Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SAINT THOMAS DEKALB HOSPITAL, LLC

NPI: 1649659582 · SMITHVILLE, TN 37166 · General Acute Care Hospital · NPI assigned 05/26/2015

$1.05M
Total Medicaid Paid
19,075
Total Claims
16,744
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPOLKOW, CRAIG (AUTHORIZED OFFICIAL)
NPI Enumeration Date05/26/2015

Related Entities

Other providers sharing the same authorized official: POLKOW, CRAIG

ProviderCityStateTotal Paid
DEKALB MEMORIAL HOSPITAL, INC AUBURN IN $1.31M
DEKALB MEMORIAL HOSPITAL, INC AUBURN IN $73K
DEKALB MEMORIAL HOSPITAL, INC AUBURN IN $39K
DEKALB HEALTH MEMORIAL HOSPTIAL INC AUBURN IN $15K
DEKALB MEMORIAL HOSPITAL, INC AUBURN IN $15K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,503 $210K
2019 4,489 $247K
2020 2,813 $145K
2021 3,598 $172K
2022 2,262 $132K
2023 2,056 $118K
2024 354 $31K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 4,889 4,501 $604K
99284 Emergency department visit for the evaluation and management, high severity 2,543 2,254 $372K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 301 249 $40K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,537 1,313 $9K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,732 2,394 $7K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 177 172 $5K
80053 Comprehensive metabolic panel 2,379 2,044 $4K
99282 Emergency department visit for the evaluation and management, low to moderate severity 42 41 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 85 81 $3K
85027 598 505 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 703 554 $1K
84484 239 175 $1K
96375 Therapeutic injection; each additional sequential IV push 264 220 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 391 339 $770.60
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 173 156 $688.13
71045 Radiologic examination, chest; single view 474 403 $582.30
80048 Basic metabolic panel (calcium, ionized) 303 256 $391.18
80306 115 109 $372.73
83690 110 94 $234.49
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 61 56 $231.66
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 58 54 $206.31
83735 75 69 $152.54
71046 Radiologic examination, chest; 2 views 59 50 $129.42
81001 330 288 $112.40
83605 18 13 $48.41
87070 15 12 $39.42
82150 14 12 $38.13
36415 Collection of venous blood by venipuncture 45 42 $35.81
84703 13 12 $29.26
J1100 Injection, dexamethasone sodium phosphate, 1 mg 13 13 $24.84
85610 29 25 $18.02
J1885 Injection, ketorolac tromethamine, per 15 mg 61 57 $0.00
J3490 Unclassified drugs 168 128 $0.00
91301 14 12 $0.00
83880 31 28 $0.00
80076 16 13 $0.00