Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Chattanooga Hamilton County Hospital Authority

Chattanooga Hamilton County Hospital Authority was paid $52.41M by Medicaid between Jan 2018 and Dec 2024, across 207 billing codes. Its largest line is 99284, emergency room visit (serious) — 27% of everything it billed.

33Billing provider infoCHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY
CHATTANOOGA, TN 37403
33aNPI1639264575assigned 10/04/2006
28Total paid$52.41M
24GClaims695,671
24DCodes billed207
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Tennessee

Rank by total paid#2 of 71
Median peer was paid$6.96M
This provider vs. median7.5×

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

$0$500K$1.0M$1.5M2018201920202021202220232024
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
2018114,241$8.63M
2019113,428$7.49M
202086,858$6.27M
2021116,856$8.90M
2022140,461$10.38M
202397,209$7.81M
2024incomplete26,618$2.92M
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 27% 63,935 58,548 $13.95M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 26% 90,102 85,859 $13.56M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 12% 20,559 18,326 $6.20M
99282 Emergency department visit for the evaluation and management, low to moderate severity 4.9% 31,321 29,894 $2.55M
41899 Unlisted procedure, dentoalveolar structures 4.0% 4,510 4,432 $2.08M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 3.4% 1,755 1,647 $1.79M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.6% 20,225 17,550 $846K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1.3% 8,618 8,349 $681K
42820 Tonsillectomy and adenoidectomy; younger than age 12 1.3% 502 477 $679K
G0378 Hospital observation service, per hour 1.2% 1,153 1,030 $634K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.2% 1,314 1,127 $631K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1.1% 1,614 1,549 $554K
195 more codes
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 904 $498K
93304 <1% 1,919 $481K
96361 Intravenous infusion, hydration; each additional hour <1% 16,646 $435K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 9,983 $428K
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% 5,244 $371K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 45,427 $344K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 1,538 $321K
93325 <1% 3,171 $289K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 8,256 $253K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 4,343 $252K
71046 Radiologic examination, chest; 2 views <1% 7,364 $236K
87076 <1% 6,057 $209K
96375 Therapeutic injection; each additional sequential IV push <1% 9,106 $197K
80047 <1% 19,195 $194K
59025 Fetal non-stress test <1% 7,135 $193K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 1,596 $193K
93321 <1% 2,396 $173K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 908 $165K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 575 $155K
80053 Comprehensive metabolic panel <1% 21,421 $148K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 160 $144K
76770 <1% 870 $137K
85027 <1% 19,329 $120K
95812 <1% 444 $118K
87581 <1% 1,621 $118K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 3,710 $118K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 276 $117K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 12,478 $116K
87486 <1% 1,621 $111K
84484 <1% 6,363 $108K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 3,480 $75K
70450 Computed tomography, head or brain; without contrast material <1% 902 $67K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 126 $59K
74018 <1% 1,020 $59K
52356 <1% 29 $52K
83690 <1% 7,655 $51K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 100 $49K
81025 <1% 9,150 $46K
86141 <1% 2,453 $45K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 3,432 $44K
42830 <1% 78 $42K
81001 <1% 23,515 $39K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 466 $39K
87430 <1% 3,078 $38K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,302 $38K
71045 Radiologic examination, chest; single view <1% 2,704 $35K
74019 <1% 1,313 $34K
84702 <1% 1,634 $34K
40830 <1% 16 $34K
80076 <1% 7,900 $33K
70551 Magnetic resonance imaging, brain; without contrast material <1% 56 $32K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,189 $32K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,099 $31K
80048 Basic metabolic panel (calcium, ionized) <1% 9,263 $31K
72082 <1% 250 $27K
72081 <1% 383 $22K
81003 <1% 11,865 $19K
83735 <1% 3,028 $17K
77336 <1% 369 $16K
L8699 Prosthetic implant, not otherwise specified <1% 847 $14K
72170 <1% 254 $14K
86900 <1% 2,327 $13K
86850 <1% 1,339 $13K
87634 <1% 293 $13K
54161 <1% 12 $13K
87081 <1% 1,269 $12K
83605 <1% 1,277 $12K
73100 <1% 203 $11K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 11,322 $11K
74246 <1% 132 $11K
86901 <1% 2,300 $10K
77077 <1% 128 $10K
C1776 Joint device (implantable) <1% 20 $8K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 12 $8K
77412 <1% 80 $8K
83615 <1% 1,130 $8K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 90 $8K
73130 <1% 214 $7K
36415 Collection of venous blood by venipuncture <1% 2,953 $7K
54360 <1% 13 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 143 $6K
82947 <1% 748 $6K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 143 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 3,754 $6K
87800 <1% 224 $6K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 12 $6K
87086 Culture, bacterial; quantitative colony count, urine <1% 1,081 $5K
85730 <1% 1,072 $5K
77067 Screening mammography, bilateral, including computer-aided detection <1% 100 $5K
93976 <1% 45 $5K
96367 <1% 194 $5K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 31 $5K
94010 <1% 90 $5K
84550 <1% 1,016 $4K
73610 <1% 82 $4K
85610 <1% 1,166 $4K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 40 $4K
82570 <1% 911 $3K
72100 <1% 106 $3K
85014 <1% 1,549 $3K
82731 <1% 123 $3K
C2625 Stent, non-coronary, temporary, with delivery system <1% 47 $3K
84112 <1% 47 $3K
85384 <1% 412 $3K
76830 Ultrasound, transvaginal <1% 31 $3K
73630 <1% 53 $3K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 36 $3K
80061 Lipid panel <1% 465 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 15,858 $2K
92611 <1% 13 $2K
J3490 Unclassified drugs <1% 17,215 $2K
85007 <1% 1,120 $2K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 20 $2K
95806 <1% 12 $2K
72125 Computed tomography, cervical spine; without contrast material <1% 29 $2K
J2550 Injection, promethazine hcl, up to 50 mg <1% 2,254 $2K
36416 <1% 197 $2K
84156 <1% 909 $1K
J2270 Injection, morphine sulfate, up to 10 mg <1% 4,008 $1K
74247 <1% 13 $1K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 24 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 43 $1K
87186 <1% 225 $1K
73090 <1% 33 $1K
84443 Thyroid stimulating hormone (TSH) <1% 193 $1K
87807 <1% 49 $1K
83036 Hemoglobin; glycosylated (A1C) <1% 407 $1K
87088 <1% 231 $1K
77072 <1% 18 $923.66
82248 <1% 59 $910.19
A9576 Injection, gadoteridol, (prohance multipack), per ml <1% 333 $886.62
J2704 Injection, propofol, 10 mg <1% 17,572 $869.84
95816 <1% 15 $841.04
69210 <1% 24 $807.80
84100 <1% 166 $612.91
J3010 Injection, fentanyl citrate, 0.1 mg <1% 4,281 $577.85
87040 <1% 29 $576.87
80050 General health panel <1% 36 $576.75
72110 <1% 13 $573.76
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 6,254 $550.48
96523 <1% 52 $544.91
82962 <1% 151 $494.36
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 105 $441.74
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 437 $374.49
73080 <1% 12 $367.68
76801 <1% 13 $330.46
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 1,727 $318.61
J7050 Infusion, normal saline solution, 250 cc <1% 15 $282.27
J0690 Injection, cefazolin sodium, 500 mg <1% 1,202 $273.05
96376 <1% 18 $268.92
94729 <1% 13 $232.95
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 2,618 $221.84
82728 <1% 64 $183.62
83550 <1% 73 $173.90
85652 <1% 68 $171.68
87070 <1% 282 $152.86
99406 <1% 16 $115.46
J0780 Injection, prochlorperazine, up to 10 mg <1% 102 $110.56
85045 <1% 65 $105.33
J7030 Infusion, normal saline solution , 1000 cc <1% 474 $81.81
82565 <1% 17 $79.76
82607 <1% 13 $77.16
84439 <1% 13 $74.74
87075 <1% 132 $73.56
88304 <1% 189 $69.40
87205 <1% 213 $67.98
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 145 $64.23
J1170 Injection, hydromorphone, up to 4 mg <1% 102 $36.35
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 6,601 $26.81
J7120 Ringers lactate infusion, up to 1000 cc <1% 428 $17.08
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 46 $14.97
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 12 $14.69
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 69 $2.97
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram <1% 15 $0.06
99213 Doctor's office visit, returning patient (routine) 0% 103 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 73 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 250 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 0% 20 $0.00
99214 Doctor's office visit, returning patient (more involved) 0% 1,104 $0.00
C9290 Injection, bupivacaine liposome, 1 mg 0% 31 $0.00
C1769 Guide wire 0% 92 $0.00
99308 Subsequent nursing facility care, per day, straightforward 0% 12 $0.00
99309 Subsequent nursing facility care, per day, low to moderate complexity 0% 64 $0.00
88305 Level IV - Surgical pathology, gross and microscopic examination 0% 29 $0.00
85018 0% 42 $0.00
88342 0% 13 $0.00
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 0% 91 $0.00
J0694 Injection, cefoxitin sodium, 1 gm 0% 54 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 741 $0.00
C1758 Catheter, ureteral 0% 50 $0.00
82365 0% 14 $0.00
J2800 Injection, methocarbamol, up to 10 ml 0% 20 $0.00
99152 0% 197 $0.00
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 0% 19 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 42 $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 officialBREXLER, JAMES (PRESIDENT & CEO)
Same official

Other billing entities under BREXLER, JAMES

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