (SR. VP / CFO)
NPI Enumeration Date05/26/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 89,074 $2.66M
2019 95,356 $2.51M
2020 78,352 $1.96M
2021 87,023 $2.31M
2022 90,993 $2.70M
2023 87,492 $2.59M
2024 60,486 $1.77M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 33,714 31,266 $2.79M
99283 Emergency department visit for the evaluation and management, moderate severity 23,774 21,522 $1.56M
74177 Computed tomography, abdomen and pelvis; with contrast material 3,018 2,845 $1.26M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 6,106 5,528 $781K
70450 Computed tomography, head or brain; without contrast material 3,970 3,679 $679K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 7,232 5,437 $547K
96361 Intravenous infusion, hydration; each additional hour 7,361 5,902 $516K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,611 1,522 $471K
96375 Therapeutic injection; each additional sequential IV push 10,723 8,086 $467K
99282 Emergency department visit for the evaluation and management, low to moderate severity 7,643 7,001 $423K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 10,416 8,810 $356K
G0378 Hospital observation service, per hour 3,933 1,851 $303K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13,455 9,719 $292K
80053 Comprehensive metabolic panel 35,886 28,239 $261K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,310 1,211 $257K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,298 1,198 $240K
71045 Radiologic examination, chest; single view 8,127 7,054 $224K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,048 4,368 $222K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 10,516 9,055 $206K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 38,017 28,581 $203K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,847 2,716 $192K
87428 3,002 2,898 $180K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,361 1,756 $176K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 362 352 $169K
71046 Radiologic examination, chest; 2 views 4,918 4,632 $155K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,965 1,082 $141K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,603 3,175 $140K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,781 4,193 $129K
96367 2,313 1,353 $129K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 13,102 2,554 $127K
96376 3,473 2,284 $126K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,283 2,065 $124K
77067 Screening mammography, bilateral, including computer-aided detection 1,499 1,448 $112K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,998 1,885 $101K
0202U Oncology (prostate), multianalyte, gene expression profiling 289 281 $91K
72125 Computed tomography, cervical spine; without contrast material 322 300 $73K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,557 2,384 $71K
83880 2,795 2,381 $62K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 355 294 $60K
84443 Thyroid stimulating hormone (TSH) 4,214 3,912 $58K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,252 2,084 $57K
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 720 675 $50K
84484 6,421 5,198 $49K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,466 3,282 $44K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,906 1,643 $44K
87430 5,258 5,058 $42K
82553 4,791 4,112 $42K
73562 990 896 $42K
81025 6,931 6,337 $40K
81001 16,145 13,896 $39K
36591 4,438 2,707 $39K
74018 1,406 1,276 $38K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,590 1,522 $37K
87070 5,522 5,296 $34K
83735 8,221 6,098 $34K
97530 Therapeutic activities, direct patient contact, each 15 minutes 7,471 1,850 $32K
80048 Basic metabolic panel (calcium, ionized) 5,697 3,849 $31K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,590 1,522 $31K
59025 Fetal non-stress test 369 286 $29K
97162 1,326 1,163 $29K
87086 Culture, bacterial; quantitative colony count, urine 4,255 3,937 $28K
76705 Ultrasound, abdominal, real time with image documentation; limited 507 495 $28K
88312 575 558 $27K
80320 1,658 1,387 $27K
99281 Emergency department visit for the evaluation and management, self-limited or minor 488 458 $26K
80061 Lipid panel 2,798 2,677 $26K
87040 2,635 2,271 $25K
73030 660 598 $25K
82803 1,669 1,334 $25K
87631 617 594 $24K
73630 463 433 $23K
82948 7,953 4,737 $23K
73610 566 529 $23K
J2270 Injection, morphine sulfate, up to 10 mg 5,629 4,356 $21K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 318 303 $21K
82728 2,576 2,375 $21K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 143 140 $21K
85027 5,242 4,222 $21K
77063 Screening digital breast tomosynthesis, bilateral 1,474 1,423 $19K
96368 518 374 $19K
APT15 1,906 1,386 $19K
J3010 Injection, fentanyl citrate, 0.1 mg 4,162 3,706 $19K
83690 3,745 3,344 $19K
64450 721 669 $19K
82607 1,743 1,632 $18K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 109 102 $18K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 78 78 $18K
84466 2,352 2,214 $17K
76641 390 340 $17K
J1815 Injection, insulin, per 5 units 1,429 818 $17K
86850 1,776 1,495 $16K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,254 1,236 $16K
82550 5,498 4,668 $16K
93971 190 179 $16K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 43 37 $16K
83036 Hemoglobin; glycosylated (A1C) 1,825 1,746 $15K
J1439 Injection, ferric carboxymaltose, 1 mg 45 24 $15K
97803 1,023 991 $15K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 602 586 $14K
71250 162 152 $13K
86140 2,640 2,338 $13K
36600 1,643 1,321 $13K
97116 2,669 845 $13K
86901 1,991 1,651 $12K
87512 255 249 $12K
87077 1,704 1,586 $11K
87186 1,646 1,535 $11K
83605 1,505 1,278 $11K
96523 590 437 $11K
J1885 Injection, ketorolac tromethamine, per 15 mg 6,072 5,267 $11K
72100 283 269 $10K
J0690 Injection, cefazolin sodium, 500 mg 2,505 1,982 $10K
73130 233 204 $10K
83540 2,401 2,260 $9K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 938 230 $9K
J2405 Injection, ondansetron hydrochloride, per 1 mg 12,513 9,601 $9K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,720 3,123 $9K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 315 310 $9K
J0897 Injection, denosumab, 1 mg 28 24 $9K
85730 2,351 2,079 $8K
85610 3,272 2,444 $8K
J1170 Injection, hydromorphone, up to 4 mg 5,075 3,087 $8K
J1756 Injection, iron sucrose, 1 mg 407 172 $8K
82746 924 861 $7K
36415 Collection of venous blood by venipuncture 23,021 17,771 $6K
87807 620 596 $6K
81003 4,238 3,867 $6K
86900 2,242 1,653 $6K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 5,366 4,076 $6K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,449 401 $6K
88304 259 241 $6K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 544 499 $5K
73502 197 179 $5K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,675 2,394 $5K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,473 1,274 $5K
84702 659 540 $4K
97161 499 468 $4K
76801 44 37 $4K
J2550 Injection, promethazine hcl, up to 50 mg 2,041 1,469 $4K
85379 590 534 $4K
J3475 Injection, magnesium sulfate, per 500 mg 2,033 1,358 $4K
96417 44 26 $4K
85651 1,104 966 $4K
76642 78 67 $4K
J2060 Injection, lorazepam, 2 mg 1,014 778 $3K
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 1,378 1,296 $3K
84439 408 386 $3K
87899 266 199 $3K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 14 14 $3K
73110 69 65 $3K
J2795 Injection, ropivacaine hydrochloride, 1 mg 243 215 $3K
86703 173 161 $2K
99460 28 27 $2K
80076 317 304 $2K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 5,419 2,628 $2K
APT17 157 155 $2K
90715 133 105 $2K
94060 14 13 $2K
74019 69 68 $2K
87481 40 40 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 147 127 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg 5,808 5,138 $2K
82565 711 645 $2K
73560 58 54 $2K
99238 Hospital discharge day management, 30 minutes or less 30 29 $2K
0240U 13 13 $2K
88313 51 51 $2K
73221 13 12 $2K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 655 414 $2K
97535 Self-care/home management training, each 15 minutes 411 218 $1K
83718 126 124 $1K
96415 40 27 $1K
93017 29 25 $1K
84436 235 214 $1K
94618 31 29 $1K
99406 709 651 $1K
85045 324 234 $1K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 2,159 1,861 $1K
83615 456 394 $1K
84479 204 185 $1K
J2360 Injection, orphenadrine citrate, up to 60 mg 304 281 $1K
APT16 74 69 $985.32
97802 25 24 $969.66
83520 82 78 $948.92
51702 46 40 $942.00
80329 29 27 $922.14
J1650 Injection, enoxaparin sodium, 10 mg 314 104 $919.46
J0561 Injection, penicillin g benzathine, 100,000 units 17 16 $885.02
82784 84 79 $834.78
86923 59 50 $828.81
96411 19 12 $763.31
J1644 Injection, heparin sodium, per 1000 units 1,199 624 $723.61
82570 188 161 $679.82
77065 Tomosynthesis, mammo 16 13 $676.16
84145 206 147 $674.50
J1200 Injection, diphenhydramine hcl, up to 50 mg 836 581 $638.72
76937 15 12 $636.64
84520 312 297 $551.08
36430 33 24 $536.33
72081 12 12 $461.74
P9016 Red blood cells, leukocytes reduced, each unit 16 12 $456.11
J7510 Prednisolone oral, per 5 mg 129 127 $453.37
J3370 Injection, vancomycin hcl, 500 mg 61 42 $439.22
83655 39 38 $426.87
76770 14 14 $417.01
87799 52 52 $404.44
J0330 Injection, succinylcholine chloride, up to 20 mg 28 25 $388.35
97032 65 26 $375.03
J2919 Injection, methylprednisolone sodium succinate, 5 mg 130 112 $354.61
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 32 26 $328.28
84153 27 26 $312.63
86696 12 12 $295.39
J2175 Injection, meperidine hydrochloride, per 100 mg 62 49 $285.06
J1953 Injection, levetiracetam, 10 mg 13 12 $283.85
82274 14 14 $258.76
87400 39 35 $241.30
A9577 Injection, gadobenate dimeglumine (multihance), per ml 15 15 $203.32
86695 12 12 $201.24
82947 43 41 $195.02
86592 42 40 $176.04
87147 51 50 $162.00
J1630 Injection, haloperidol, up to 5 mg 168 155 $154.19
87205 74 71 $151.03
J1940 Injection, furosemide, up to 20 mg 432 327 $146.07
86038 13 12 $143.27
J2785 Injection, regadenoson, 0.1 mg 15 13 $141.36
J1171 Injection, hydromorphone, 0.1 mg 69 47 $140.12
J3480 Injection, potassium chloride, per 2 meq 154 110 $123.45
84100 58 38 $79.97
81002 26 26 $79.44
85018 49 39 $78.78
84450 13 13 $77.85
82272 28 26 $76.65
84460 12 12 $71.50
82043 15 13 $54.55
84156 17 13 $49.70
J0780 Injection, prochlorperazine, up to 10 mg 12 12 $48.56
84550 13 12 $47.62
85014 36 27 $46.59
J0360 Injection, hydralazine hcl, up to 20 mg 12 12 $33.16
97150 Therapeutic procedure(s), group (2 or more individuals) 840 249 $23.80
84155 24 24 $18.35
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 36 25 $17.19
A9270 Non-covered item or service 5,254 2,775 $0.34
V2632 Posterior chamber intraocular lens 109 94 $0.00
P9612 Catheterization for collection of specimen, single patient, all places of service 13 13 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 189 148 $0.00
J8499 Prescription drug, oral, non chemotherapeutic, nos 17 17 $0.00