Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CO › GRAND JUNCTION › ST. MARY'S HOSPITAL AND MEDICAL CENTER, INC.

ST. MARY'S HOSPITAL AND MEDICAL CENTER, INC.

NPI: 1699716027 · GRAND JUNCTION, CO 81501 · Ambulance · NPI assigned 06/09/2006

$14.49M
Total Medicaid Paid
678,653
Total Claims
475,137
Beneficiaries
224
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDONOHUE, VINCENT (AVP FINANCE)
Parent OrganizationSISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC
NPI Enumeration Date06/09/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 124,183 $2.62M
2019 137,431 $2.89M
2020 90,681 $1.81M
2021 87,348 $1.95M
2022 83,765 $1.36M
2023 90,205 $2.15M
2024 65,040 $1.72M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 27,414 25,139 $3.05M
99284 Emergency department visit for the evaluation and management, high severity 16,307 14,368 $1.83M
74177 Computed tomography, abdomen and pelvis; with contrast material 2,783 2,367 $957K
96361 Intravenous infusion, hydration; each additional hour 6,434 4,647 $729K
70450 Computed tomography, head or brain; without contrast material 3,619 3,028 $572K
80053 Comprehensive metabolic panel 56,016 44,703 $553K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 5,601 3,679 $522K
J3490 Unclassified drugs 120,901 44,922 $428K
A0430 Ambulance service, conventional air services, transport, one way (fixed wing) 156 139 $384K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,262 2,659 $365K
96375 Therapeutic injection; each additional sequential IV push 14,221 10,747 $250K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 9,160 3,110 $250K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 73,598 57,521 $232K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,523 1,294 $201K
71046 Radiologic examination, chest; 2 views 6,581 5,164 $192K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4,716 4,027 $171K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2,370 2,119 $157K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,792 1,242 $156K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,679 811 $144K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 18,667 15,380 $143K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 18,014 14,578 $133K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,733 4,041 $131K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,737 1,650 $102K
80048 Basic metabolic panel (calcium, ionized) 7,437 5,497 $95K
74176 Computed tomography, abdomen and pelvis; without contrast material 275 224 $94K
76830 Ultrasound, transvaginal 906 754 $94K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,176 1,469 $84K
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 1,393 1,301 $84K
84443 Thyroid stimulating hormone (TSH) 7,255 6,248 $79K
80320 1,131 963 $78K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 880 457 $74K
96376 2,618 1,741 $62K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 939 784 $60K
84484 4,176 2,640 $58K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,550 1,615 $55K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 832 549 $55K
87086 Culture, bacterial; quantitative colony count, urine 4,720 3,953 $54K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,633 1,514 $51K
A0431 Ambulance service, conventional air services, transport, one way (rotary wing) 29 25 $48K
36415 Collection of venous blood by venipuncture 23,975 19,343 $48K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 116 88 $47K
72125 Computed tomography, cervical spine; without contrast material 522 462 $47K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,281 1,163 $47K
87653 1,262 1,114 $47K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,502 2,504 $46K
70551 Magnetic resonance imaging, brain; without contrast material 138 117 $45K
86780 2,304 2,012 $42K
81001 14,373 11,505 $42K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,091 967 $39K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 112 105 $39K
80061 Lipid panel 3,115 2,763 $39K
72100 799 647 $39K
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening 2,305 2,026 $38K
90715 596 498 $37K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 3,114 2,769 $36K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 212 79 $32K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 570 395 $32K
87536 441 389 $31K
83036 Hemoglobin; glycosylated (A1C) 2,548 2,300 $30K
71260 Computed tomography, thorax, diagnostic; with contrast material 176 161 $30K
83690 8,728 6,964 $29K
86762 1,337 1,131 $27K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,106 532 $26K
80329 672 576 $25K
87340 1,926 1,686 $25K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 84 74 $23K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 961 893 $22K
81025 3,287 2,601 $21K
77063 Screening digital breast tomosynthesis, bilateral 932 796 $20K
73030 669 545 $20K
86850 2,349 1,927 $20K
84702 1,967 1,236 $20K
84439 2,050 1,779 $19K
71275 Computed tomographic angiography, chest, with contrast material 89 78 $19K
71045 Radiologic examination, chest; single view 4,286 3,709 $19K
86140 1,731 1,482 $18K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 57 50 $18K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 3,367 1,427 $18K
73630 638 507 $16K
77067 Screening mammography, bilateral, including computer-aided detection 932 796 $16K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 902 668 $15K
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 1,163 1,100 $15K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 7,618 5,281 $15K
85610 4,641 3,408 $14K
82570 1,455 1,131 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,120 2,470 $13K
76801 154 111 $13K
J7050 Infusion, normal saline solution, 250 cc 11,252 5,560 $13K
82728 1,003 919 $12K
73562 449 349 $12K
73610 470 345 $12K
73130 445 341 $10K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 160 115 $10K
97161 70 68 $10K
J2405 Injection, ondansetron hydrochloride, per 1 mg 8,211 6,078 $9K
85027 2,099 1,580 $9K
99282 Emergency department visit for the evaluation and management, low to moderate severity 92 79 $8K
87081 553 481 $8K
87186 1,055 884 $8K
J1170 Injection, hydromorphone, up to 4 mg 3,905 2,580 $8K
80306 1,339 1,182 $8K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 809 565 $8K
83540 1,047 949 $8K
83550 999 909 $7K
82565 2,880 2,510 $7K
70498 17 13 $7K
76770 52 32 $7K
76642 85 70 $7K
86900 2,401 1,954 $6K
86901 2,404 1,954 $6K
87088 652 569 $6K
J1885 Injection, ketorolac tromethamine, per 15 mg 8,690 6,769 $6K
82607 484 415 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 550 431 $5K
83735 999 706 $5K
J2250 Injection, midazolam hydrochloride, per 1 mg 2,130 1,690 $5K
82962 3,923 1,611 $5K
J7120 Ringers lactate infusion, up to 1000 cc 11,349 9,435 $5K
83880 186 152 $5K
83605 516 356 $5K
85379 480 415 $4K
96367 157 111 $4K
84156 708 477 $4K
J3010 Injection, fentanyl citrate, 0.1 mg 3,750 2,628 $4K
85652 1,438 1,202 $4K
82950 780 696 $4K
97162 161 140 $3K
76536 30 24 $3K
0202U Oncology (prostate), multianalyte, gene expression profiling 43 42 $3K
J7030 Infusion, normal saline solution , 1000 cc 4,214 2,699 $3K
36591 200 125 $3K
83615 644 400 $3K
83516 119 109 $3K
87070 292 231 $2K
70496 14 12 $2K
88342 124 108 $2K
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,630 2,715 $2K
J0690 Injection, cefazolin sodium, 500 mg 1,486 1,091 $2K
73110 86 69 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 27 25 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,347 1,836 $2K
82947 1,073 757 $2K
80076 401 347 $2K
80325 17 12 $2K
85730 459 358 $2K
82670 214 173 $2K
87147 345 248 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 132 84 $2K
J2560 Injection, phenobarbital sodium, up to 120 mg 137 104 $2K
82784 94 68 $2K
J2270 Injection, morphine sulfate, up to 10 mg 749 465 $1K
88304 46 37 $1K
97163 27 26 $1K
73502 40 37 $1K
J2704 Injection, propofol, 10 mg 3,067 2,325 $1K
84550 344 208 $1K
84481 93 70 $1K
80359 17 12 $1K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 422 361 $1K
Q0162 Ondansetron 1 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 2,749 2,042 $1K
74018 26 25 $1K
82043 27 25 $942.62
A0425 Ground mileage, per statute mile 24 24 $870.84
86360 32 25 $854.63
87205 227 175 $837.31
86359 32 25 $834.42
84703 685 618 $823.66
87040 105 49 $704.16
J1630 Injection, haloperidol, up to 5 mg 2,247 1,763 $645.67
J2550 Injection, promethazine hcl, up to 50 mg 1,304 853 $643.13
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,326 916 $576.69
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 32 14 $576.62
86038 41 39 $570.18
80349 30 24 $557.27
87486 12 12 $554.46
80159 90 73 $552.59
97166 15 12 $520.68
80348 15 12 $496.15
82746 40 36 $464.17
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 24 12 $450.52
77065 Tomosynthesis, mammo 19 13 $443.40
72110 13 12 $415.53
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16 12 $379.81
84403 90 85 $346.44
36416 210 113 $342.25
J2765 Injection, metoclopramide hcl, up to 10 mg 1,002 796 $322.53
85007 59 42 $322.04
J0696 Injection, ceftriaxone sodium, per 250 mg 644 459 $291.56
80074 32 27 $285.72
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 96 79 $283.68
87581 12 12 $277.19
86706 43 40 $268.87
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 12 12 $225.26
87210 66 53 $208.08
82105 26 25 $182.96
97597 16 12 $167.31
87077 20 17 $152.57
86704 27 27 $151.41
84100 59 38 $133.31
86361 12 12 $131.02
85018 49 42 $113.72
88300 14 12 $103.34
P9612 Catheterization for collection of specimen, single patient, all places of service 39 31 $77.92
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 224 121 $72.23
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 26 26 $54.67
86364 33 27 $43.28
85014 12 12 $42.42
90686 20 17 $41.03
J1644 Injection, heparin sodium, per 1000 units 168 80 $21.67
J0780 Injection, prochlorperazine, up to 10 mg 18 12 $18.88
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 413 282 $17.22
J3411 Injection, thiamine hcl, 100 mg 36 27 $15.43
J0461 Injection, atropine sulfate, 0.01 mg 30 26 $8.92
J2060 Injection, lorazepam, 2 mg 285 210 $8.40
J3475 Injection, magnesium sulfate, per 500 mg 17 12 $6.39
A9270 Non-covered item or service 3,956 680 $5.13
J1815 Injection, insulin, per 5 units 35 13 $1.14
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 257 208 $0.00
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 13 12 $0.00
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 91 78 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 148 127 $0.00
A9698 Non-radioactive contrast imaging material, not otherwise classified, per study 428 398 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 81 80 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 12 $0.00