Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › DEFIANCE › DEFIANCE HOSPITAL INC.

DEFIANCE HOSPITAL INC.

NPI: 1699775726 · DEFIANCE, OH 43512 · Critical Access Hospital · NPI assigned 07/29/2005

$11.55M
Total Medicaid Paid
212,082
Total Claims
159,368
Beneficiaries
193
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHARP, KEVIN (VP REV CYCLE)
Parent OrganizationPROMEDICA HEALTH SYSTEM
NPI Enumeration Date07/29/2005

Related Entities

Other providers sharing the same authorized official: SHARP, KEVIN

ProviderCityStateTotal Paid
THE TOLEDO HOSPITAL TOLEDO OH $151.22M
EMMA L. BIXBY MEDICAL CENTER ADRIAN MI $18.35M
BAY PARK COMMUNITY HOSPITAL OREGON OH $16.39M
COMMUNITY HEALTH CENTER OF BRANCH COUNTY COLDWATER MI $11.80M
MEMORIAL HOSPITAL FREMONT OH $11.40M
FOSTORIA HOSPITAL ASSOCIATION FOSTORIA OH $7.48M
TOLEDO HOSPITAL TOLEDO OH $2.38M
HERRICK MEMORIAL HOSPITAL, INC. TECUMSEH MI $1.82M
FLOWER HOSPITAL SYLVANIA OH $368K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,792 $664K
2019 10,671 $512K
2020 11,274 $675K
2021 14,635 $890K
2022 16,974 $1.07M
2023 79,507 $4.09M
2024 65,229 $3.65M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 15,639 13,847 $1.95M
99284 Emergency department visit for the evaluation and management, high severity 8,640 7,300 $1.20M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,259 7,026 $1.04M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 7,719 6,594 $823K
96361 Intravenous infusion, hydration; each additional hour 1,838 1,092 $722K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,873 1,593 $590K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,293 1,776 $369K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,767 4,498 $345K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2,656 1,975 $338K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,405 1,918 $287K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,690 5,313 $287K
70450 Computed tomography, head or brain; without contrast material 843 661 $284K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,379 784 $273K
74177 Computed tomography, abdomen and pelvis; with contrast material 727 565 $247K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,217 733 $186K
74176 Computed tomography, abdomen and pelvis; without contrast material 606 449 $185K
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 834 789 $166K
59025 Fetal non-stress test 886 279 $134K
90837 Psychotherapy, 53 minutes with patient 2,533 1,665 $123K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 490 356 $120K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,449 494 $113K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 470 351 $99K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 465 259 $94K
80053 Comprehensive metabolic panel 8,634 6,662 $92K
81514 594 406 $92K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,706 583 $80K
99215 Prolong outpt/office vis 585 403 $65K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 601 456 $60K
97162 614 503 $55K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,319 1,018 $52K
71046 Radiologic examination, chest; 2 views 1,889 1,522 $50K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 15,420 11,926 $46K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 325 185 $43K
G0378 Hospital observation service, per hour 460 168 $41K
84439 1,895 1,512 $39K
36415 Collection of venous blood by venipuncture 13,278 10,302 $37K
84443 Thyroid stimulating hormone (TSH) 2,504 2,010 $37K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,297 1,062 $37K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 128 106 $35K
80048 Basic metabolic panel (calcium, ionized) 3,766 2,831 $31K
90834 Psychotherapy, 45 minutes with patient 929 645 $31K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,319 1,018 $29K
85027 2,129 1,694 $24K
82607 916 759 $24K
76830 Ultrasound, transvaginal 462 354 $22K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 479 451 $21K
87086 Culture, bacterial; quantitative colony count, urine 3,104 2,435 $21K
97535 Self-care/home management training, each 15 minutes 471 256 $21K
80061 Lipid panel 1,332 1,137 $20K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 337 259 $20K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 475 170 $20K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 763 550 $17K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 663 509 $16K
84702 598 321 $16K
86850 500 381 $15K
76705 Ultrasound, abdominal, real time with image documentation; limited 118 93 $14K
77063 Screening digital breast tomosynthesis, bilateral 289 226 $14K
71275 Computed tomographic angiography, chest, with contrast material 33 24 $13K
86780 503 390 $12K
86140 606 475 $12K
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 669 638 $12K
90792 Psychiatric diagnostic evaluation with medical services 182 153 $11K
82728 552 454 $11K
74018 281 222 $11K
80076 842 633 $10K
73630 373 293 $9K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 45 37 $9K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 610 462 $9K
88305 Level IV - Surgical pathology, gross and microscopic examination 446 334 $8K
86900 523 390 $8K
83036 Hemoglobin; glycosylated (A1C) 608 495 $8K
83540 655 535 $7K
83735 2,630 1,829 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,235 1,505 $7K
99232 Subsequent hospital care, per day, moderate complexity 329 142 $6K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,749 1,918 $6K
82570 701 543 $6K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 334 248 $6K
99238 Hospital discharge day management, 30 minutes or less 236 209 $6K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,813 2,204 $5K
83550 573 472 $5K
81001 1,091 844 $5K
73610 287 211 $5K
86901 523 390 $5K
64635 28 12 $5K
77067 Screening mammography, bilateral, including computer-aided detection 308 241 $5K
76801 31 25 $4K
73562 154 117 $4K
72100 95 87 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 86 76 $4K
92567 114 112 $3K
84460 469 332 $3K
82746 301 251 $3K
81003 7,186 5,966 $3K
73030 94 59 $3K
0012A 75 73 $3K
94060 16 14 $3K
87660 158 151 $3K
71260 Computed tomography, thorax, diagnostic; with contrast material 12 12 $3K
85652 430 332 $3K
85610 1,222 839 $2K
86803 134 112 $2K
0202U Oncology (prostate), multianalyte, gene expression profiling 13 13 $2K
86787 63 50 $2K
87480 100 96 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 125 58 $2K
87077 801 604 $2K
96375 Therapeutic injection; each additional sequential IV push 1,964 1,274 $2K
87340 91 75 $2K
83970 64 51 $2K
76642 20 15 $2K
72125 Computed tomography, cervical spine; without contrast material 54 42 $2K
84484 1,694 1,220 $2K
83880 388 293 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 17 12 $2K
71250 14 13 $2K
82043 226 192 $1K
82565 151 104 $1K
71045 Radiologic examination, chest; single view 1,113 879 $1K
84450 154 123 $1K
97750 17 12 $1K
85379 822 619 $1K
97163 14 12 $1K
87510 100 96 $1K
84156 296 215 $1K
87186 392 302 $1K
94729 16 13 $1K
0011A 43 43 $1K
99222 Initial hospital care, per day, moderate complexity 25 24 $1K
99221 45 35 $1K
83690 1,741 1,228 $1K
96376 474 272 $965.34
73110 31 26 $942.67
92557 12 12 $934.93
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 346 307 $910.39
73130 103 74 $884.43
84550 198 141 $880.33
99443 86 77 $843.75
82950 50 38 $777.69
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,515 1,921 $708.27
86762 35 24 $678.52
99442 68 68 $635.39
87150 31 26 $594.16
85730 561 444 $525.71
82077 525 374 $522.16
83615 124 84 $493.39
0002A 12 12 $426.24
81025 2,385 1,794 $422.20
84703 33 26 $397.66
87081 31 26 $392.84
99231 Subsequent hospital care, per day, straightforward or low complexity 34 15 $337.53
84100 84 64 $310.82
83605 856 623 $286.40
87070 79 66 $196.07
87040 234 186 $186.78
87205 77 65 $115.72
82803 33 24 $113.05
82550 43 26 $111.80
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 114 109 $103.10
80047 55 29 $83.95
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 247 198 $78.60
J7050 Infusion, normal saline solution, 250 cc 722 382 $53.57
J1170 Injection, hydromorphone, up to 4 mg 118 60 $49.30
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 376 348 $44.16
J0131 Injection, acetaminophen, not otherwise specified,10 mg 31 13 $36.61
J1100 Injection, dexamethasone sodium phosphate, 1 mg 702 456 $25.88
J1885 Injection, ketorolac tromethamine, per 15 mg 908 639 $25.69
J2795 Injection, ropivacaine hydrochloride, 1 mg 18 12 $25.20
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 50 24 $18.91
J0780 Injection, prochlorperazine, up to 10 mg 137 90 $18.90
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 25 13 $15.80
J3010 Injection, fentanyl citrate, 0.1 mg 666 494 $15.45
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,517 1,149 $15.12
J1200 Injection, diphenhydramine hcl, up to 50 mg 491 313 $14.74
J2405 Injection, ondansetron hydrochloride, per 1 mg 844 580 $10.03
J2704 Injection, propofol, 10 mg 553 434 $7.20
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 624 324 $2.11
J2250 Injection, midazolam hydrochloride, per 1 mg 583 471 $1.50
91301 123 119 $1.19
J0696 Injection, ceftriaxone sodium, per 250 mg 68 45 $0.47
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 111 93 $0.46
91300 12 12 $0.11
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 12 12 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 65 37 $0.00
J0690 Injection, cefazolin sodium, 500 mg 101 72 $0.00
C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away 46 37 $0.00
A9270 Non-covered item or service 57 44 $0.00
87807 30 30 $0.00
82150 31 28 $0.00
J2060 Injection, lorazepam, 2 mg 14 12 $0.00
94760 14 13 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 48 44 $0.00
J3480 Injection, potassium chloride, per 2 meq 27 13 $0.00