Hospital
Salem Memorial Hospital
Salem Memorial Hospital was paid $7.58M by Medicaid between Jan 2018 and Nov 2024, across 51 billing codes. Its largest line is X4011, State-specific procedure code — 26% of everything it billed.
33Billing provider infoSALEM MEMORIAL HOSPITAL
SALEM, MO 65560
SALEM, MO 65560
33aNPI1639177561assigned 07/13/2005
33bProvider typeCritical Access Hospital
28Total paid$7.58M
24GClaims83,930
24DCodes billed51
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Access Hospital providers in Missouri
Rank by total paid#4 of 33
Median peer was paid$2.24M
This provider vs. median3.4×
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
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 | 10,331 | $2.04M | |
| 2019 | 16,375 | $2.11M | |
| 2020 | 10,981 | $817K | |
| 2021 | 8,806 | $262K | |
| 2022 | 11,624 | $663K | |
| 2023 | 14,671 | $876K | |
| 2024incomplete | 11,142 | $809K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| X4011 | State-specific procedure code | 26% | 6,174 | 5,526 | $1.94M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 13% | 11,239 | 7,398 | $999K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 12% | 3,841 | 2,912 | $906K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 11% | 5,653 | 4,318 | $824K |
| Y7506 | 10% | 5,400 | 4,681 | $763K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 6.4% | 11,010 | 8,684 | $482K |
| 80053 | Comprehensive metabolic panel | 3.7% | 9,561 | 7,443 | $279K |
| 81001 | 2.4% | 3,346 | 2,890 | $185K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 2.2% | 2,195 | 1,611 | $167K |
| 87400 | 2.1% | 717 | 423 | $159K | |
| 71045 | Radiologic examination, chest; single view | 1.3% | 1,831 | 1,515 | $99K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.1% | 1,063 | 932 | $81K |
39 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 258 | $67K |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,387 | $59K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 379 | $53K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 423 | $50K |
| J3490 | Unclassified drugs | <1% | 2,948 | $48K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 261 | $43K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 128 | $43K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 234 | $41K |
| 84484 | <1% | 1,039 | $37K | |
| 87081 | <1% | 93 | $32K | |
| 94762 | <1% | 131 | $18K | |
| 83605 | <1% | 671 | $18K | |
| A0425 | Ground mileage, per statute mile | <1% | 1,176 | $17K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 941 | $17K |
| A0427 | Emergency ambulance ride, advanced life support | <1% | 269 | $16K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,317 | $15K |
| 87631 | <1% | 83 | $13K | |
| 80061 | Lipid panel | <1% | 1,049 | $10K |
| 83880 | <1% | 461 | $10K | |
| 84481 | <1% | 1,025 | $10K | |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 28 | $10K |
| A0429 | Emergency ambulance ride, basic life support | <1% | 184 | $9K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 54 | $9K |
| 82607 | <1% | 849 | $9K | |
| 84439 | <1% | 1,115 | $7K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 63 | $7K |
| G0378 | Hospital observation service, per hour | <1% | 18 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 483 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 116 | $3K |
| 85610 | <1% | 85 | $2K | |
| 87040 | <1% | 40 | $2K | |
| 82550 | <1% | 69 | $2K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 14 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 144 | $1K |
| 85027 | <1% | 202 | $502.08 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 65 | $498.09 |
| 87807 | <1% | 12 | $155.50 | |
| 85730 | <1% | 55 | $90.08 | |
| 83690 | <1% | 31 | $88.71 |
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 officialPRYOR, DENNIS (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Salem Memorial Hospital | Salem, MO | $1.79M |
| Salem Memorial Hospital | Salem, MO | $64K |
| Salem Memorial Hospital | Salem, MO | $35K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.