Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Atrium Medical Center

Atrium Medical Center was paid $27.62M by Medicaid between Jan 2018 and Dec 2024, across 265 billing codes. Its largest line is 99284, emergency room visit (serious) — 14% of everything it billed.

33Billing provider infoATRIUM MEDICAL CENTER
FRANKLIN, OH 45005
33aNPI1700950060assigned 11/20/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$27.62M
24GClaims626,124
24DCodes billed265
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Ohio

Rank by total paid#42 of 101
Median peer was paid$22.32M
This provider vs. median1.2×

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$500K$1.0M2018201920202021202220232024
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
201880,931$3.11M
201961,882$2.48M
202046,000$2.93M
202130,177$1.96M
202239,626$2.36M
2023221,051$8.94M
2024incomplete146,457$5.83M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 14% 30,366 26,788 $3.87M
96361 Intravenous infusion, hydration; each additional hour 13% 12,710 9,865 $3.65M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 13% 32,525 26,651 $3.47M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 12% 28,585 26,072 $3.33M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 8.9% 17,722 15,464 $2.47M
70450 Computed tomography, head or brain; without contrast material 4.1% 4,644 3,712 $1.12M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.6% 9,241 2,508 $716K
11043 2.4% 2,238 1,225 $671K
74177 Computed tomography, abdomen and pelvis; with contrast material 2.4% 3,011 2,282 $658K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2.1% 4,724 3,869 $567K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1.7% 678 570 $470K
G0378 Hospital observation service, per hour 1.6% 6,742 2,461 $440K
253 more codes
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1.5% 3,692 $406K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.4% 3,834 $375K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1.3% 3,508 $355K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.0% 1,211 $287K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1.0% 696 $286K
71260 Computed tomography, thorax, diagnostic; with contrast material 1.0% 1,425 $278K
59025 Fetal non-stress test <1% 1,758 $272K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,052 $253K
99213 Doctor's office visit, returning patient (routine) <1% 5,520 $226K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 2,197 $221K
80048 Basic metabolic panel (calcium, ionized) <1% 29,153 $204K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,091 $190K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,204 $178K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 665 $171K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 5,904 $158K
90791 Psychiatric diagnostic evaluation <1% 574 $117K
70496 <1% 475 $113K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 4,431 $97K
80053 Comprehensive metabolic panel <1% 12,952 $87K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 968 $84K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography <1% 402 $83K
95811 <1% 116 $81K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 714 $76K
76830 Ultrasound, transvaginal <1% 742 $72K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 4,151 $69K
76642 <1% 546 $65K
93017 <1% 776 $63K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,311 $61K
93970 <1% 468 $60K
84484 <1% 17,112 $56K
93971 <1% 718 $48K
97161 <1% 1,142 $48K
72131 <1% 722 $41K
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% 213 $40K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 274 $39K
71046 Radiologic examination, chest; 2 views <1% 1,801 $39K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,756 $38K
71250 <1% 452 $35K
71045 Radiologic examination, chest; single view <1% 18,522 $27K
70551 Magnetic resonance imaging, brain; without contrast material <1% 191 $25K
97116 <1% 1,251 $25K
72125 Computed tomography, cervical spine; without contrast material <1% 2,177 $24K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 20,281 $24K
80320 <1% 2,329 $23K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 98 $22K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 42,847 $21K
87400 <1% 1,054 $21K
97162 <1% 711 $21K
93458 <1% 16 $20K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 54 $20K
95819 <1% 128 $18K
86850 <1% 1,134 $18K
36415 Collection of venous blood by venipuncture <1% 16,208 $18K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 493 $15K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,299 $15K
99214 Doctor's office visit, returning patient (more involved) <1% 240 $15K
70486 <1% 540 $14K
97535 Self-care/home management training, each 15 minutes <1% 536 $14K
90715 <1% 940 $14K
74018 <1% 414 $13K
76536 <1% 101 $13K
88341 <1% 477 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 12,542 $12K
86900 <1% 1,246 $12K
97597 <1% 109 $12K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 988 $11K
72100 <1% 339 $10K
0002A <1% 312 $10K
78815 Positron emission tomography (PET) for limited area imaging <1% 15 $10K
0001A <1% 338 $10K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 17,763 $8K
97166 <1% 280 $8K
73560 <1% 613 $8K
77065 Tomosynthesis, mammo <1% 283 $8K
J3490 Unclassified drugs <1% 4,387 $8K
73030 <1% 814 $8K
85027 <1% 2,908 $8K
72128 <1% 337 $8K
81001 <1% 19,874 $7K
87070 <1% 1,566 $7K
74178 <1% 64 $7K
12001 <1% 54 $7K
96376 <1% 3,028 $6K
77066 Tomosynthesis, mammo <1% 350 $6K
70491 <1% 19 $6K
73610 <1% 657 $6K
73630 <1% 894 $5K
96367 <1% 164 $5K
73130 <1% 759 $5K
70498 <1% 464 $5K
96375 Therapeutic injection; each additional sequential IV push <1% 12,915 $5K
81025 <1% 10,811 $4K
80076 <1% 445 $4K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 269 $4K
85610 <1% 3,706 $4K
97113 <1% 97 $4K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 16 $3K
73562 <1% 328 $3K
95886 <1% 14 $3K
73502 <1% 300 $3K
82565 <1% 415 $3K
76775 <1% 40 $3K
C1889 Implantable/insertable device, not otherwise classified <1% 40 $3K
J2270 Injection, morphine sulfate, up to 10 mg <1% 4,012 $3K
87086 Culture, bacterial; quantitative colony count, urine <1% 4,430 $3K
82248 <1% 7,060 $3K
80061 Lipid panel <1% 505 $3K
83036 Hemoglobin; glycosylated (A1C) <1% 659 $3K
80055 <1% 118 $3K
83735 <1% 2,359 $3K
87040 <1% 1,723 $3K
12011 <1% 14 $2K
71271 <1% 14 $2K
84443 Thyroid stimulating hormone (TSH) <1% 733 $2K
J1170 Injection, hydromorphone, up to 4 mg <1% 2,460 $2K
H1002 Prenatal care, at risk enhanced service; care coordination <1% 546 $2K
G0475 Hiv antigen/antibody, combination assay, screening <1% 122 $2K
73110 <1% 311 $2K
88142 <1% 128 $2K
86901 <1% 1,246 $2K
85730 <1% 2,761 $2K
84439 <1% 427 $2K
J2800 Injection, methocarbamol, up to 10 ml <1% 516 $1K
J1650 Injection, enoxaparin sodium, 10 mg <1% 2,810 $1K
83690 <1% 8,008 $1K
97163 <1% 81 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 10,952 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 985 $1K
73590 <1% 338 $1K
83880 <1% 1,277 $1K
83605 <1% 1,795 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 987 $1K
90686 <1% 33 $1K
72141 <1% 17 $1K
82550 <1% 711 $991.89
82950 <1% 133 $990.74
76937 <1% 16 $978.57
85379 <1% 1,390 $895.48
87430 <1% 1,483 $866.14
72040 <1% 22 $861.95
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 12 $814.34
J7030 Infusion, normal saline solution , 1000 cc <1% 7,914 $813.17
97167 <1% 87 $805.86
82803 <1% 1,201 $801.76
81000 <1% 2,759 $782.67
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 755 $748.51
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test <1% 30 $739.91
87088 <1% 2,378 $724.05
84100 <1% 448 $719.14
84702 <1% 698 $715.66
81003 <1% 2,077 $684.95
87147 <1% 524 $681.35
J3010 Injection, fentanyl citrate, 0.1 mg <1% 4,865 $651.79
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 11,731 $640.73
J0500 Injection, dicyclomine hcl, up to 20 mg <1% 48 $640.24
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 177 $565.42
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,663 $542.68
85014 <1% 379 $524.34
72110 <1% 14 $493.39
87077 <1% 1,218 $469.64
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 180 $451.72
72170 <1% 440 $404.11
C9113 Injection, pantoprazole sodium, per vial <1% 441 $389.82
J1815 Injection, insulin, per 5 units <1% 586 $358.09
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 51 $298.26
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,431 $296.95
85018 <1% 384 $289.18
87186 <1% 1,186 $282.10
J3535 Drug administered through a metered dose inhaler <1% 318 $256.09
73552 <1% 84 $255.31
J0360 Injection, hydralazine hcl, up to 20 mg <1% 246 $247.96
J7120 Ringers lactate infusion, up to 1000 cc <1% 3,257 $236.39
80069 <1% 21 $217.84
J0780 Injection, prochlorperazine, up to 10 mg <1% 825 $181.07
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 158 $174.11
80143 <1% 380 $172.05
J0690 Injection, cefazolin sodium, 500 mg <1% 1,961 $167.27
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 35 $150.96
J1644 Injection, heparin sodium, per 1000 units <1% 1,492 $147.52
82010 <1% 204 $145.70
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 230 $137.14
84703 <1% 137 $136.92
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 984 $128.68
90656 <1% 12 $123.67
88342 <1% 621 $117.86
82140 <1% 117 $112.94
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 163 $107.96
J3370 Injection, vancomycin hcl, 500 mg <1% 185 $107.45
J3360 Injection, diazepam, up to 5 mg <1% 121 $102.14
J2060 Injection, lorazepam, 2 mg <1% 834 $99.57
G0008 Administration of influenza virus vaccine <1% 12 $76.59
82330 <1% 49 $72.71
J3480 Injection, potassium chloride, per 2 meq <1% 375 $71.79
87210 <1% 121 $71.02
J3372 Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg <1% 117 $70.17
73080 <1% 13 $67.89
J2704 Injection, propofol, 10 mg <1% 3,015 $59.75
80179 <1% 335 $57.33
J2550 Injection, promethazine hcl, up to 50 mg <1% 794 $55.31
86140 <1% 30 $52.80
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,399 $50.96
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 3,169 $45.00
87075 <1% 53 $43.73
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 1,286 $42.49
73090 <1% 150 $37.77
J1790 Injection, droperidol, up to 5 mg <1% 324 $32.33
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 3,300 $31.50
84132 <1% 39 $30.52
J1171 Injection, hydromorphone, 0.1 mg <1% 92 $23.95
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 122 $22.79
J3475 Injection, magnesium sulfate, per 500 mg <1% 105 $16.52
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 40 $15.81
85652 <1% 69 $13.83
87205 <1% 24 $12.04
87176 <1% 16 $9.43
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 118 $9.30
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 60 $7.60
J8499 Prescription drug, oral, non chemotherapeutic, nos <1% 69 $7.52
91300 <1% 590 $5.13
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 217 $4.79
J1596 Injection, glycopyrrolate, 0.1 mg <1% 212 $2.54
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 154 $2.36
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 768 $2.20
J1940 Injection, furosemide, up to 20 mg <1% 63 $2.01
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 24 $1.95
J7050 Infusion, normal saline solution, 250 cc <1% 651 $0.48
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 0% 5,604 $0.00
Q9956 Injection, octafluoropropane microspheres, per ml 0% 175 $0.00
H1000 Prenatal care, at-risk assessment 0% 109 $0.00
94060 0% 16 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 234 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 0% 893 $0.00
00840 0% 32 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 72 $0.00
94726 0% 16 $0.00
94729 0% 16 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 0% 14 $0.00
73070 0% 13 $0.00
99078 0% 29 $0.00
00731 0% 14 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 0% 14 $0.00
88304 0% 215 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 557 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 30 $0.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 0% 789 $0.00
A9270 Non-covered item or service 0% 124 $0.00
94761 0% 15 $0.00
82607 0% 17 $0.00
C1769 Guide wire 0% 280 $0.00
H1001 Prenatal care, at-risk enhanced service; antepartum management 0% 45 $0.00
82746 0% 15 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 39 $0.00
81015 0% 12 $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 officialSHELTON, SCOTT (VP FINANCE)