Medicaid Provider Spending

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

EXCELSIOR SPRINGS CITY HOSPITAL

NPI: 1609870310 · EXCELSIOR SPRINGS, MO 64024 · Critical Access Hospital · NPI assigned 06/09/2005

$1.54M
Total Medicaid Paid
15,273
Total Claims
12,534
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNANCE, SALLY (CEO)
NPI Enumeration Date06/09/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,141 $194K
2019 642 $182K
2020 360 $85K
2021 1,566 $78K
2022 3,529 $343K
2023 4,648 $374K
2024 3,387 $283K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 4,799 3,950 $730K
99284 Emergency department visit for the evaluation and management, high severity 1,148 882 $229K
Y7506 759 629 $179K
99282 Emergency department visit for the evaluation and management, low to moderate severity 655 609 $158K
X4011 State-specific procedure code 281 240 $119K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 106 86 $45K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,147 1,642 $15K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 30 27 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 908 739 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,130 955 $8K
80053 Comprehensive metabolic panel 854 745 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 954 761 $7K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 187 170 $3K
90792 Psychiatric diagnostic evaluation with medical services 77 72 $3K
X4003 215 193 $2K
71046 Radiologic examination, chest; 2 views 25 22 $2K
87631 29 26 $2K
84443 Thyroid stimulating hormone (TSH) 90 81 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 17 13 $950.15
80048 Basic metabolic panel (calcium, ionized) 132 116 $860.24
80305 107 97 $814.80
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 21 14 $701.51
87430 27 26 $512.74
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 18 12 $510.12
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 18 13 $484.61
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 37 30 $444.39
87400 29 29 $412.14
81025 70 63 $392.21
81001 66 53 $330.17
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 58 41 $176.55
85027 31 27 $162.95
J3490 Unclassified drugs 20 13 $129.42
87081 17 17 $72.23
84484 20 15 $71.58
83690 15 14 $69.20
99070 31 12 $62.94
83735 12 12 $53.65
36415 Collection of venous blood by venipuncture 133 88 $13.30