Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Regional West Medical Center

Regional West Medical Center was paid $15.11M by Medicaid between Jan 2018 and Dec 2024, across 257 billing codes. Its largest line is 99284, emergency room visit (serious) — 9.7% of everything it billed.

33Billing provider infoREGIONAL WEST MEDICAL CENTER
SCOTTSBLUFF, NE 69361
33aNPI1639101199assigned 07/07/2006
33bProvider typeLand Ambulance
28Total paid$15.11M
24GClaims457,770
24DCodes billed257
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Land Ambulance providers in Nebraska

Rank by total paid#1 of 31
Median peer was paid$48K
This provider vs. median315×

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 RESCH, NED controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
201863,698$2.50M
201963,416$2.67M
202057,781$1.71M
2021101,297$2.94M
2022108,373$3.22M
202346,540$1.50M
2024incomplete16,665$579K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 9.7% 10,951 9,797 $1.47M
0202U Oncology (prostate), multianalyte, gene expression profiling 9.4% 5,425 5,122 $1.43M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 8.4% 9,075 8,480 $1.27M
74177 Computed tomography, abdomen and pelvis; with contrast material 5.4% 1,894 1,758 $820K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 4.9% 1,733 1,680 $739K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 4.4% 4,288 3,845 $664K
96361 Intravenous infusion, hydration; each additional hour 4.3% 2,359 2,003 $643K
70450 Computed tomography, head or brain; without contrast material 3.1% 1,886 1,717 $475K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3.0% 9,628 3,076 $461K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2.9% 5,528 1,498 $445K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2.5% 5,543 2,011 $372K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.2% 3,279 1,892 $331K
245 more codes
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2.2% 457 $327K
G0378 Hospital observation service, per hour 1.6% 2,413 $236K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.5% 1,167 $226K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.3% 496 $204K
80053 Comprehensive metabolic panel 1.3% 32,537 $200K
A0425 Ground mileage, per statute mile 1.3% 2,755 $191K
84443 Thyroid stimulating hormone (TSH) 1.1% 13,742 $167K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1.1% 4,794 $164K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,043 $149K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 35,777 $145K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 4,788 $142K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 382 $139K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 846 $128K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 340 $127K
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% 1,598 $120K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 4,138 $118K
A4649 Surgical supply; miscellaneous <1% 5,837 $117K
A0427 Emergency ambulance ride, advanced life support <1% 988 $114K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 1,917 $105K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 1,235 $105K
0099U <1% 616 $101K
97161 <1% 1,651 $95K
97113 <1% 965 $74K
71275 Computed tomographic angiography, chest, with contrast material <1% 281 $72K
83036 Hemoglobin; glycosylated (A1C) <1% 8,634 $72K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 1,752 $68K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 4,496 $67K
87486 <1% 1,731 $65K
87581 <1% 1,731 $65K
J7120 Ringers lactate infusion, up to 1000 cc <1% 5,272 $63K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,682 $60K
80061 Lipid panel <1% 7,570 $60K
84439 <1% 6,238 $57K
71046 Radiologic examination, chest; 2 views <1% 999 $56K
36415 Collection of venous blood by venipuncture <1% 24,868 $56K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 258 $55K
87088 <1% 8,779 $55K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 783 $48K
85027 <1% 7,150 $46K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 4,692 $43K
A0429 Emergency ambulance ride, basic life support <1% 781 $43K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 1,243 $42K
87507 <1% 118 $38K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 1,945 $38K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,057 $37K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 3,865 $36K
96375 Therapeutic injection; each additional sequential IV push <1% 2,956 $35K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 1,676 $35K
71045 Radiologic examination, chest; single view <1% 2,987 $33K
74018 <1% 671 $33K
83655 <1% 1,955 $32K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,488 $29K
72125 Computed tomography, cervical spine; without contrast material <1% 487 $27K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 999 $26K
J7030 Infusion, normal saline solution , 1000 cc <1% 2,450 $26K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 50 $26K
G0480 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; 1-7 drug class(es), including metabolite(s) if performed <1% 341 $26K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 4,296 $25K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 4,728 $24K
82607 <1% 2,364 $23K
80048 Basic metabolic panel (calcium, ionized) <1% 5,730 $23K
86850 <1% 1,599 $23K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 2,292 $22K
97165 <1% 197 $22K
84702 <1% 1,238 $20K
87186 <1% 3,713 $18K
87077 <1% 3,845 $18K
86140 <1% 2,980 $18K
82728 <1% 1,898 $17K
J3490 Unclassified drugs <1% 10,503 $17K
87660 <1% 1,677 $17K
80081 <1% 306 $16K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 350 $16K
83013 <1% 221 $16K
87081 <1% 1,567 $16K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 41 $15K
93975 <1% 75 $15K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 3,063 $14K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 43 $14K
83550 <1% 1,610 $13K
87480 <1% 1,664 $12K
86592 <1% 1,308 $12K
83970 <1% 423 $12K
77063 Screening digital breast tomosynthesis, bilateral <1% 820 $12K
J2704 Injection, propofol, 10 mg <1% 3,850 $12K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 121 $12K
86703 <1% 945 $11K
97803 <1% 212 $11K
87340 <1% 1,152 $11K
86900 <1% 1,592 $11K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 2,344 $11K
87510 <1% 1,664 $11K
84484 <1% 2,857 $11K
83690 <1% 3,532 $10K
85610 <1% 4,205 $10K
87070 <1% 1,534 $10K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 2,628 $10K
86870 <1% 423 $10K
83880 <1% 1,058 $10K
85652 <1% 2,385 $10K
81001 <1% 6,081 $10K
0097U <1% 74 $9K
81003 <1% 5,917 $9K
70551 Magnetic resonance imaging, brain; without contrast material <1% 54 $9K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml <1% 2,988 $8K
83735 <1% 3,317 $8K
76937 <1% 340 $8K
83540 <1% 1,662 $8K
A9270 Non-covered item or service <1% 14,517 $8K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 173 $7K
86762 <1% 747 $7K
76642 <1% 44 $6K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 14 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 984 $6K
87430 <1% 432 $6K
90686 <1% 477 $6K
81025 <1% 1,568 $5K
87084 <1% 242 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 223 $5K
82950 <1% 835 $5K
12001 <1% 13 $5K
88342 <1% 642 $5K
97162 <1% 55 $5K
G0379 Direct admission of patient for hospital observation care <1% 318 $5K
87205 <1% 1,071 $5K
86038 <1% 480 $5K
87400 <1% 303 $4K
82570 <1% 1,288 $4K
86803 <1% 464 $4K
84156 <1% 1,103 $4K
84153 <1% 376 $4K
84481 <1% 253 $4K
88142 <1% 205 $4K
83516 <1% 412 $3K
J0690 Injection, cefazolin sodium, 500 mg <1% 947 $3K
86376 <1% 199 $3K
82962 <1% 2,747 $3K
95819 <1% 13 $3K
84550 <1% 972 $3K
86431 <1% 287 $3K
97802 <1% 37 $3K
90715 <1% 208 $3K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring <1% 21 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 17 $3K
85379 <1% 1,254 $3K
72100 <1% 91 $3K
82043 <1% 904 $2K
J1170 Injection, hydromorphone, up to 4 mg <1% 1,256 $2K
84146 <1% 270 $2K
80069 <1% 433 $2K
72141 <1% 15 $2K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 604 $2K
90734 <1% 93 $2K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 15 $2K
87040 <1% 947 $2K
82746 <1% 243 $2K
92526 <1% 39 $2K
76536 <1% 12 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 50 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 230 $1K
J2270 Injection, morphine sulfate, up to 10 mg <1% 177 $1K
82784 <1% 113 $1K
97116 <1% 59 $1K
97014 <1% 31 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 470 $1K
85730 <1% 719 $1K
90651 <1% 77 $1K
73564 <1% 15 $974.55
83605 <1% 702 $950.76
86225 <1% 147 $937.21
71250 <1% 15 $931.36
J7050 Infusion, normal saline solution, 250 cc <1% 2,727 $910.86
82150 <1% 195 $910.68
82947 <1% 217 $877.93
93246 <1% 13 $849.73
86235 <1% 135 $835.22
83001 <1% 76 $670.84
86160 <1% 164 $546.31
96376 <1% 50 $528.98
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 <1% 99 $505.91
97035 <1% 26 $505.25
94060 <1% 12 $500.93
A4315 Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone <1% 258 $407.49
86003 <1% 50 $407.09
84703 <1% 122 $387.03
82670 <1% 41 $353.42
82247 <1% 60 $302.07
J1650 Injection, enoxaparin sodium, 10 mg <1% 259 $299.12
80076 <1% 44 $298.33
81513 <1% 15 $276.70
82785 <1% 13 $269.23
86901 <1% 75 $258.41
84403 <1% 14 $252.02
86706 <1% 25 $236.13
87807 <1% 19 $218.68
84480 <1% 14 $194.74
87086 Culture, bacterial; quantitative colony count, urine <1% 13 $184.47
82550 <1% 34 $176.88
73630 <1% 13 $174.86
73030 <1% 14 $171.44
80074 <1% 12 $167.16
G0433 Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening <1% 28 $166.66
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 187 $163.49
82077 <1% 969 $127.95
81015 <1% 205 $125.02
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 14 $119.17
84145 <1% 55 $115.74
84100 <1% 33 $93.98
80179 <1% 440 $73.72
87210 <1% 12 $64.02
90653 <1% 27 $63.01
83615 <1% 40 $63.00
80164 <1% 13 $60.20
90633 <1% 13 $58.50
88304 <1% 12 $53.27
82565 <1% 20 $51.70
80143 <1% 457 $36.88
J1644 Injection, heparin sodium, per 1000 units <1% 212 $17.31
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 318 $17.07
G0008 Administration of influenza virus vaccine <1% 190 $5.67
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,760 $4.84
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 17 $0.00
C1758 Catheter, ureteral 0% 119 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 0% 215 $0.00
A7000 Canister, disposable, used with suction pump, each 0% 104 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 28 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 15 $0.00
C1729 Catheter, drainage 0% 118 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 48 $0.00
A4314 Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) 0% 55 $0.00
A7002 Tubing, used with suction pump, each 0% 148 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 14 $0.00
97602 0% 15 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 0% 12 $0.00
3044F 0% 26 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 206 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 157 $0.00
C1769 Guide wire 0% 66 $0.00
J2060 Injection, lorazepam, 2 mg 0% 155 $0.00
82803 0% 33 $0.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 0% 122 $0.00
G8982 Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 13 $0.00
J1815 Injection, insulin, per 5 units 0% 35 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 0% 12 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 13 $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 officialRESCH, NED (CEO)
Same official

Other billing entities under RESCH, NED

Full network →
ProviderLocationPaid
Regional West Physicians ClinicScottsbluff, NE$8.98M
Regional West Medical CenterScottsbluff, NE$1.75M
Regional West Medical CenterScottsbluff, NE$1.41M
Regional West Medical CenterCheyenne, WY$63K
Sterling Regional MedcenterSterling, CO$10K
Regional West Medical CenterDenison, IA$7K
Regional West Physicians ClinicMorrill, NE$6K
Regional West Medical CenterCasper, WY$5K
Regional West Medical CenterNorfolk, NE$1K
Regional West Medical CenterIda Grove, IA$1K
Regional West Medical CenterRapid City, SD$815.11
Regional West Medical CenterScottsbluff, NE$671.14
Regional West Medical CenterCouncil Bluffs, IA$27.70

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.