Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Davis Memorial Hospital

Davis Memorial Hospital was paid $20.09M by Medicaid between Jan 2018 and Dec 2024, across 290 billing codes. Its largest line is 99283, emergency room visit (moderate) — 15% of everything it billed.

33Billing provider infoDAVIS MEMORIAL HOSPITAL
ELKINS, WV 26241
33aNPI1619964806assigned 10/03/2005
28Total paid$20.09M
24GClaims665,743
24DCodes billed290
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in West Virginia

Rank by total paid#13 of 26
Median peer was paid$18.33M
This provider vs. median1.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018107,280$5.39M
201976,118$3.25M
2020117,203$4.45M
2021116,117$2.45M
202273,984$1.58M
202392,818$1.70M
2024incomplete82,223$1.27M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 15% 39,750 33,454 $3.04M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 15% 26,169 21,206 $3.02M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.1% 2,719 2,306 $622K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.8% 49,940 37,238 $573K
74176 Computed tomography, abdomen and pelvis; without contrast material 2.2% 4,784 4,221 $443K
80053 Comprehensive metabolic panel 2.0% 22,193 18,607 $411K
80048 Basic metabolic panel (calcium, ionized) 1.8% 28,387 20,709 $371K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.8% 3,555 2,512 $359K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.5% 1,799 1,539 $309K
87428 1.4% 8,758 7,765 $277K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.4% 21,038 17,161 $277K
J3010 Injection, fentanyl citrate, 0.1 mg 1.3% 5,150 3,810 $267K
278 more codes
J2405 Injection, ondansetron hydrochloride, per 1 mg 1.3% 9,238 $267K
J2250 Injection, midazolam hydrochloride, per 1 mg 1.3% 5,655 $258K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1.2% 706 $236K
70450 Computed tomography, head or brain; without contrast material 1.2% 4,267 $234K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.2% 9,949 $232K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.2% 7,099 $231K
96375 Therapeutic injection; each additional sequential IV push 1.1% 8,792 $215K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.1% 4,638 $212K
84443 Thyroid stimulating hormone (TSH) <1% 11,101 $191K
81001 <1% 20,571 $184K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 1,457 $182K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 10,584 $179K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 719 $168K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 4,921 $167K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 10,255 $164K
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,270 $158K
99213 Doctor's office visit, returning patient (routine) <1% 13,007 $148K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 4,351 $146K
71045 Radiologic examination, chest; single view <1% 10,305 $139K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 3,691 $139K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 7,323 $138K
J7050 Infusion, normal saline solution, 250 cc <1% 2,774 $133K
84484 <1% 11,284 $133K
71046 Radiologic examination, chest; 2 views <1% 5,183 $129K
G0378 Hospital observation service, per hour <1% 2,424 $127K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,424 $126K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 4,970 $126K
80061 Lipid panel <1% 8,698 $124K
80076 <1% 9,956 $120K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 6,382 $117K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 13,495 $116K
96361 Intravenous infusion, hydration; each additional hour <1% 5,393 $112K
J0690 Injection, cefazolin sodium, 500 mg <1% 1,550 $109K
36415 Collection of venous blood by venipuncture <1% 12,132 $104K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 697 $102K
87088 <1% 8,459 $99K
93017 <1% 885 $99K
71250 <1% 1,787 $98K
44361 <1% 619 $96K
83735 <1% 5,816 $94K
J2357 Injection, omalizumab, 5 mg <1% 379 $92K
83615 <1% 2,940 $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% 1,245 $86K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,156 $86K
J7030 Infusion, normal saline solution , 1000 cc <1% 2,982 $86K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 3,509 $77K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 2,187 $75K
43254 <1% 459 $75K
45390 <1% 453 $75K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 2,185 $74K
83036 Hemoglobin; glycosylated (A1C) <1% 6,338 $73K
83690 <1% 7,145 $70K
72125 Computed tomography, cervical spine; without contrast material <1% 952 $70K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 1,381 $67K
71275 Computed tomographic angiography, chest, with contrast material <1% 398 $64K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 2,605 $62K
J2785 Injection, regadenoson, 0.1 mg <1% 500 $61K
83880 <1% 3,869 $61K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,470 $58K
81025 <1% 2,786 $58K
96376 <1% 2,787 $57K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 8,030 $57K
41899 Unlisted procedure, dentoalveolar structures <1% 29 $57K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 507 $56K
87077 <1% 3,651 $54K
87186 <1% 3,586 $53K
93971 <1% 509 $52K
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 1,090 $51K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 780 $50K
J1170 Injection, hydromorphone, up to 4 mg <1% 1,684 $49K
82948 <1% 2,269 $47K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 519 $44K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 2,641 $44K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,520 $44K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 604 $43K
85610 <1% 7,496 $42K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 110 $41K
86140 <1% 5,170 $39K
73630 <1% 1,904 $39K
82607 <1% 2,834 $39K
84439 <1% 2,769 $37K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 891 $37K
85730 <1% 5,368 $36K
82803 <1% 1,988 $35K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 986 $31K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,099 $31K
87040 <1% 2,253 $31K
84703 <1% 1,629 $31K
73610 <1% 1,264 $31K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 2,267 $30K
96401 <1% 949 $30K
73562 <1% 780 $27K
73130 <1% 951 $27K
J1650 Injection, enoxaparin sodium, 10 mg <1% 1,712 $27K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 269 $24K
87807 <1% 1,473 $24K
20610 <1% 936 $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 <1% 2,413 $23K
82550 <1% 1,663 $23K
85379 <1% 1,605 $22K
74022 <1% 577 $22K
73030 <1% 1,222 $22K
83605 <1% 2,286 $21K
87070 <1% 408 $21K
88304 <1% 195 $21K
73110 <1% 763 $20K
85027 <1% 2,156 $20K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 151 $20K
74018 <1% 823 $20K
82728 <1% 1,499 $20K
70486 <1% 222 $20K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,603 $19K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,092 $19K
84702 <1% 582 $19K
46946 <1% 91 $19K
99156 <1% 824 $19K
C8957 Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump <1% 361 $18K
80081 <1% 261 $18K
77063 Screening digital breast tomosynthesis, bilateral <1% 762 $17K
73502 <1% 892 $17K
80050 General health panel <1% 530 $17K
82150 <1% 907 $16K
72110 <1% 319 $16K
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,722 $15K
86803 <1% 590 $15K
96367 <1% 661 $15K
84481 <1% 466 $14K
87205 <1% 369 $14K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,572 $13K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 310 $13K
11721 <1% 1,684 $13K
82565 <1% 1,088 $12K
83655 <1% 750 $12K
80074 <1% 276 $11K
84550 <1% 805 $11K
82962 <1% 5,800 $11K
83540 <1% 1,386 $11K
86900 <1% 988 $10K
86901 <1% 988 $9K
82947 <1% 609 $9K
80305 <1% 1,166 $9K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 30 $9K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 391 $9K
85652 <1% 1,229 $9K
84520 <1% 445 $9K
83550 <1% 1,107 $9K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,467 $9K
85014 <1% 1,242 $8K
85018 <1% 1,243 $8K
74178 <1% 64 $8K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 119 $8K
84482 <1% 247 $8K
90715 <1% 215 $8K
76641 <1% 111 $7K
73560 <1% 430 $7K
87653 <1% 186 $7K
76770 <1% 84 $7K
J0697 Injection, sterile cefuroxime sodium, per 750 mg <1% 12 $6K
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 25 $6K
82043 <1% 907 $6K
82570 <1% 833 $6K
46930 <1% 27 $6K
81002 <1% 1,059 $6K
94060 <1% 129 $5K
73070 <1% 169 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 593 $5K
84100 <1% 469 $4K
73590 <1% 207 $4K
85007 <1% 765 $4K
90686 <1% 563 $4K
93880 <1% 45 $4K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 285 $3K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring <1% 14 $3K
27096 <1% 17 $3K
43233 <1% 22 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 389 $3K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 13 $3K
86376 <1% 122 $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 <1% 161 $3K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 105 $3K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 15 $3K
J2704 Injection, propofol, 10 mg <1% 5,398 $3K
76536 <1% 52 $3K
12001 <1% 48 $3K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 12 $3K
82950 <1% 184 $3K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 21 $2K
J2550 Injection, promethazine hcl, up to 50 mg <1% 100 $2K
86800 <1% 105 $2K
93225 <1% 55 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 113 $2K
82140 <1% 61 $2K
73090 <1% 49 $2K
84460 <1% 232 $2K
J1940 Injection, furosemide, up to 20 mg <1% 27 $2K
36591 <1% 68 $2K
86850 <1% 188 $2K
84450 <1% 211 $2K
76642 <1% 62 $2K
87522 Neg quan hep c or qual rna <1% 14 $2K
J1815 Injection, insulin, per 5 units <1% 1,505 $2K
96523 <1% 122 $2K
72100 <1% 86 $1K
78815 Positron emission tomography (PET) for limited area imaging <1% 13 $1K
90472 Immunization administration, each additional vaccine (list separately) <1% 107 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 18 $1K
87081 <1% 62 $1K
70496 <1% 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 <1% 15 $1K
70498 <1% 12 $1K
J2060 Injection, lorazepam, 2 mg <1% 137 $1K
94729 <1% 27 $1K
99214 Doctor's office visit, returning patient (more involved) <1% 72 $1K
99157 <1% 39 $1K
82248 <1% 61 $1K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 100 $1K
86038 <1% 76 $1K
90619 <1% 17 $1K
30140 <1% 19 $980.00
94727 <1% 15 $961.06
83970 <1% 28 $951.17
62323 <1% 25 $919.62
J1626 Injection, granisetron hydrochloride, 100 mcg <1% 78 $902.64
87808 <1% 70 $894.40
84156 <1% 86 $806.92
84153 <1% 54 $797.56
84480 <1% 59 $794.18
77066 Tomosynthesis, mammo <1% 16 $738.33
74160 <1% 13 $654.82
99490 Ccm add 20min <1% 200 $595.80
87209 <1% 41 $562.78
86618 <1% 41 $554.05
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 451 $517.33
87177 <1% 41 $507.80
G0008 Administration of influenza virus vaccine <1% 373 $505.76
82274 <1% 18 $501.72
76830 Ultrasound, transvaginal <1% 13 $448.44
87493 <1% 14 $436.02
99203 Doctor's office visit, new patient (routine) <1% 41 $424.20
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 13 $416.97
80164 <1% 18 $393.26
J1010 Injection, methylprednisolone acetate, 1 mg <1% 199 $387.04
82533 <1% 26 $379.84
72070 <1% 13 $378.29
87045 <1% 36 $353.08
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 28 $330.18
86431 <1% 13 $244.79
Q3014 Telehealth originating site facility fee <1% 45 $234.96
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 927 $230.69
77002 <1% 14 $212.00
86922 <1% 15 $178.55
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 34 $176.05
90474 <1% 29 $175.34
84145 <1% 30 $170.58
A9270 Non-covered item or service <1% 517 $167.96
73564 <1% 36 $167.91
73552 <1% 12 $150.26
99201 <1% 17 $146.07
84436 <1% 13 $131.22
J1644 Injection, heparin sodium, per 1000 units <1% 17 $118.22
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 14 $101.75
J1040 Injection, methylprednisolone acetate, 80 mg <1% 19 $77.54
J3480 Injection, potassium chloride, per 2 meq <1% 49 $73.26
76376 <1% 280 $47.10
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 68 $42.62
J3475 Injection, magnesium sulfate, per 500 mg <1% 198 $34.65
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 61 $33.83
90744 <1% 14 $29.89
86885 <1% 15 $21.44
93356 <1% 239 $19.48
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 32 $18.01
G0009 Administration of pneumococcal vaccine <1% 13 $6.46
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 60 $0.75
90698 0% 64 $0.00
90651 0% 17 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 0% 28 $0.00
90680 0% 17 $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 0% 19 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialDEMPSEY, MELANIE (INTERIM CFO)