Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › SIDNEY › SHELBY COUNTY MEMORIAL HOSPITAL ASSOCIATION INC.

SHELBY COUNTY MEMORIAL HOSPITAL ASSOCIATION INC.

NPI: 1639174204 · SIDNEY, OH 45365 · General Acute Care Hospital · NPI assigned 06/20/2005

$10.64M
Total Medicaid Paid
306,313
Total Claims
251,702
Beneficiaries
230
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOVAULT, JULIE (VP FINANCIAL SERVICE)
NPI Enumeration Date06/20/2005

Related Entities

Other providers sharing the same authorized official: COVAULT, JULIE

ProviderCityStateTotal Paid
WILSON CARE, LLC SIDNEY OH $5.56M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 34,168 $1.11M
2019 21,027 $843K
2020 16,641 $902K
2021 16,818 $820K
2022 16,713 $697K
2023 117,738 $3.68M
2024 83,208 $2.59M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 18,391 17,090 $2.07M
99284 Emergency department visit for the evaluation and management, high severity 13,108 11,812 $1.54M
96361 Intravenous infusion, hydration; each additional hour 5,103 3,900 $1.39M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 8,836 7,717 $1.11M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,571 1,082 $269K
70450 Computed tomography, head or brain; without contrast material 998 823 $240K
80053 Comprehensive metabolic panel 19,844 17,025 $236K
74176 Computed tomography, abdomen and pelvis; without contrast material 747 595 $198K
74177 Computed tomography, abdomen and pelvis; with contrast material 754 629 $189K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,667 1,017 $149K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,505 3,197 $149K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 796 637 $144K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,368 923 $129K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,121 723 $109K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 738 424 $100K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 462 396 $98K
81513 641 560 $95K
99281 Emergency department visit for the evaluation and management, self-limited or minor 836 772 $91K
99282 Emergency department visit for the evaluation and management, low to moderate severity 870 780 $88K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,492 3,184 $87K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,709 574 $85K
84443 Thyroid stimulating hormone (TSH) 4,347 3,887 $75K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 40 29 $74K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,165 402 $73K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 23,779 20,082 $70K
G0378 Hospital observation service, per hour 907 449 $69K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,297 2,915 $68K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 338 305 $56K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 133 119 $56K
87086 Culture, bacterial; quantitative colony count, urine 3,716 3,224 $53K
71046 Radiologic examination, chest; 2 views 1,838 1,676 $53K
87070 2,176 1,938 $50K
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 231 230 $47K
80061 Lipid panel 3,616 3,325 $46K
80048 Basic metabolic panel (calcium, ionized) 3,136 2,563 $43K
84439 1,826 1,654 $42K
36415 Collection of venous blood by venipuncture 22,651 19,437 $38K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,891 1,546 $36K
71275 Computed tomographic angiography, chest, with contrast material 131 120 $33K
97530 Therapeutic activities, direct patient contact, each 15 minutes 737 303 $33K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,292 1,131 $33K
83036 Hemoglobin; glycosylated (A1C) 2,458 2,220 $33K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,921 3,357 $32K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,658 1,527 $32K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 915 829 $32K
87480 1,433 1,305 $30K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,206 1,107 $29K
76705 Ultrasound, abdominal, real time with image documentation; limited 294 258 $28K
84702 1,489 1,002 $28K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 103 93 $28K
87481 643 561 $26K
76830 Ultrasound, transvaginal 239 215 $25K
84144 732 476 $25K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 476 184 $24K
87510 1,432 1,304 $23K
77063 Screening digital breast tomosynthesis, bilateral 426 393 $22K
93017 268 220 $21K
74018 471 418 $21K
87088 2,362 2,038 $20K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 7,538 6,416 $19K
87660 1,403 1,285 $18K
87653 340 292 $17K
86787 478 440 $17K
87077 1,312 1,132 $16K
88305 Level IV - Surgical pathology, gross and microscopic examination 804 692 $16K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,409 1,265 $16K
97162 222 196 $14K
86592 389 351 $14K
84484 3,354 2,711 $14K
72100 346 304 $13K
82607 818 723 $12K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 737 669 $12K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 109 101 $12K
97161 331 284 $11K
80055 398 362 $10K
73630 559 486 $10K
82728 491 447 $10K
86850 470 405 $10K
83735 2,851 2,209 $9K
82950 578 543 $9K
86803 440 390 $8K
82570 822 713 $8K
J3490 Unclassified drugs 2,278 1,157 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 355 345 $8K
87186 1,211 1,049 $8K
71045 Radiologic examination, chest; single view 4,693 4,019 $7K
73564 381 337 $7K
01999 2,222 1,788 $7K
86140 637 543 $7K
83540 555 499 $7K
73610 399 343 $6K
86900 490 417 $6K
72125 Computed tomography, cervical spine; without contrast material 319 255 $5K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 28 25 $5K
94060 51 41 $5K
86696 311 269 $5K
71250 55 45 $5K
85027 732 622 $5K
85014 419 365 $5K
77067 Screening mammography, bilateral, including computer-aided detection 426 393 $5K
86695 311 269 $4K
84481 272 236 $4K
73130 351 311 $4K
85610 1,556 1,056 $4K
83550 383 347 $4K
0011A 136 124 $4K
82565 444 391 $4K
73030 204 176 $4K
87147 487 409 $4K
0012A 107 105 $4K
84403 187 162 $4K
85652 652 568 $4K
76642 25 18 $4K
84480 176 166 $3K
82043 491 445 $3K
96367 98 71 $3K
81001 1,953 1,678 $3K
82746 587 510 $3K
85018 465 400 $3K
84156 391 309 $3K
84146 103 87 $2K
80076 178 146 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 34 26 $2K
83690 3,296 2,785 $2K
83880 550 445 $2K
86901 490 417 $2K
81003 2,554 2,225 $2K
A0425 Ground mileage, per statute mile 129 106 $2K
84550 288 234 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material 13 13 $2K
97597 22 12 $2K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 648 553 $2K
81015 3,110 2,696 $2K
81025 3,995 3,416 $2K
82247 104 71 $2K
82805 49 35 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,612 1,970 $2K
80081 51 50 $2K
87340 55 44 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,852 5,032 $1K
84450 169 140 $1K
82077 772 611 $1K
0064A 35 34 $1K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 13 12 $1K
84460 161 132 $1K
84153 69 64 $1K
94726 23 14 $1K
94729 22 13 $1K
83605 721 526 $1K
87205 184 148 $988.52
84436 260 215 $985.93
86038 29 25 $971.57
72072 18 14 $970.09
96376 728 421 $952.77
83655 40 38 $948.55
80074 25 24 $863.43
82670 27 26 $814.52
85730 627 509 $791.61
82105 29 26 $790.07
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 37 30 $789.60
73110 74 71 $783.67
83970 19 17 $666.02
73502 27 26 $661.94
J7030 Infusion, normal saline solution , 1000 cc 5,138 3,953 $570.32
85379 467 399 $569.13
82248 81 59 $534.69
84100 123 85 $507.55
88142 24 24 $465.81
0001A 28 20 $448.10
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 56 40 $372.77
83001 17 12 $333.52
88141 12 12 $306.68
85007 35 26 $301.17
96375 Therapeutic injection; each additional sequential IV push 3,210 2,540 $270.55
82951 12 12 $252.23
82947 16 12 $239.46
80329 163 119 $212.17
94760 3,402 2,774 $198.30
86704 14 14 $197.40
73080 12 12 $194.22
86706 12 12 $171.08
82952 12 12 $163.35
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,761 1,383 $159.47
J1170 Injection, hydromorphone, up to 4 mg 591 331 $155.27
87040 151 117 $152.36
J7120 Ringers lactate infusion, up to 1000 cc 2,266 1,625 $144.08
83615 28 28 $134.03
80143 248 219 $122.17
82550 31 27 $109.69
82150 72 59 $77.82
J1885 Injection, ketorolac tromethamine, per 15 mg 1,227 1,060 $71.08
J0280 Injection, aminophyllin, up to 250 mg 15 12 $70.38
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,185 2,260 $53.05
A9270 Non-covered item or service 3,481 757 $46.25
J2704 Injection, propofol, 10 mg 1,725 1,278 $45.76
J2919 Injection, methylprednisolone sodium succinate, 5 mg 112 82 $42.17
J0696 Injection, ceftriaxone sodium, per 250 mg 679 358 $36.53
J1650 Injection, enoxaparin sodium, 10 mg 123 53 $26.64
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 875 657 $26.27
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,509 1,052 $20.80
88342 28 26 $20.69
J3010 Injection, fentanyl citrate, 0.1 mg 1,542 973 $20.17
J0690 Injection, cefazolin sodium, 500 mg 782 553 $15.48
J2060 Injection, lorazepam, 2 mg 210 122 $15.38
J2765 Injection, metoclopramide hcl, up to 10 mg 176 142 $11.45
J1200 Injection, diphenhydramine hcl, up to 50 mg 255 181 $10.64
J2250 Injection, midazolam hydrochloride, per 1 mg 1,078 798 $8.83
J2360 Injection, orphenadrine citrate, up to 60 mg 16 14 $5.38
J7050 Infusion, normal saline solution, 250 cc 322 178 $3.92
91301 253 239 $2.32
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 77 56 $1.70
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 458 321 $1.20
91300 68 51 $0.60
91306 35 34 $0.33
94761 3,482 2,926 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 134 120 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 179 125 $0.00
82962 69 51 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 205 151 $0.00
J0461 Injection, atropine sulfate, 0.01 mg 85 48 $0.00
J2785 Injection, regadenoson, 0.1 mg 35 30 $0.00
J8501 Aprepitant, oral, 5 mg 16 15 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 76 54 $0.00
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 19 12 $0.00
J1644 Injection, heparin sodium, per 1000 units 72 24 $0.00
J1171 Injection, hydromorphone, 0.1 mg 29 16 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 14 13 $0.00
36600 17 15 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 15 12 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 44 27 $0.00