Medicaid Provider Spending

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

MARY HITCHCOCK MEMORIAL HOSPITAL

NPI: 1629788237 · LEBANON, NH 03756 · 207R00000X

$3.75M
Total Medicaid Paid
143,991
Total Claims
131,255
Beneficiaries
212
Codes Billed
2023-06
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 43,749 $1.23M
2024 100,242 $2.52M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 29,405 27,129 $1.62M
99213 19,089 17,875 $748K
99215 Prolong outpt/office vis 2,433 2,286 $143K
99392 1,927 1,888 $129K
99393 1,575 1,544 $103K
99244 888 867 $80K
99391 1,076 1,043 $73K
J0585 Injection,onabotulinumtoxina 709 399 $70K
76811 471 392 $55K
90471 9,221 8,955 $49K
G0463 Hospital outpt clinic visit 14,057 11,326 $44K
74018 1,828 1,728 $29K
99204 519 498 $29K
G2211 Complex e/m visit add on 2,770 2,634 $28K
77067 231 227 $27K
99203 665 634 $25K
71046 1,728 1,620 $24K
99394 355 346 $24K
99205 Prolong outpt/office vis 246 239 $19K
93303 155 146 $19K
99245 154 153 $19K
76816 474 367 $18K
93306 200 183 $17K
99284 241 218 $17K
99285 232 207 $17K
96413 471 347 $17K
74177 238 224 $17K
90472 3,089 3,001 $16K
76830 302 280 $15K
93000 933 902 $14K
92567 1,742 1,702 $13K
Q9967 Locm 300-399mg/ml iodine,1ml 689 644 $13K
96365 600 444 $13K
93325 358 332 $11K
76770 210 198 $11K
92558 614 587 $9K
77063 231 227 $8K
95004 351 333 $8K
93320 154 146 $8K
99243 98 98 $8K
92579 437 431 $8K
64615 127 120 $6K
99395 271 210 $5K
76819 90 51 $5K
90837 52 36 $5K
94010 292 278 $5K
71260 90 87 $5K
93010 907 833 $5K
70553 87 85 $4K
83036 1,382 1,353 $4K
99173 524 499 $3K
90686 2,291 2,232 $3K
20610 216 193 $3K
95117 266 189 $3K
80307 160 132 $2K
70450 81 78 $2K
96375 327 248 $2K
76700 25 24 $2K
92557 125 121 $2K
96374 278 219 $2K
96361 206 97 $2K
85025 2,768 2,367 $2K
A9575 Inj gadoterate meglumi 0.1ml 467 445 $2K
80053 2,269 2,048 $2K
G0444 Depression screen annual 203 195 $2K
93005 792 738 $2K
51741 140 130 $2K
87880 180 171 $2K
76705 50 40 $2K
88305 422 407 $2K
G0480 Drug test def 1-7 classes 135 125 $2K
51798 139 129 $2K
96372 769 634 $2K
99177 105 105 $2K
87631 36 35 $2K
97802 24 24 $1K
76815 33 27 $1K
J7030 Normal saline solution infus 781 531 $1K
90460 237 209 $1K
84443 1,060 1,023 $1K
81002 798 769 $1K
11042 26 12 $1K
90791 12 12 $1K
90656 1,335 1,314 $1K
90834 14 12 $1K
92587 35 35 $974.31
90960 13 13 $953.40
D7240 115 113 $902.26
90792 14 14 $893.92
90832 31 25 $874.81
99212 27 27 $838.35
91322 96 94 $807.61
82306 414 407 $755.53
J7050 Normal saline solution infus 910 542 $657.21
J2704 Inj, propofol, 10 mg 383 368 $643.84
80048 1,015 865 $633.16
80061 696 688 $596.21
97110 120 63 $579.69
99242 16 13 $566.06
82728 457 411 $526.50
D7210 34 31 $508.66
76376 13 13 $504.08
73030 55 50 $474.87
87635 17 16 $474.46
95251 41 37 $466.96
59025 18 12 $466.65
83655 42 41 $457.08
G0179 Md recertification hha pt 13 12 $423.84
83735 363 288 $384.65
97803 12 12 $383.96
87077 277 269 $362.79
73630 15 13 $356.14
73564 31 28 $336.10
87491 59 58 $314.62
82570 276 270 $314.47
87591 60 59 $294.12
90474 89 87 $291.54
84439 321 297 $286.97
90677 517 508 $245.76
82607 375 371 $239.61
71250 13 13 $215.82
17110 12 12 $215.52
64405 15 12 $215.42
87086 409 388 $209.32
96110 37 36 $208.68
83970 126 118 $187.84
84100 246 183 $180.59
82746 124 121 $179.79
86140 318 295 $172.34
86850 58 47 $170.18
83880 42 41 $166.94
J0665 Inj, bupivacaine, nos, 0.5mg 124 80 $166.30
87636 28 28 $162.86
85027 210 204 $146.16
90480 111 109 $145.95
87389 28 26 $144.74
83550 398 386 $141.05
87070 105 104 $129.73
81001 327 304 $127.16
83615 136 92 $119.28
82962 386 288 $118.72
82784 117 80 $117.21
83540 400 388 $109.99
92552 13 13 $109.98
85610 325 290 $109.67
80076 161 156 $106.27
J7120 Ringers lactate infusion 771 613 $104.32
83690 109 100 $97.20
82043 183 178 $90.48
87624 12 12 $80.12
96040 207 205 $72.48
J1100 Dexamethasone sodium phos 338 294 $71.67
J2405 Ondansetron hcl injection 530 413 $70.63
82040 112 111 $62.82
92555 12 12 $62.04
87186 132 128 $61.57
85652 277 266 $58.23
J3010 Fentanyl citrate injection 396 349 $51.78
86901 69 57 $50.40
86900 69 57 $50.40
82248 67 65 $50.05
96161 65 65 $48.44
82565 96 91 $42.13
Q9966 Locm 200-299mg/ml iodine,1ml 13 13 $38.39
84484 46 42 $37.04
81003 192 177 $35.28
87661 13 13 $33.62
85018 14 14 $29.64
84550 64 50 $27.49
11721 13 13 $26.74
88342 32 30 $20.54
J0690 Cefazolin sodium injection 138 118 $18.82
J1885 Ketorolac tromethamine inj 312 241 $16.19
84460 12 12 $13.67
84450 12 12 $13.36
85730 14 13 $11.28
84156 28 26 $10.14
36591 31 19 $9.91
J1642 Inj heparin sodium per 10 u 31 12 $9.00
87205 27 27 $8.04
J1170 Hydromorphone injection 64 38 $7.30
J2250 Inj midazolam hydrochloride 331 311 $6.89
J2003 Inj, lidocaine hcl, 1 mg 79 73 $2.92
J3420 Vitamin b12 injection 196 153 $1.96
73502 41 41 $1.51
J2004 Inj, lidocaine w epinephrine 12 12 $0.76
36415 3,907 3,575 $0.00
86364 15 14 $0.00
G0008 Admin influenza virus vac 549 549 $0.00
90680 90 89 $0.00
J3490 Drugs unclassified injection 67 40 $0.00
90694 67 67 $0.00
90697 258 254 $0.00
G0009 Admin pneumococcal vaccine 57 57 $0.00
C1769 Guide wire 16 13 $0.00
90619 12 12 $0.00
J2469 Palonosetron hcl 16 12 $0.00
88341 13 12 $0.00
G0499 Hepb screen high risk indiv 12 12 $0.00
J7040 Normal saline solution infus 17 12 $0.00
73610 13 13 $0.00
J3301 Triamcinolone acet inj nos 191 189 $0.00
90670 74 68 $0.00
95874 77 76 $0.00
72100 13 13 $0.00
G1004 Cdsm ndsc 202 184 $0.00
80164 12 12 $0.00
84165 12 12 $0.00
90653 93 93 $0.00
90633 12 12 $0.00
90681 26 25 $0.00
69210 13 13 $0.00