Hospital
Kennestone Hospital, INC.
Kennestone Hospital, INC. was paid $1.90M by Medicaid between Jan 2018 and Aug 2024, across 135 billing codes. Its largest line is 99284, emergency room visit (serious) — 23% of everything it billed.
33Billing provider infoKENNESTONE HOSPITAL, INC.
MARIETTA, GA 30060
MARIETTA, GA 30060
33aNPI1649248626assigned 03/08/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$1.90M
24GClaims42,493
24DCodes billed135
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other General Acute Care Hospital providers in Georgia
Rank by total paid#9 of 34
Median peer was paid$23K
This provider vs. median82×
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 | 40,688 | $1.85M | |
| 2019 | 218 | $4K | |
| 2020 | 307 | $6K | |
| 2021 | 705 | $17K | |
| 2022 | 241 | $9K | |
| 2023 | 319 | $11K | |
| 2024incomplete | 15 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 23% | 2,105 | 1,938 | $444K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 22% | 2,563 | 2,431 | $412K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 14% | 663 | 622 | $271K |
| G0378 | Hospital observation service, per hour | 10% | 482 | 246 | $199K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 4.7% | 1,024 | 972 | $89K |
| 59025 | Fetal non-stress test | 1.9% | 205 | 176 | $35K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.4% | 168 | 158 | $26K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.1% | 115 | 111 | $22K |
| 80047 | 1.1% | 1,180 | 1,073 | $22K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,193 | 2,777 | $17K |
| 80053 | Comprehensive metabolic panel | <1% | 1,169 | 1,089 | $15K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 684 | 664 | $15K |
123 more codes
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 37 | $15K |
| 87081 | <1% | 1,397 | $15K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 680 | $13K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 570 | $12K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 593 | $12K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 682 | $12K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,325 | $11K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 197 | $10K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 324 | $10K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 134 | $8K |
| 81001 | <1% | 1,962 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 680 | $7K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 57 | $7K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 210 | $7K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 130 | $6K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 70 | $6K |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 239 | $6K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 139 | $6K |
| 94760 | <1% | 517 | $5K | |
| 80061 | Lipid panel | <1% | 316 | $5K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 182 | $5K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 355 | $5K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 152 | $5K |
| 87340 | <1% | 365 | $5K | |
| 73630 | <1% | 101 | $5K | |
| 86803 | <1% | 323 | $5K | |
| 81025 | <1% | 787 | $5K | |
| 73610 | <1% | 91 | $5K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 104 | $4K |
| 76770 | <1% | 29 | $4K | |
| 93975 | <1% | 214 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 537 | $4K |
| 86850 | <1% | 254 | $4K | |
| 74018 | <1% | 154 | $4K | |
| 86901 | <1% | 302 | $3K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 818 | $3K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 402 | $3K |
| 86780 | <1% | 660 | $3K | |
| 82105 | <1% | 131 | $3K | |
| 86762 | <1% | 194 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 257 | $3K |
| 86900 | <1% | 302 | $3K | |
| 83655 | <1% | 182 | $3K | |
| 87077 | <1% | 237 | $3K | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 138 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 125 | $2K |
| 84439 | <1% | 190 | $2K | |
| 73140 | <1% | 34 | $2K | |
| 72100 | <1% | 55 | $2K | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 728 | $2K |
| 87186 | <1% | 211 | $2K | |
| A9270 | Non-covered item or service | <1% | 79 | $2K |
| 82950 | <1% | 308 | $2K | |
| 82731 | <1% | 30 | $2K | |
| 86140 | <1% | 326 | $2K | |
| 84484 | <1% | 248 | $2K | |
| 84702 | <1% | 272 | $2K | |
| 80076 | <1% | 306 | $2K | |
| 87040 | <1% | 194 | $2K | |
| 85027 | <1% | 241 | $2K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 422 | $1K |
| 83690 | <1% | 348 | $1K | |
| 84112 | <1% | 39 | $1K | |
| 76801 | <1% | 127 | $1K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 155 | $1K |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 165 | $1K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 138 | $1K |
| 76830 | Ultrasound, transvaginal | <1% | 80 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $1K |
| 85379 | <1% | 141 | $932.63 | |
| 87070 | <1% | 112 | $910.63 | |
| 86696 | <1% | 40 | $892.52 | |
| 85018 | <1% | 292 | $887.83 | |
| 73562 | <1% | 27 | $880.68 | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 500 | $833.35 |
| 85014 | <1% | 270 | $787.55 | |
| 69210 | <1% | 39 | $776.10 | |
| 83021 | <1% | 88 | $706.10 | |
| 80330 | <1% | 96 | $690.39 | |
| 80320 | <1% | 148 | $680.84 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 303 | $652.28 |
| 82607 | <1% | 35 | $640.02 | |
| 88142 | <1% | 33 | $613.14 | |
| 71045 | Radiologic examination, chest; single view | <1% | 100 | $594.69 |
| 84550 | <1% | 124 | $581.91 | |
| 82570 | <1% | 104 | $567.87 | |
| 87807 | <1% | 74 | $517.44 | |
| 73090 | <1% | 13 | $512.74 | |
| 88342 | <1% | 12 | $498.34 | |
| 85610 | <1% | 147 | $451.28 | |
| 83605 | <1% | 46 | $447.04 | |
| 87210 | <1% | 135 | $431.13 | |
| 74019 | <1% | 12 | $374.71 | |
| 83735 | <1% | 73 | $342.72 | |
| 85041 | <1% | 88 | $335.07 | |
| 85730 | <1% | 74 | $321.16 | |
| 84156 | <1% | 83 | $306.44 | |
| 83540 | <1% | 38 | $299.55 | |
| 84146 | <1% | 13 | $294.10 | |
| 82728 | <1% | 15 | $286.80 | |
| S9443 | Lactation classes, non-physician provider, per session | <1% | 13 | $273.05 |
| 87205 | <1% | 114 | $265.49 | |
| 83880 | <1% | 16 | $246.18 | |
| 73030 | <1% | 13 | $237.38 | |
| 85652 | <1% | 84 | $227.62 | |
| 90715 | <1% | 13 | $213.76 | |
| 93325 | <1% | 16 | $176.49 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 26 | $176.10 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 295 | $166.59 |
| 83550 | <1% | 14 | $159.79 | |
| 82150 | <1% | 26 | $156.21 | |
| 82803 | <1% | 12 | $151.86 | |
| 94644 | <1% | 73 | $151.24 | |
| 80329 | <1% | 97 | $132.35 | |
| J2274 | Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg | <1% | 16 | $111.87 |
| U0005 | 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 16 | $101.43 |
| 86592 | <1% | 17 | $74.44 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,257 | $74.37 |
| 87147 | <1% | 12 | $67.43 | |
| C1729 | Catheter, drainage | <1% | 41 | $7.11 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 103 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 13 | $0.00 |
| 96376 | 0% | 15 | $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 officialBUDZINSKI, ANTHONY (EVP AND CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Wellstar North Fulton Hospital, INC | Roswell, GA | $7.80M |
| Wellstar Spalding Regional Hospital, INC | Griffin, GA | $80K |
| Wellstar Atlanta Medical Center, INC | Atlanta, GA | $70K |
| Cobb Hospital, INC | Austell, GA | $43K |
| Douglas Hospital, INC. | Douglasville, GA | $2K |
| Paulding Medical Center, INC. | Hiram, GA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.