Medicaid Provider Spending

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

TAKOMA REGIONAL HOSPITAL INC

NPI: 1699819003 · GREENEVILLE, TN 37745 · Family Medicine Physician · NPI assigned 02/18/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HILTON, SHANE controls 20+ related entities in our dataset. Read more

$20.22M
Total Medicaid Paid
775,784
Total Claims
614,613
Beneficiaries
219
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHILTON, SHANE (EVP/CFO)
NPI Enumeration Date02/18/2007

Related Entities

Other providers sharing the same authorized official: HILTON, SHANE

ProviderCityStateTotal Paid
JOHNSTON MEMORIAL HOSPITAL, INC ABINGDON VA $35.91M
WELLMONT HEALTH SYSTEM BIG STONE GAP VA $33.71M
MOUNTAIN STATES HEALTH ALLIANCE JOHNSON CITY TN $31.31M
WELLMONT MEDICAL ASSOCIATES INC KINGSPORT TN $27.84M
WELLMONT HEALTH SYSTEM BRISTOL TN $27.35M
WELLMONT HEALTH SYSTEM KINGSPORT TN $17.64M
MOUNTAIN STATES HEALTH ALLIANCE KINGSPORT TN $15.47M
SMYTH COUNTY COMMUNITY HOSPITAL MARION VA $15.33M
MOUNTAIN STATES HEALTH ALLIANCE LEBANON VA $11.37M
MOUNTAIN STATES HEALTH ALLIANCE PENNINGTON GAP VA $8.28M
MOUNTAIN STATES HEALTH ALLIANCE JOHNSON CITY TN $8.14M
MOUNTAIN STATES HEALTH ALLIANCE ELIZABETHTON TN $7.25M
DICKENSON COMMUNITY HOSPITAL, INC. CLINTWOOD VA $6.94M
WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL INC ROGERSVILLE TN $5.11M
EAST TENNESSEE HEALTHCARE HOLDINGS INC GRAY TN $3.30M
MOUNTAIN STATES HEALTH ALLIANCE MOUNTAIN CITY TN $3.03M
WELLMONT HEALTH SYSTEM SNEEDVILLE TN $1.90M
MOUNTAIN STATES HEALTH ALLIANCE ERWIN TN $1.48M
WILSON PHARMACY INC JOHNSON CITY TN $1.26M
MOUNTAIN STATES HEALTH ALLIANCE NORTON VA $376K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 104,335 $2.23M
2019 111,918 $2.58M
2020 91,888 $2.51M
2021 104,980 $3.18M
2022 126,358 $3.51M
2023 131,725 $3.26M
2024 104,580 $2.95M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 30,246 26,886 $5.69M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 80,924 58,656 $2.79M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 12,918 10,745 $2.66M
99283 Emergency department visit for the evaluation and management, moderate severity 16,439 15,044 $2.21M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45,186 34,670 $1.14M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 8,508 7,686 $770K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 5,312 2,429 $736K
45380 Colonoscopy, flexible; with biopsy, single or multiple 3,467 1,514 $467K
97530 Therapeutic activities, direct patient contact, each 15 minutes 9,666 3,019 $385K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 49,400 39,032 $361K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,919 3,608 $279K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 6,897 2,143 $242K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,647 3,733 $212K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 46,877 39,723 $148K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 103 86 $122K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 13,079 11,158 $108K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 7,626 5,293 $93K
80053 Comprehensive metabolic panel 41,781 35,673 $85K
36415 Collection of venous blood by venipuncture 68,190 55,919 $74K
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 1,395 1,299 $70K
43235 680 327 $70K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 11,610 9,373 $68K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 751 286 $65K
G0378 Hospital observation service, per hour 719 418 $64K
99401 2,929 1,762 $63K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 932 833 $63K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 971 718 $61K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 914 723 $55K
84484 9,119 6,640 $55K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 305 168 $46K
99215 Prolong outpt/office vis 1,421 1,078 $46K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,092 935 $44K
97597 1,608 755 $37K
96375 Therapeutic injection; each additional sequential IV push 5,857 4,858 $34K
84443 Thyroid stimulating hormone (TSH) 9,681 8,656 $31K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,789 1,704 $31K
80061 Lipid panel 10,625 9,513 $29K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 10,970 8,725 $27K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 555 329 $26K
99443 1,736 1,085 $22K
81025 5,866 4,645 $22K
J2405 Injection, ondansetron hydrochloride, per 1 mg 6,218 5,223 $22K
70450 Computed tomography, head or brain; without contrast material 1,503 1,261 $22K
90837 Psychotherapy, 53 minutes with patient 231 135 $20K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,988 3,040 $20K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,759 1,645 $19K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,759 1,645 $19K
96361 Intravenous infusion, hydration; each additional hour 4,295 3,615 $19K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 564 240 $18K
99442 1,810 1,344 $18K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 264 137 $17K
90686 1,818 1,655 $17K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 15 15 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,031 2,853 $15K
83690 5,277 4,525 $15K
80305 1,739 1,071 $15K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 406 384 $13K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 351 323 $12K
83036 Hemoglobin; glycosylated (A1C) 8,742 7,823 $12K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 331 201 $11K
71045 Radiologic examination, chest; single view 7,709 6,429 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,264 1,127 $11K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 763 593 $10K
91200 1,104 844 $10K
90834 Psychotherapy, 45 minutes with patient 186 131 $10K
76801 143 109 $9K
99281 Emergency department visit for the evaluation and management, self-limited or minor 205 183 $9K
87081 3,439 3,158 $8K
81001 14,381 12,635 $8K
71046 Radiologic examination, chest; 2 views 1,877 1,623 $8K
43248 166 63 $8K
90715 207 190 $8K
84703 1,847 1,690 $8K
87086 Culture, bacterial; quantitative colony count, urine 3,144 2,820 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 364 288 $7K
83880 1,705 1,353 $7K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 2,125 1,635 $7K
99205 Prolong outpt/office vis 384 221 $7K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,645 1,455 $6K
76705 Ultrasound, abdominal, real time with image documentation; limited 251 206 $6K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 150 114 $6K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 861 785 $6K
80055 389 363 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 430 268 $5K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 662 327 $5K
84439 3,761 3,433 $5K
87653 262 232 $5K
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 389 333 $5K
80048 Basic metabolic panel (calcium, ionized) 2,502 2,172 $4K
86803 831 773 $4K
11721 833 702 $4K
81003 7,800 6,877 $4K
82607 1,357 1,221 $4K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 278 185 $4K
82652 470 436 $3K
76830 Ultrasound, transvaginal 63 52 $3K
87040 882 415 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 60 38 $3K
82043 888 773 $3K
99441 316 215 $3K
74018 114 107 $3K
99221 96 70 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 443 341 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 34 28 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 519 323 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material 102 83 $2K
82570 893 776 $2K
83735 899 748 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 122 30 $2K
99490 Ccm add 20min 730 347 $1K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 508 420 $1K
83605 415 300 $1K
87015 262 232 $1K
G0475 Hiv antigen/antibody, combination assay, screening 148 143 $1K
90677 41 32 $1K
11981 14 14 $1K
99406 260 157 $1K
99223 Prolong inpt eval add15 m 31 24 $1K
82950 255 230 $1K
3074F 27,160 21,539 $1K
85610 699 580 $1K
90792 Psychiatric diagnostic evaluation with medical services 18 16 $1K
3078F 25,462 20,379 $1K
J1650 Injection, enoxaparin sodium, 10 mg 19 12 $1K
85379 199 177 $968.48
71260 Computed tomography, thorax, diagnostic; with contrast material 13 12 $817.11
80076 466 417 $784.84
59025 Fetal non-stress test 15 12 $748.00
85027 423 374 $707.95
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 108 96 $701.28
86900 57 53 $670.22
87420 93 92 $659.01
90791 Psychiatric diagnostic evaluation 12 12 $620.92
94690 40 25 $603.92
86850 57 53 $581.55
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 23 20 $574.59
93018 61 40 $555.74
3079F 2,486 2,126 $550.19
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,741 1,443 $520.90
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 129 117 $489.27
84436 370 345 $441.30
73562 53 38 $441.12
92250 17 12 $420.29
73630 61 52 $388.71
93016 41 25 $375.49
99307 23 13 $361.75
99231 Subsequent hospital care, per day, straightforward or low complexity 54 15 $358.63
84480 102 89 $302.32
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,838 2,431 $282.90
86592 222 199 $282.90
3077F 2,053 1,664 $250.00
86901 57 53 $232.09
82150 103 91 $228.78
3075F 2,684 2,192 $222.57
88305 Level IV - Surgical pathology, gross and microscopic examination 2,691 2,218 $190.59
J1885 Injection, ketorolac tromethamine, per 15 mg 6,224 5,297 $185.01
90662 174 135 $170.42
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 13 12 $160.41
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 54 42 $140.88
84550 146 130 $139.62
87340 108 102 $136.47
0358T 56 44 $130.85
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 31 16 $121.97
87510 44 43 $107.81
87480 44 43 $107.80
87660 44 43 $105.85
87807 12 12 $104.08
86141 20 17 $87.24
G0444 Annual depression screening, 5 to 15 minutes 221 128 $85.40
J2270 Injection, morphine sulfate, up to 10 mg 404 335 $79.22
86140 44 36 $77.49
84153 69 67 $77.35
86762 56 52 $73.40
G0008 Administration of influenza virus vaccine 1,075 958 $68.96
J1100 Injection, dexamethasone sodium phosphate, 1 mg 235 186 $66.24
J7030 Infusion, normal saline solution , 1000 cc 6,671 5,469 $60.74
84100 59 48 $58.87
85730 17 12 $47.12
84154 25 24 $46.90
85652 13 12 $42.78
87077 533 449 $40.40
82397 15 13 $40.26
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 16 12 $38.55
96160 405 238 $36.23
96127 42 25 $35.91
87205 35 15 $35.08
81002 12 12 $33.14
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 32 24 $27.15
83525 15 14 $23.32
90653 26 17 $21.06
3080F 294 224 $20.00
G0127 Trimming of dystrophic nails, any number 16 12 $17.68
94664 46 26 $16.28
82746 40 27 $15.00
J2360 Injection, orphenadrine citrate, up to 60 mg 28 24 $12.24
0502F 16,196 10,748 $10.00
3044F 755 583 $10.00
84481 16 13 $8.64
85007 29 20 $5.25
87075 19 15 $4.82
87186 44 36 $4.41
87070 19 15 $4.39
J7120 Ringers lactate infusion, up to 1000 cc 1,678 1,427 $0.00
99397 44 27 $0.00
4010F 6,989 5,293 $0.00
J7042 5% dextrose/normal saline (500 ml = 1 unit) 15 14 $0.00
0503F 752 667 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 801 618 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 74 63 $0.00
J2704 Injection, propofol, 10 mg 3,797 2,710 $0.00
J0690 Injection, cefazolin sodium, 500 mg 350 271 $0.00
A9270 Non-covered item or service 761 327 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 264 232 $0.00
0500F 169 161 $0.00
C1769 Guide wire 46 26 $0.00
G0009 Administration of pneumococcal vaccine 33 29 $0.00
J1170 Injection, hydromorphone, up to 4 mg 20 12 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 17 12 $0.00
94760 42 13 $0.00