ST JOSEPH HOSPITAL OF ORANGE

$2.27M

Total Medicaid Paid

180,893

Total Claims

41,018

Beneficiaries

45

Codes Billed

2018-01

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
A4913	Misc dialysis supplies noc	18,045	1,112	$1.18M
80048		769	757	$344K
85027		6,710	2,223	$302K
80053		428	424	$239K
86803		600	471	$102K
90999		38,583	2,311	$66K
Q4081	Epoetin alfa, 100 units esrd	27,196	1,901	$16K
A9270	Non-covered item or service	500	297	$4K
J2501	Paricalcitol	24,798	1,756	$3K
82040		3,032	2,201	$3K
J1644	Inj heparin sodium per 1000u	11,684	760	$2K
82310		2,426	1,347	$1K
83970		2,073	1,446	$1K
82947		2,104	1,253	$1K
J1756	Iron sucrose injection	3,523	1,161	$996.52
82728		1,025	737	$789.69
82565		2,203	1,346	$632.39
84132		2,779	1,350	$567.33
82374		2,203	1,346	$467.87
83550		3,036	2,078	$400.38
83540		3,006	2,213	$385.89
82247		744	443	$383.72
84520		4,951	1,868	$254.42
84100		3,291	2,203	$251.66
82435		2,206	1,349	$241.40
84460		2,162	1,358	$144.22
84075		812	480	$142.93
83036		485	348	$116.96
84295		2,207	1,349	$78.90
82306		342	209	$76.15
84450		742	443	$75.08
84155		744	443	$57.44
83735		674	507	$55.59
84550		675	509	$29.30
G0008	Admin influenza virus vac	132	94	$26.25
82465		520	381	$16.50
86706		221	150	$15.55
87340		219	150	$11.78
90686		89	69	$8.86
0270		734	33	$0.00
0250		27	26	$0.00
Q2036	Flulaval vacc, 3 yrs & >, im	43	25	$0.00
0301		1,469	33	$0.00
0634		516	25	$0.00
0300		165	33	$0.00

Medicaid Provider Spending