Hospital
Saint Thomas West Hospital
Saint Thomas West Hospital was paid $7.14M by Medicaid between Jan 2018 and Dec 2024, across 90 billing codes. Its largest line is 99284, emergency room visit (serious) — 46% of everything it billed.
33Billing provider infoSAINT THOMAS WEST HOSPITAL
NASHVILLE, TN 37205
NASHVILLE, TN 37205
33aNPI1629025648assigned 05/27/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$7.14M
24GClaims194,761
24DCodes billed90
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Tennessee
Rank by total paid#35 of 71
Median peer was paid$6.96M
This provider vs. median1.0×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official DAVIS, LISA controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,103 | $112K | |
| 2019 | 5,110 | $129K | |
| 2020 | 17,423 | $618K | |
| 2021 | 40,943 | $1.67M | |
| 2022 | 41,674 | $1.68M | |
| 2023 | 59,659 | $1.98M | |
| 2024incomplete | 23,849 | $954K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 46% | 23,714 | 20,671 | $3.26M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 28% | 19,732 | 17,384 | $2.03M |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 4.7% | 9,433 | 8,205 | $337K |
| 59025 | Fetal non-stress test | 4.1% | 3,760 | 2,943 | $294K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 3.1% | 1,342 | 1,131 | $224K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 2.4% | 3,230 | 1,244 | $172K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.4% | 3,098 | 2,800 | $101K |
| G0378 | Hospital observation service, per hour | 1.3% | 415 | 333 | $96K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 1.1% | 8,157 | 6,000 | $79K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 748 | 685 | $64K |
| 71045 | Radiologic examination, chest; single view | <1% | 3,238 | 2,814 | $40K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 1,718 | 1,593 | $38K |
78 more codes
| 85027 | <1% | 18,067 | $34K | |
| 93976 | <1% | 892 | $34K | |
| 84484 | <1% | 4,057 | $31K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 11,129 | $28K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 1,844 | $25K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 7,556 | $21K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 14,606 | $20K |
| 87480 | <1% | 1,755 | $15K | |
| 76801 | <1% | 569 | $15K | |
| 80053 | Comprehensive metabolic panel | <1% | 6,428 | $15K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 941 | $13K |
| 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% | 215 | $12K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 70 | $11K |
| 87510 | <1% | 1,179 | $11K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 219 | $10K |
| 85610 | <1% | 4,369 | $10K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 720 | $9K |
| 87660 | <1% | 1,179 | $7K | |
| 83690 | <1% | 2,218 | $6K | |
| 84702 | <1% | 783 | $6K | |
| 84112 | <1% | 262 | $6K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 566 | $5K |
| 86850 | <1% | 1,159 | $5K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,064 | $4K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 398 | $4K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 398 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,828 | $4K |
| 84703 | <1% | 987 | $4K | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 1,178 | $3K |
| 76830 | Ultrasound, transvaginal | <1% | 146 | $3K |
| 81001 | <1% | 7,320 | $3K | |
| 86900 | <1% | 1,260 | $3K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 42 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 779 | $3K |
| 87799 | <1% | 1,731 | $3K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 58 | $3K |
| 93017 | <1% | 115 | $2K | |
| 76857 | <1% | 106 | $2K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 57 | $2K |
| 86901 | <1% | 1,260 | $2K | |
| 87497 | <1% | 1,396 | $2K | |
| 83880 | <1% | 346 | $2K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 61 | $1K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 12 | $1K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 121 | $1K |
| 82570 | <1% | 439 | $1K | |
| 29581 | <1% | 31 | $1K | |
| 83735 | <1% | 2,698 | $972.66 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 49 | $917.85 |
| 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% | 49 | $900.00 |
| 80197 | <1% | 2,249 | $716.44 | |
| 81025 | <1% | 335 | $626.28 | |
| 86832 | <1% | 39 | $572.72 | |
| 86833 | <1% | 39 | $548.96 | |
| 84156 | <1% | 452 | $453.78 | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 26 | $290.10 |
| 80076 | <1% | 281 | $280.59 | |
| 80069 | <1% | 2,124 | $280.12 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 85 | $224.55 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 65 | $81.42 |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 193 | $40.32 |
| 82150 | <1% | 13 | $38.13 | |
| J1170 | Injection, hydromorphone, up to 4 mg | <1% | 110 | $29.64 |
| 87077 | <1% | 12 | $27.21 | |
| 81003 | <1% | 80 | $25.06 | |
| 85384 | <1% | 13 | $22.50 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 1,205 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 0% | 388 | $0.00 |
| A9270 | Non-covered item or service | 0% | 1,320 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 50 | $0.00 |
| J0690 | Injection, cefazolin sodium, 500 mg | 0% | 70 | $0.00 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 0% | 71 | $0.00 |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 0% | 47 | $0.00 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 0% | 36 | $0.00 |
| C1769 | Guide wire | 0% | 12 | $0.00 |
| J1644 | Injection, heparin sodium, per 1000 units | 0% | 21 | $0.00 |
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 116 | $0.00 |
| C1894 | Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser | 0% | 12 | $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 officialDAVIS, LISA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Saint Thomas River Park Hospital, LLC | Mcminnville, TN | $8.41M |
| Meeting Milestones Early Intervention Services, LLC | Gaffney, SC | $6.63M |
| Saint Thomas West Hospital | Nashville, TN | $3.68M |
| Saint Thomas Highlands Hospital, LLC | Sparta, TN | $3.33M |
| Public Health Solutions | Brooklyn, NY | $2.10M |
| Nursing and Therapy Services of Colorado INC | Colorado Springs, CO | $1.05M |
| Saint Thomas Hickman Hospital | Centerville, TN | $924K |
| Saint Thomas Stones River Hospital, LLC | Woodbury, TN | $554K |
| Metro Anesthesia, PLLC | Ridgeland, MS | $261K |
| Talking Toddlers LLC | Simpsonville, SC | $16K |
| Royal Paradise Cente LLC | West Palm Beach, FL | $4K |
| Lisa A. Davis, M.D., P.A. | San Antonio, TX | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.