Supplier
Witham Memorial Hospital
Witham Memorial Hospital was paid $5.62M by Medicaid between Jan 2018 and Nov 2024, across 91 billing codes. Its largest line is 99283, emergency room visit (moderate) — 55% of everything it billed.
33Billing provider infoWITHAM MEMORIAL HOSPITAL
LEBANON, IN 46052
LEBANON, IN 46052
33aNPI1699757401assigned 11/17/2005
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$5.62M
24GClaims112,561
24DCodes billed91
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Indiana
Rank by total paid#19 of 560
Median peer was paid$29.96
This provider vs. median187,607×
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 | 18,388 | $357K | |
| 2019 | 15,290 | $471K | |
| 2020 | 12,327 | $445K | |
| 2021 | 16,484 | $749K | |
| 2022 | 22,171 | $1.37M | |
| 2023 | 18,309 | $1.44M | |
| 2024incomplete | 9,592 | $783K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 55% | 24,083 | 18,733 | $3.07M |
| G0330 | Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room | 10% | 158 | 123 | $564K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 4.6% | 2,029 | 1,601 | $257K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 4.5% | 2,761 | 2,359 | $252K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.9% | 1,708 | 1,345 | $164K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 2.1% | 992 | 745 | $118K |
| 71045 | Radiologic examination, chest; single view | 1.8% | 605 | 481 | $102K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.8% | 1,393 | 1,096 | $100K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 1.7% | 2,076 | 1,612 | $98K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1.5% | 1,727 | 1,339 | $83K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.3% | 20,464 | 14,818 | $75K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 59 | 26 | $53K |
79 more codes
| 71046 | Radiologic examination, chest; 2 views | <1% | 707 | $47K |
| 41899 | Unlisted procedure, dentoalveolar structures | <1% | 38 | $47K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 19 | $44K |
| 80053 | Comprehensive metabolic panel | <1% | 8,380 | $43K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 1,006 | $42K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 1,288 | $36K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 1,288 | $36K |
| 36415 | Collection of venous blood by venipuncture | <1% | 20,688 | $36K |
| 99285 | Emergency room visit (most serious) | <1% | 241 | $35K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,865 | $34K |
| G0378 | Hospital observation service, per hour | <1% | 262 | $28K |
| 99218 | <1% | 236 | $27K | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 1,174 | $25K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 865 | $24K |
| 92557 | <1% | 292 | $24K | |
| 92567 | <1% | 775 | $20K | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 813 | $18K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 144 | $16K |
| 80500 | <1% | 227 | $16K | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 842 | $11K |
| J3300 | Injection, triamcinolone acetonide, preservative free, 1 mg | <1% | 361 | $9K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 78 | $9K |
| 70486 | <1% | 58 | $8K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 593 | $6K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 44 | $5K |
| 84484 | <1% | 761 | $4K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,149 | $4K |
| 80503 | <1% | 39 | $3K | |
| 80061 | Lipid panel | <1% | 418 | $3K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 28 | $3K |
| 80081 | <1% | 39 | $3K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 17 | $2K |
| 83655 | <1% | 197 | $2K | |
| 87088 | <1% | 320 | $2K | |
| 85652 | <1% | 1,106 | $2K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 624 | $2K |
| 36591 | <1% | 32 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 318 | $1K |
| 83690 | <1% | 483 | $1K | |
| 84703 | <1% | 342 | $1K | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 78 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 95 | $1K |
| 82728 | <1% | 138 | $979.38 | |
| 87563 | <1% | 27 | $753.10 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 25 | $736.89 |
| 81001 | <1% | 487 | $704.67 | |
| A0425 | Ground mileage, per statute mile | <1% | 2,578 | $679.35 |
| 82565 | <1% | 213 | $528.16 | |
| 84460 | <1% | 172 | $443.15 | |
| 84450 | <1% | 172 | $433.29 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 18 | $374.27 |
| 84439 | <1% | 66 | $363.53 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 15 | $331.36 |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | <1% | 23 | $259.98 |
| 83550 | <1% | 51 | $224.86 | |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | <1% | 158 | $206.52 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 13 | $205.04 |
| 81003 | <1% | 238 | $198.33 | |
| 82040 | <1% | 91 | $197.89 | |
| 83540 | <1% | 51 | $167.50 | |
| 87040 | <1% | 21 | $135.23 | |
| 86885 | <1% | 14 | $111.00 | |
| 86431 | <1% | 13 | $86.29 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 261 | $45.36 |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 23 | $44.89 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 47 | $33.46 |
| 86901 | <1% | 14 | $11.60 | |
| 86900 | <1% | 14 | $11.60 | |
| A0427 | Emergency ambulance ride, advanced life support | 0% | 227 | $0.00 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 0% | 45 | $0.00 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 0% | 27 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 127 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 0% | 117 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 13 | $0.00 |
| A0429 | Emergency ambulance ride, basic life support | 0% | 585 | $0.00 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 0% | 30 | $0.00 |
| J2270 | Injection, morphine sulfate, up to 10 mg | 0% | 22 | $0.00 |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 0% | 22 | $0.00 |
| J0595 | Injection, butorphanol tartrate, 1 mg | 0% | 18 | $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 officialBRAVERMAN, KELLY (CEO, PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Witham Memorial Hospital | Lebanon, IN | $11.05M |
| Witham Memorial Hospital | Frankfort, IN | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.