Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WV › ELKINS › DAVIS MEMORIAL HOSPITAL

DAVIS MEMORIAL HOSPITAL

NPI: 1619964806 · ELKINS, WV 26241 · General Acute Care Hospital · NPI assigned 10/03/2005

$20.09M
Total Medicaid Paid
665,743
Total Claims
532,243
Beneficiaries
290
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDEMPSEY, MELANIE (INTERIM CFO)
NPI Enumeration Date10/03/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 107,280 $5.39M
2019 76,118 $3.25M
2020 117,203 $4.45M
2021 116,117 $2.45M
2022 73,984 $1.58M
2023 92,818 $1.70M
2024 82,223 $1.27M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 39,750 33,454 $3.04M
99284 Emergency department visit for the evaluation and management, high severity 26,169 21,206 $3.02M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,719 2,306 $622K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 49,940 37,238 $573K
74176 Computed tomography, abdomen and pelvis; without contrast material 4,784 4,221 $443K
80053 Comprehensive metabolic panel 22,193 18,607 $411K
80048 Basic metabolic panel (calcium, ionized) 28,387 20,709 $371K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,555 2,512 $359K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,799 1,539 $309K
87428 8,758 7,765 $277K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 21,038 17,161 $277K
J3010 Injection, fentanyl citrate, 0.1 mg 5,150 3,810 $267K
J2405 Injection, ondansetron hydrochloride, per 1 mg 9,238 6,895 $267K
J2250 Injection, midazolam hydrochloride, per 1 mg 5,655 4,032 $258K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 706 611 $236K
70450 Computed tomography, head or brain; without contrast material 4,267 3,751 $234K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 9,949 8,301 $232K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 7,099 6,299 $231K
96375 Therapeutic injection; each additional sequential IV push 8,792 6,258 $215K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,638 3,870 $212K
84443 Thyroid stimulating hormone (TSH) 11,101 10,101 $191K
81001 20,571 17,258 $184K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,457 802 $182K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 10,584 9,477 $179K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 719 623 $168K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,921 3,991 $167K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 10,255 6,491 $164K
J7120 Ringers lactate infusion, up to 1000 cc 2,270 1,673 $158K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,007 10,749 $148K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 4,351 2,989 $146K
71045 Radiologic examination, chest; single view 10,305 8,467 $139K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,691 2,841 $139K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 7,323 6,390 $138K
J7050 Infusion, normal saline solution, 250 cc 2,774 1,679 $133K
84484 11,284 7,076 $133K
71046 Radiologic examination, chest; 2 views 5,183 4,731 $129K
G0378 Hospital observation service, per hour 2,424 2,043 $127K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,424 1,308 $126K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,970 2,906 $126K
80061 Lipid panel 8,698 8,037 $124K
80076 9,956 8,362 $120K
J1885 Injection, ketorolac tromethamine, per 15 mg 6,382 5,162 $117K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 13,495 10,992 $116K
96361 Intravenous infusion, hydration; each additional hour 5,393 4,492 $112K
J0690 Injection, cefazolin sodium, 500 mg 1,550 1,057 $109K
36415 Collection of venous blood by venipuncture 12,132 10,355 $104K
45380 Colonoscopy, flexible; with biopsy, single or multiple 697 461 $102K
87088 8,459 7,193 $99K
93017 885 772 $99K
71250 1,787 1,625 $98K
44361 619 430 $96K
83735 5,816 4,140 $94K
J2357 Injection, omalizumab, 5 mg 379 225 $92K
83615 2,940 1,958 $90K
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 1,245 1,012 $86K
77067 Screening mammography, bilateral, including computer-aided detection 1,156 1,098 $86K
J7030 Infusion, normal saline solution , 1000 cc 2,982 2,260 $86K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,509 3,076 $77K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,187 1,985 $75K
43254 459 314 $75K
45390 453 293 $75K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,185 1,984 $74K
83036 Hemoglobin; glycosylated (A1C) 6,338 5,885 $73K
83690 7,145 5,991 $70K
72125 Computed tomography, cervical spine; without contrast material 952 865 $70K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,381 606 $67K
71275 Computed tomographic angiography, chest, with contrast material 398 361 $64K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,605 2,375 $62K
J2785 Injection, regadenoson, 0.1 mg 500 438 $61K
83880 3,869 3,192 $61K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,470 1,376 $58K
81025 2,786 2,367 $58K
96376 2,787 1,681 $57K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 8,030 6,216 $57K
41899 Unlisted procedure, dentoalveolar structures 29 12 $57K
71260 Computed tomography, thorax, diagnostic; with contrast material 507 456 $56K
87077 3,651 3,064 $54K
87186 3,586 3,072 $53K
93971 509 463 $52K
J0330 Injection, succinylcholine chloride, up to 20 mg 1,090 778 $51K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 780 707 $50K
J1170 Injection, hydromorphone, up to 4 mg 1,684 1,157 $49K
82948 2,269 1,007 $47K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 519 484 $44K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 2,641 1,445 $44K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,520 1,351 $44K
76705 Ultrasound, abdominal, real time with image documentation; limited 604 571 $43K
85610 7,496 5,863 $42K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 110 107 $41K
86140 5,170 4,421 $39K
73630 1,904 1,526 $39K
82607 2,834 2,635 $39K
84439 2,769 2,545 $37K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 891 807 $37K
85730 5,368 4,465 $36K
82803 1,988 1,612 $35K
99282 Emergency department visit for the evaluation and management, low to moderate severity 986 889 $31K
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,099 820 $31K
87040 2,253 1,364 $31K
84703 1,629 1,419 $31K
73610 1,264 1,120 $31K
J1030 Injection, methylprednisolone acetate, 40 mg 2,267 1,777 $30K
96401 949 620 $30K
73562 780 645 $27K
73130 951 808 $27K
J1650 Injection, enoxaparin sodium, 10 mg 1,712 1,014 $27K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 269 182 $24K
87807 1,473 1,310 $24K
20610 936 626 $23K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,413 2,085 $23K
82550 1,663 1,349 $23K
85379 1,605 1,405 $22K
74022 577 531 $22K
73030 1,222 1,017 $22K
83605 2,286 1,872 $21K
87070 408 362 $21K
88304 195 141 $21K
73110 763 657 $20K
85027 2,156 1,732 $20K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 151 141 $20K
74018 823 723 $20K
82728 1,499 1,363 $20K
70486 222 208 $20K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,603 1,086 $19K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,092 956 $19K
84702 582 401 $19K
46946 91 73 $19K
99156 824 503 $19K
C8957 Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump 361 283 $18K
80081 261 237 $18K
77063 Screening digital breast tomosynthesis, bilateral 762 717 $17K
73502 892 766 $17K
80050 General health panel 530 505 $17K
82150 907 751 $16K
72110 319 301 $16K
J2270 Injection, morphine sulfate, up to 10 mg 1,722 1,316 $15K
86803 590 533 $15K
96367 661 462 $15K
84481 466 442 $14K
87205 369 293 $14K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,572 1,875 $13K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 310 277 $13K
11721 1,684 1,610 $13K
82565 1,088 940 $12K
83655 750 693 $12K
80074 276 268 $11K
84550 805 732 $11K
82962 5,800 2,503 $11K
83540 1,386 1,240 $11K
86900 988 845 $10K
86901 988 845 $9K
82947 609 567 $9K
80305 1,166 564 $9K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 30 25 $9K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 391 369 $9K
85652 1,229 1,056 $9K
84520 445 367 $9K
83550 1,107 976 $9K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,467 1,205 $9K
85014 1,242 1,072 $8K
85018 1,243 1,075 $8K
74178 64 48 $8K
J2765 Injection, metoclopramide hcl, up to 10 mg 119 103 $8K
84482 247 238 $8K
90715 215 194 $8K
76641 111 91 $7K
73560 430 357 $7K
87653 186 167 $7K
76770 84 77 $7K
J0697 Injection, sterile cefuroxime sodium, per 750 mg 12 12 $6K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 25 12 $6K
82043 907 829 $6K
82570 833 737 $6K
46930 27 26 $6K
81002 1,059 973 $6K
94060 129 120 $5K
73070 169 154 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 593 552 $5K
84100 469 371 $4K
73590 207 180 $4K
85007 765 597 $4K
90686 563 519 $4K
93880 45 43 $4K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 285 232 $3K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 14 12 $3K
27096 17 16 $3K
43233 22 15 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 389 364 $3K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 13 13 $3K
86376 122 112 $3K
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 161 145 $3K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 105 96 $3K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 15 13 $3K
J2704 Injection, propofol, 10 mg 5,398 3,670 $3K
76536 52 51 $3K
12001 48 40 $3K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 12 12 $3K
82950 184 179 $3K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 21 12 $2K
J2550 Injection, promethazine hcl, up to 50 mg 100 76 $2K
86800 105 93 $2K
93225 55 52 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 113 102 $2K
82140 61 51 $2K
73090 49 39 $2K
84460 232 195 $2K
J1940 Injection, furosemide, up to 20 mg 27 24 $2K
36591 68 39 $2K
86850 188 171 $2K
84450 211 177 $2K
76642 62 54 $2K
87522 Neg quan hep c or qual rna 14 12 $2K
J1815 Injection, insulin, per 5 units 1,505 690 $2K
96523 122 101 $2K
72100 86 76 $1K
78815 Positron emission tomography (PET) for limited area imaging 13 13 $1K
90472 Immunization administration, each additional vaccine (list separately) 107 99 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete 18 17 $1K
87081 62 58 $1K
70496 14 14 $1K
G0482 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; 15-21 drug class(es), including metabolite(s) if performed 15 15 $1K
70498 12 12 $1K
J2060 Injection, lorazepam, 2 mg 137 113 $1K
94729 27 26 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 72 70 $1K
99157 39 13 $1K
82248 61 52 $1K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 100 84 $1K
86038 76 65 $1K
90619 17 13 $1K
30140 19 14 $980.00
94727 15 14 $961.06
83970 28 26 $951.17
62323 25 25 $919.62
J1626 Injection, granisetron hydrochloride, 100 mcg 78 24 $902.64
87808 70 68 $894.40
84156 86 68 $806.92
84153 54 50 $797.56
84480 59 55 $794.18
77066 Tomosynthesis, mammo 16 16 $738.33
74160 13 12 $654.82
99490 Ccm add 20min 200 196 $595.80
87209 41 29 $562.78
86618 41 33 $554.05
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 451 352 $517.33
87177 41 29 $507.80
G0008 Administration of influenza virus vaccine 373 348 $505.76
82274 18 13 $501.72
76830 Ultrasound, transvaginal 13 12 $448.44
87493 14 12 $436.02
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 41 39 $424.20
72148 Magnetic resonance imaging, lumbar spine; without contrast material 13 12 $416.97
80164 18 16 $393.26
J1010 Injection, methylprednisolone acetate, 1 mg 199 129 $387.04
82533 26 25 $379.84
72070 13 13 $378.29
87045 36 28 $353.08
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 28 13 $330.18
86431 13 12 $244.79
Q3014 Telehealth originating site facility fee 45 40 $234.96
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 927 789 $230.69
77002 14 14 $212.00
86922 15 15 $178.55
J1580 Injection, garamycin, gentamicin, up to 80 mg 34 27 $176.05
90474 29 27 $175.34
84145 30 27 $170.58
A9270 Non-covered item or service 517 374 $167.96
73564 36 24 $167.91
73552 12 12 $150.26
99201 17 16 $146.07
84436 13 12 $131.22
J1644 Injection, heparin sodium, per 1000 units 17 12 $118.22
96110 Developmental screening, with scoring and documentation, per standardized instrument 14 12 $101.75
J1040 Injection, methylprednisolone acetate, 80 mg 19 14 $77.54
J3480 Injection, potassium chloride, per 2 meq 49 28 $73.26
76376 280 232 $47.10
J2919 Injection, methylprednisolone sodium succinate, 5 mg 68 41 $42.62
J3475 Injection, magnesium sulfate, per 500 mg 198 140 $34.65
J2370 Injection, phenylephrine hcl, up to 1 ml 61 51 $33.83
90744 14 13 $29.89
86885 15 15 $21.44
93356 239 201 $19.48
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 32 24 $18.01
G0009 Administration of pneumococcal vaccine 13 13 $6.46
J2003 Injection, lidocaine hydrochloride, 1 mg 60 46 $0.75
90698 64 56 $0.00
90651 17 13 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 28 16 $0.00
90680 17 13 $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 19 12 $0.00