Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Mt Sterling › NPI 1679679146
Hospital

Saint Joseph Health System, INC

Saint Joseph Health System, INC was paid $37.21M by Medicaid between Jan 2018 and Dec 2024, across 309 billing codes. Its largest line is 99283, emergency room visit (moderate) — 9.8% of everything it billed.

33Billing provider infoSAINT JOSEPH HEALTH SYSTEM, INC
MT STERLING, KY 40353
33aNPI1679679146assigned 09/15/2006
28Total paid$37.21M
24GClaims804,844
24DCodes billed309
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Kentucky

Rank by total paid#18 of 36
Median peer was paid$36.08M
This provider vs. median1.0×

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$250K$500K$750K2018201920202021202220232024
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
2018117,795$5.30M
2019116,939$4.74M
2020111,590$4.26M
2021124,132$5.51M
2022109,783$5.21M
2023122,684$6.60M
2024incomplete101,921$5.59M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 9.8% 29,296 24,689 $3.63M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 9.3% 23,879 17,621 $3.47M
74177 Computed tomography, abdomen and pelvis; with contrast material 8.9% 5,949 4,838 $3.32M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 6.6% 15,933 10,617 $2.47M
41899 Unlisted procedure, dentoalveolar structures 4.6% 1,888 1,641 $1.73M
74176 Computed tomography, abdomen and pelvis; without contrast material 4.3% 3,684 2,858 $1.60M
70450 Computed tomography, head or brain; without contrast material 3.3% 6,249 4,600 $1.23M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2.6% 2,458 1,971 $977K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.3% 14,384 3,574 $873K
71046 Radiologic examination, chest; 2 views 1.9% 11,124 8,905 $705K
71045 Radiologic examination, chest; single view 1.8% 15,761 10,630 $669K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.7% 2,659 1,904 $650K
297 more codes
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1.6% 8,886 $607K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1.5% 8,334 $556K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.5% 27,679 $555K
71275 Computed tomographic angiography, chest, with contrast material 1.5% 1,414 $550K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.4% 17,742 $539K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.4% 12,793 $527K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1.2% 9,935 $465K
80053 Comprehensive metabolic panel 1.2% 40,637 $452K
76705 Ultrasound, abdominal, real time with image documentation; limited 1.2% 2,623 $449K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.2% 4,587 $444K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1.1% 1,147 $423K
36415 Collection of venous blood by venipuncture 1.1% 77,663 $402K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1.1% 1,058 $392K
72125 Computed tomography, cervical spine; without contrast material <1% 1,189 $347K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,305 $324K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 4,676 $303K
96375 Therapeutic injection; each additional sequential IV push <1% 12,858 $291K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 40,719 $279K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 446 $255K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 9,064 $247K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 6,396 $246K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 3,193 $232K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 841 $226K
72100 <1% 2,844 $217K
96361 Intravenous infusion, hydration; each additional hour <1% 11,879 $205K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 4,629 $168K
73630 <1% 2,821 $160K
G0378 Hospital observation service, per hour <1% 917 $160K
93971 <1% 1,171 $155K
77067 Screening mammography, bilateral, including computer-aided detection <1% 3,118 $155K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 1,351 $149K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 680 $148K
72131 <1% 433 $146K
84484 <1% 14,438 $142K
0240U <1% 1,951 $136K
74018 <1% 2,918 $125K
97161 <1% 1,854 $124K
73130 <1% 2,144 $121K
73030 <1% 2,153 $116K
73610 <1% 2,195 $109K
73564 <1% 1,863 $108K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 486 $107K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 522 $106K
71250 <1% 576 $104K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 2,852 $102K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 461 $101K
59025 Fetal non-stress test <1% 916 $100K
83880 <1% 3,720 $95K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 1,237 $95K
93017 <1% 754 $89K
96376 <1% 3,465 $84K
73110 <1% 1,375 $76K
96367 <1% 2,623 $74K
84443 Thyroid stimulating hormone (TSH) <1% 5,296 $74K
83690 <1% 10,910 $73K
80305 <1% 5,332 $67K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 2,265 $67K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 5,024 $67K
J2704 Injection, propofol, 10 mg <1% 10,142 $67K
73502 <1% 1,113 $65K
81025 <1% 7,886 $63K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 4,926 $63K
83605 <1% 5,749 $58K
76536 <1% 654 $57K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 643 $54K
78264 <1% 201 $53K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,817 $52K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 550 $50K
87040 <1% 5,832 $50K
82805 <1% 985 $45K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,206 $43K
83735 <1% 7,453 $42K
71271 <1% 128 $39K
70486 <1% 107 $36K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 3,867 $36K
72040 <1% 704 $35K
72072 <1% 387 $35K
12001 <1% 324 $34K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,261 $34K
81001 <1% 12,531 $34K
80061 Lipid panel <1% 3,137 $34K
76770 <1% 336 $34K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 1,192 $33K
90715 <1% 1,134 $33K
74022 <1% 243 $33K
87086 Culture, bacterial; quantitative colony count, urine <1% 5,079 $33K
80048 Basic metabolic panel (calcium, ionized) <1% 4,433 $33K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,560 $33K
72141 <1% 83 $29K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 163 $28K
45384 <1% 78 $28K
76642 <1% 255 $26K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 416 $25K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 653 $25K
82150 <1% 3,775 $24K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,337 $24K
J7030 Infusion, normal saline solution , 1000 cc <1% 5,512 $23K
85379 <1% 2,735 $23K
85027 <1% 4,264 $23K
J3370 Injection, vancomycin hcl, 500 mg <1% 2,864 $22K
87077 <1% 2,840 $22K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 299 $20K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 9,881 $20K
85610 <1% 5,972 $20K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 415 $20K
81003 <1% 8,544 $20K
82607 <1% 1,595 $19K
76830 Ultrasound, transvaginal <1% 92 $17K
J0690 Injection, cefazolin sodium, 500 mg <1% 3,613 $17K
73080 <1% 294 $17K
87186 <1% 2,216 $17K
V2632 Posterior chamber intraocular lens <1% 213 $17K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed <1% 144 $17K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 16,287 $16K
86140 <1% 4,038 $16K
76942 <1% 306 $16K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 8,883 $16K
83036 Hemoglobin; glycosylated (A1C) <1% 2,268 $16K
73090 <1% 233 $15K
D0220 Intraoral - periapical first radiographic image <1% 76 $14K
84702 <1% 1,060 $14K
D2930 Prefabricated stainless steel crown - primary tooth <1% 71 $14K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 2,172 $14K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 30 $14K
80074 <1% 304 $13K
76775 <1% 146 $13K
47562 <1% 15 $13K
D0230 Intraoral - periapical each additional radiographic image <1% 71 $13K
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 821 $13K
D0272 Bitewings - two radiographic images <1% 71 $12K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 789 $12K
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,493 $12K
97165 <1% 181 $12K
73562 <1% 154 $12K
36600 <1% 877 $12K
84439 <1% 1,392 $12K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 8,498 $12K
82746 <1% 984 $12K
99214 Doctor's office visit, returning patient (more involved) <1% 224 $12K
85730 <1% 2,493 $11K
82962 <1% 3,348 $10K
80050 General health panel <1% 356 $10K
84145 <1% 465 $10K
81596 <1% 383 $10K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 60 $10K
82728 <1% 888 $10K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 397 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,192 $9K
73222 <1% 20 $9K
J3475 Injection, magnesium sulfate, per 500 mg <1% 1,096 $9K
82565 <1% 1,432 $8K
73590 <1% 166 $8K
J3490 Unclassified drugs <1% 820 $8K
80076 <1% 1,084 $8K
J2270 Injection, morphine sulfate, up to 10 mg <1% 5,655 $8K
78227 <1% 31 $7K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 20 $7K
87807 <1% 548 $7K
87522 Neg quan hep c or qual rna <1% 160 $7K
D7140 Extraction, erupted tooth or exposed root <1% 25 $7K
J1170 Injection, hydromorphone, up to 4 mg <1% 3,814 $7K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 5,615 $7K
93880 <1% 53 $6K
84703 <1% 838 $6K
J2785 Injection, regadenoson, 0.1 mg <1% 48 $6K
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 1,274 $6K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 4,115 $6K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 476 $6K
73140 <1% 161 $6K
94760 <1% 753 $6K
87071 <1% 693 $6K
85652 <1% 2,517 $6K
36416 <1% 1,006 $5K
80179 <1% 378 $5K
99213 Doctor's office visit, returning patient (routine) <1% 141 $5K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 15 $4K
J7050 Infusion, normal saline solution, 250 cc <1% 1,025 $4K
83516 <1% 560 $4K
97116 <1% 145 $4K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 1,801 $4K
D2330 <1% 15 $4K
88346 <1% 87 $4K
82550 <1% 699 $4K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 17 $4K
77063 Screening digital breast tomosynthesis, bilateral <1% 212 $4K
83540 <1% 802 $4K
64721 <1% 16 $4K
72128 <1% 14 $4K
C9113 Injection, pantoprazole sodium, per vial <1% 972 $4K
87902 <1% 16 $4K
86038 <1% 393 $4K
82140 <1% 247 $4K
73040 <1% 21 $3K
83520 <1% 306 $3K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,135 $3K
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries <1% 82 $3K
82947 <1% 1,551 $3K
71101 <1% 45 $3K
83550 <1% 535 $3K
88350 <1% 59 $3K
73560 <1% 73 $3K
92523 <1% 38 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 12 $3K
D3910 <1% 13 $3K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 16 $3K
80320 <1% 133 $3K
88304 <1% 108 $2K
86901 <1% 1,103 $2K
86900 <1% 1,088 $2K
99204 Doctor's office visit, new patient (more involved) <1% 69 $2K
87400 <1% 240 $2K
23350 <1% 21 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 586 $2K
81256 <1% 73 $2K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 20 $2K
82948 <1% 413 $2K
12002 <1% 18 $2K
86850 <1% 335 $2K
82397 <1% 203 $2K
J1596 Injection, glycopyrrolate, 0.1 mg <1% 281 $2K
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% 22 $2K
76870 <1% 16 $2K
77080 <1% 13 $2K
J0780 Injection, prochlorperazine, up to 10 mg <1% 252 $2K
J2550 Injection, promethazine hcl, up to 50 mg <1% 1,533 $2K
10060 <1% 14 $2K
12011 <1% 12 $1K
97167 <1% 20 $1K
80143 <1% 86 $1K
84100 <1% 389 $1K
64450 <1% 38 $1K
97535 Self-care/home management training, each 15 minutes <1% 40 $1K
J0360 Injection, hydralazine hcl, up to 20 mg <1% 175 $1K
81479 Unlisted molecular pathology procedure <1% 153 $1K
86704 <1% 154 $1K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 558 $1K
86803 <1% 133 $1K
86706 <1% 155 $1K
86376 <1% 121 $1K
86480 <1% 17 $1K
82104 <1% 77 $972.07
86708 <1% 115 $897.21
82172 <1% 42 $859.35
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 114 $851.64
83010 <1% 59 $837.86
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 29 $798.92
80329 <1% 14 $789.49
87340 <1% 123 $756.73
29125 <1% 16 $728.24
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 335 $716.16
82525 <1% 96 $693.89
83883 <1% 57 $678.26
94664 <1% 346 $663.98
82103 <1% 73 $628.34
82390 <1% 95 $600.36
77065 Tomosynthesis, mammo <1% 17 $566.93
87081 <1% 137 $553.12
J2060 Injection, lorazepam, 2 mg <1% 873 $532.24
J3480 Injection, potassium chloride, per 2 meq <1% 83 $509.54
J2470 Injection, pantoprazole sodium, 40 mg <1% 83 $507.83
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 184 $488.12
82977 <1% 56 $461.67
86677 <1% 29 $460.50
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 15 $444.29
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel <1% 65 $433.06
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 29 $374.49
84436 <1% 102 $342.89
84550 <1% 90 $314.53
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 347 $305.77
J1815 Injection, insulin, per 5 units <1% 182 $300.52
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 15 $289.47
83993 <1% 14 $259.10
36591 <1% 28 $245.56
82248 <1% 68 $234.52
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 185 $223.75
87070 <1% 52 $213.14
81015 <1% 374 $207.41
88312 <1% 20 $195.38
86804 <1% 17 $171.45
87420 <1% 18 $168.60
82272 <1% 63 $168.31
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 145 $159.01
J7510 Prednisolone oral, per 5 mg <1% 15 $122.97
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 125 $105.93
J1171 Injection, hydromorphone, 0.1 mg <1% 43 $101.76
82570 <1% 24 $83.63
84479 <1% 44 $79.00
86592 <1% 12 $57.68
J0687 Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg <1% 42 $55.57
87205 <1% 14 $43.57
89055 <1% 31 $34.97
82784 <1% 18 $28.37
84460 <1% 27 $26.35
84450 <1% 26 $20.30
Q0177 Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 38 $16.74
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 28 $10.10
A9270 Non-covered item or service 0% 541 $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 officialPUGH, JANELLE (VP FINANCE)